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About the Role

The Director, National Access will ensure broad patient access to products by removing payer-related barriers and balancing corporate revenue objectives. This role involves managing relationships with national and regional payers, Medicaid buying groups, and PBMs to secure favorable formulary access.

Responsibilities

• Create strategies and tactics for national and regional payers, key health systems, and integrated delivery networks.
• Lead engagement and pull-through with national payer accounts and PBMs, including formulary positioning, coverage negotiations, and contract strategy.
• Develop tactical plans and execution strategies in coordination with Market Access leadership, Medical, Marketing, and Sales teams.
• Analyze and understand the oncology market access environment.
• Serve as a subject matter expert on market access, including evolving pricing, payment, and reimbursement models.
• Act as a strategic leader within the commercial organization regarding reimbursement.
• Collaborate and communicate with internal customers on account strategy, plans, and execution.
• Perform market, financial, competitive, and industry analyses.
• Solicit, embrace, and act on feedback from internal and external stakeholders.
• Ensure integrity and compliance with regulations and corporate policies.
• Ensure patients have the necessary information and resources to support financial coverage needs.
• Attend and participate in meetings and conferences as needed.

Requirements

• Prior experience presenting HEOR and budget impact modeling to payers is required.
• Prior launch experience with oncology and/or small patient/rare disease population products preferred.
• Established relationships with national commercial payers, PBMs, and government accounts with demonstrated ability to influence coverage decisions.
• Experience with both national and/or regional commercial payer plans.
• Ability to establish and enhance customer relations with industry influencers, varied and complex payer stakeholders, and key strategic partners.
• Experience developing and executing comprehensive business development plans, budgets, and programs.
• Ability to communicate effectively, both orally and in writing.
• Ability to deliver reports, plans, and presentations to multiple audience types in an impactful and enthusiastic manner.
• Strong knowledge of trends, issues, and policies impacting oncology sites of care.
• Understanding of emerging oncology payer reimbursement models.
• Prior experience negotiating PBM contracts preferred.
• Strong communication and negotiation skills.
• Strong orientation to customer service and teamwork.

Skills

• HEOR
• Budget impact modeling
• Market access
• Payer engagement
• Formulary positioning
• Coverage negotiations
• Contract strategy
• Oncology market analysis
• Reimbursement models
• Business development
• Financial analysis
• Competitive analysis
• Communication
• Negotiation
• Customer service
• Teamwork

Location

• US remote

Work Type

• Remote
• Work from home

Experience Level

• Minimum of 10 years of Market Access experience in specialty products.
• At least 5 years experience in a pharmaceutical, biotechnology, oncology, or related healthcare environment preferred.

Education Level

• Bachelor’s degree required.