Role Summary
The Associate Director of Patient Access Strategy is a key member of the Biosimilar Value and Access Strategy team, reporting to the Senior Director, Value and Access Strategy. The Associate Director is responsible for leading, developing, and implementing strategies aligned with brand objectives to maximize patient access to therapy while minimizing GTN impact. The role directs the efforts of vendor partners and leads cross-functional collaboration with internal stakeholders to meet the strategic objectives of patient access programs. The Associate Director is responsible for all aspects of biosimilar affordability and access programs, including vendor management, program design, compliance, financial management, organizational communication, data analytics, monitoring program effectiveness, reporting outcomes, lifecycle management, and ensuring innovation in patient access programming. Location: hybrid position from Tevaβs Parsippany headquarters.
Responsibilities
- Program leadership: Provide leadership with Biosimilar Marketing, Value & Access, and Vendors to design, develop, and implement affordability and access programs that align with business objectives.
- Value & Access strategy: Support the development and execution of strategies to maximize patient access to Tevaβs biosimilar products and gain a competitive advantage where possible.
- Strategic pricing and contracting: Work with Value & Access, Finance, and Forecasting teams to ensure that pricing and contract strategies account for patient access and affordability program costs.
- Cross-functional collaboration: Lead collaboration of internal teams such as legal, compliance, account managers, and finance, and external partners like affordability and patient support program vendors to ensure smooth program operations and optimal experience for patients, providers, and pharmacies.
- Financial Updates: Prepare financial analysis relating to the affordability and access program activity and spend for the AOP, quarterly RF, and LRP forecasts.
- Budget management: Conduct comprehensive financial analysis and forecasting of program costs. Monitor and manage budgets for affordability programs and other patient access services.
- Data analysis: Development of standard program reporting package for management, including program KPI's and Service Level Agreements (SLAs). Identify and integrate co-pay program redemption trends into forecasts and contracting evaluations.
- Business Insights: Utilize program data and research to understand the competitive landscape, inform strategies, optimize financials, maximize pull-through, and enhance program effectiveness.
- Program effectiveness: Responsible for the evaluation and monitoring of patient access programs to ensure optimal program performance, financial management, and improvements.
- Program design: Lead and provide expertise for External Vendors, Value & Access, Brand Team, and Legal, etc. on business rule development or program changes.
- Communication: Develop communication plans for coordinating vendor-customer interactions, as well as leading internal Teva communications, training, and field team pull-through.
- Launch leadership: Participate in launch leadership teams for the evaluation and development of cost-effective affordability and access programs.
- Operations: Responsible for vendor RFPs and selection, vendor relationship management, and program administrative responsibilities (budget tracking, invoicing, payments, etc.).
- Risk Management: Anticipation and evaluation of trends affecting future financial risks related to affordability programs, especially PBM accumulator and maximizer risks.
- Innovation: Attend relevant industry meetings and conferences to stay current on best practices and innovations with patient access & affordability program design and business rules.
Qualifications
- Required: Minimum of 7 years in the pharmaceutical, healthcare, or medical industry, with a strong preference for pharmaceutical industry experience.
- Required: At least 3 years developing and managing patient affordability programs, or combined 7 years of relevant pharmaceutical industry, pharmacy practice, and affordability vendor experience.
- Required: Extensive knowledge, experience, and understanding of Affordability Program design, economics, set up, business rules, and execution for both medical and pharmacy benefits, and buy & bill products.
- Preferred: Experience designing programs in multiple therapeutics areas.
Skills
- Strong understanding of federal and state healthcare laws, regulations, and policies regarding manufacturer affordability and access programs.
- Strong understanding of all types of healthcare insurance, benefit designs, payer coverage policies & formularies, and payer utilization management (e.g., copays, coinsurance, prior authorizations, step therapy, and drug exclusion lists).
- Knowledgeable of how prescription drugs are paid for and reimbursed for healthcare providers, institutions, and pharmacies under pharmacy and medical benefits.
- Expertise in affordability program operations, program design options, writing business rules, negotiating vendor contracts/fees, analyzing program data, managing budgets, managing vendors, and evaluating program effectiveness.
- Experience working with Patient Services programs (i.e., HUB programs) and a strong understanding of the ecosystem and how affordability programs and other patient services programs support patient access and pull-through of payer coverage.
- Strong communication, negotiation, and presentation skills are essential, along with a demonstrated ability to lead collaboratively in a cross-functional, matrixed organization.
- Ability to adapt, lead, and execute with urgency in a dynamic, fast-paced environment.
- Excellent financial analysis and financial strategy skills.
- Strong strategic thinker who can frame complex problems and articulate clear, data-driven recommendations.
- Strong Microsoft Excel skills; experience working in various data platforms.
- Strong interpersonal skills and the ability to communicate effectively.
- Sound organizational and planning skills.
- Project management skills and history of delivering results.
- Proven ability to lead, motivate, and collaborate with both internal and external stakeholders.
- Strong knowledge of planning and budgeting processes and practices.
Education
- Bachelor's degree required
- Advanced degree in business, finance, or pharmacy preferred
Additional Requirements
- Travel: Approximately 15% domestic travel throughout the US including overnight travel.
- Physical Demands: Sitting (or standing) for extended periods of time at a work station or mobile equipment.
- Visual Acuity: Perform activities such as computer work, preparing and analyzing data, and extensive reading.
- Working Environment: Mostly office-based. May be required to wear business attire to attend business meetings and conferences.