Senior Director, Payer Coverage And Access

Senior Director, Payer Coverage And Access


Senior Director, Payer Coverage And Access

Details of the offer

The Senior Director, Payer Coverage and Access will be a key member of the Market Access Leadership Team (MALT) responsible for the development and implementation of the launch and long:term strategy for national/regional payers to assure not only coverage but access to appropriate therapies. This position will involve extensive coordination with the MALT, Marketing, Commercial Operations, Sales, Regulatory, Legal, Compliance, Finance, IT, external consulting groups, and vendors. This individual will build and lead the US Payer Coverage and Access field organization. Reporting to VP of Market Access, you will be responsible for developing a strong capability within the organization. In this role you will,
Develop and execute the organizations payer coverage and access strategies including long and short term national and regional payer strategies and tactics.
Track and educate internal stakeholders regarding current payer landscape trends, priorities and considerations for longer:term strategies. This may include non:traditional payers such as risk:bearing healthcare provider entities.
Support development, internal education, and external education of value propositions for launch products,
Oversee and develop payer positioning for upcoming US launches including input to launch pricing and contracting approaches.
Ensure optimal staffing for field payer function; build, lead and develop a high performing team of coverage and access professionals. Responsible for the teams resource readiness.
With Marketing, develop payer and channel field materials including education, economic value, and targeted engagement to support successful market penetration strategies in the U.S.
Ensure programs are developed and implemented that will enable wide patient accessibility to the product portfolio.
Lead cross:functional teams with key internal stakeholders to ensure that access strategies are implemented and tracking to established goals.
Establish key metrics for the payer coverage and access team. Mobilize and motivate team to ensure deliverables and expectations are met.
Maintain excellence in team leadership, partner management, contracting, compliance and quarter end management (SOPs, work instructions, processes, governance).
Ensure that needs of other functional areas such as Finance, Marketing, Commercial Operations, IT, etc are met through contracts and data agreements .
Actively participate and contribute to the MALT and all formal and informal teams.
Job Requirements
Along with demonstrated initiative, resourcefulness and a results:oriented mindset, the ideal candidate has:
Bachelors degree required
10+ years of experience in the biotech/pharmaceutical industry
8+ years of experience within Payer/National Accounts leadership
Oral oncology launch experience strongly desired
Experience with an emerging commercial company is valued
Experience building and leading Payer field teams and managing and developing people
Prior experience working with specialty biotech/pharmaceutical products as payer lead
Extensive knowledge of distribution networks, managed care, reimbursement, and contract negotiation processes
Strong decision:making skills and ability to communicate issues effectively to senior leadership
Ability to take initiative and act independently exercising strong business judgement within the scope of the role
Ability to detect, analyze, and resolve complex issues inherent in managing distribution models for multiple brands
Excellent leadership, management and organizational skills, along with problem solving, conflict resolution and team building
Must demonstrate highly refined analytic and communication skills, and the ability to work effectively, both independently and in a team environment
Ability to travel 40 or more, depending on business needs

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