Head of Market Access & Reimbursement

12/13/22

Morristown, NJ

1879

Our client is seeking an experienced Head of Market Access & Reimbursement to lead the creation, execution, pull-through, and maximization of sales opportunities with government and commercial payers. The successful candidate will work closely with the executive management of the Company and will be responsible for:

Payer Strategy & Marketing

  • Develop and implement Managed Care Organization (MCO) market access and contract strategies to ensure distribution, reimbursement, and profitability of a specialty branded Rx product line
  • Plan, initiate, and conduct MCO account negotiations
  • Build and maintain strong business relationships between the Company and decisionmakers at government and commercial payers
  • Communicate effectively the key clinical advantages of the Company’s brand products to payers
  • Maximize the Company’s product uptake and acceptance among payers
  • Develop and approve market access marketing materials

Pricing & Contracting

  • Lead negotiations with payers to gain access for the Company’s brand products
  • Draft and review contracts and obtain alignment with executive management
  • Systematically measure contracts for compliance and rebates for claim validity
  • Negotiate terms and settlement of issues protecting Company interests while maintaining relationships with customers

Qualifications:

  • Bachelor’s degree required
  • 10+ years of experience in the pharmaceutical and/or biotech industry including a combination of account management, pricing, contracting, and marketing roles
  • Established relationships with key national payers, particularly Medicare plans
  • Experience in oncology is a plus
  • Strong knowledge of PBMs, health plans, trade and distribution, pharmaceutical sales, finance, and marketing management
  • Candidate must have a demonstrated track record of business results, a sense of urgency and big picture orientation with attention to detail
  • Self-starter who can be effective with minimal supervision
  • High degree of integrity, confidentiality, and ethics
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