Associate Director, Market Access & Reimbursement

Overview

This is a great opportunity to join an established leader in developing, manufacturing and commercializing diagnostic and therapeutic products. The Market Access Leader is a field-based role responsible for providing US coverage, coding and payment expertise to support the Company's regional commercial and medical teams. The individual in this role will have responsibility for implementation of brand reimbursement strategies, achieving and maintaining positive payer coverage policies for key products, and educating key customers on payer coverage, coding and payment policies affecting the Company's portfolio. The successful candidate will have a proven track record in achieving positive medical policies, educating and developing customer relationships, and working cross-functional and across payer types to facilitate appropriate access.

Responsibilities

• Identify, develop and execute business opportunities by focusing on appropriate positioning and messaging of products within targeted payer and customer segments
• Establish and maintain strong relationships with key commercial and government payer organizations
• Achieve positive medical coverage policies for key products across payer types
• Build sustainable collaborations for health systems against shared priorities/common interests to deliver long-term value and drive portfolio growth through strategies designed to maintain or improve brand formulary access
• Manage and coordinate resolution of reimbursement issues by collaborating with internal teams and prescribing office, imaging centers, and hospitals
• Ability to clearly articulate value proposition of products, and possess strong clinical acumen that can be delivered in a compelling manner that ensures optimal access
• Provide expertise on coding, coverage, and reimbursement/payment mechanisms to Sales, Marketing, and other functional areas to ensure key reimbursement information is incorporated into business strategy
• Work with customers to ensure medical policies are scientifically current and ensure coverage policies are in alignment with brand strategies at launch
• Collaborate and coordinate across functions (Sales, Marketing, and Medical Affairs) to achieve business goals
• Collaborate with evidence generation leaders to provide guidance on evidence generation requirements to support US coding, reimbursement and payment for new and existing products

Qualifications

• Field-base role; must be a self-starter with ability to work independently and organize own work without continuous direct supervision
• BS/BA; Bachelor’s degree in Business, Marketing, Economics or related field; advance degree strongly preferred
• Demonstrated ability to develop credible relationships at high levels within accounts
• Ability to travel (60% +)
• Demonstrated track record of strategic impact in defining and executing complex customer experience roadmaps while driving for innovative results
• Superb written and verbal communication skills
• Successful decision-making, strategic planning, and problem-solving skills
• Experience with organized customers preferably at the C-Suite level and delivering value proposition of portfolio of products
• Possesses strong business acumen negotiation and presentation skills
• Ability to thrive in a cross-functional working environment
• Demonstrates a solid understand of the US payer market, experience with both commercial and public payers and understand the decisionmaking process for new treatments and imaging agents within the payer community
• Preferred experience specifically in radiopharmaceuticals, imaging or diagnostics
• 5+ years of coverage, coding, payment and policy work with established relationship with key payer organizations (both commercial and Medicare) in geographic area