Corporate Account Director - Public Payer
Dyne Therapeutics
4 months ago
On-site
United States
$238,000 - $260,000 USD yearly
Market Access
Key Responsibilities
- Develop and execute Medicaid and public payer access strategies aligned with regulatory, budgetary, and policy requirements.
- Navigate Medicaid Drug Rebate Program requirements and state-specific access pathways.
- Serve as internal subject-matter expert on public payer coverage, reimbursement, and health equity considerations.
- Lead engagement with state Medicaid agencies, Medicaid MCOs, and federal payer organizations (e.g., VA, DoD, TRICARE, Indian Health Services).
- Support P&T committee reviews, coverage determinations, and utilization management discussions.
- Educate public payer stakeholders on disease state, clinical value, and anticipated budget impact in preparation for and through launch.
- Develop and execute national and public payer strategies to optimize coverage, reimbursement, and formulary access across commercial, PBM, Medicaid, Medicare, and federal payer segments.
- Anticipate/respond to evolving payer dynamics, policy changes, benefit design trends, and specialty drug management strategies.
- Serve as internal subject-matter expert on payer access, reimbursement models, channel economics, and rare/specialty disease policy.
- Partner with Contracts & Pricing, Legal, and Finance to support rebate or innovative contracting approaches when appropriate.
- Collaborate on public payer-specific distribution, specialty pharmacy, and affordability strategies/considerations.
- Lead and coordinate cross-functional account teams (Market Access, Sales, Medical Affairs, HEOR, Trade, Marketing, Legal, Finance, Patient Services).
- Translate complex clinical, economic, and health equity data into clear, compliant payer communications.
- Partner with Patient Services, Trade and Field teams to support rapid patient access.
- Support organizational readiness and pull-through across pre-launch and post-launch phases.
- Monitor/synthesize payer, policy, reimbursement, and competitive insights for senior leadership.
- Represent the organization at payer meetings, industry forums, and trade associations.
- Identify opportunities for strategic partnerships, policy engagement, and innovative access programs.
- Ensure all public payer engagements comply with applicable laws, regulations, and internal compliance policies.
Qualifications
- Bachelor’s degree; advanced degree (MBA, MPH, MS, PharmD) preferred.
- 10+ years biopharma experience; at least 8 years in Medicaid, public payer, or managed markets roles.
- Strong understanding of Medicaid structures, state policy environments, reimbursement mechanics, and public payer decision-making.
- Experience supporting access for specialty, rare disease, or high-cost therapies.
- Deep understanding of U.S. payer systems, reimbursement pathways, specialty distribution, and Medicaid/federal payer dynamics.
- Excellent communication, stakeholder engagement, and cross-functional leadership skills.
- Strong negotiation and strategic planning abilities with executive presence.
- Demonstrated success in launch-stage, high-growth, or ambiguous environments.
- Ability to travel domestically, including overnight travel.
Compensation
- MA pay range: $238,000 - $260,000 USD
- Develop and execute Medicaid and public payer access strategies aligned with regulatory, budgetary, and policy requirements.
- Navigate Medicaid Drug Rebate Program requirements and state-specific access pathways.
- Serve as internal subject-matter expert on public payer coverage, reimbursement, and health equity considerations.
- Lead engagement with state Medicaid agencies, Medicaid MCOs, and federal payer organizations (e.g., VA, DoD, TRICARE, Indian Health Services).
- Support P&T committee reviews, coverage determinations, and utilization management discussions.
- Educate public payer stakeholders on disease state, clinical value, and anticipated budget impact in preparation for and through launch.
- Develop and execute national and public payer strategies to optimize coverage, reimbursement, and formulary access across commercial, PBM, Medicaid, Medicare, and federal payer segments.
- Anticipate/respond to evolving payer dynamics, policy changes, benefit design trends, and specialty drug management strategies.
- Serve as internal subject-matter expert on payer access, reimbursement models, channel economics, and rare/specialty disease policy.
- Partner with Contracts & Pricing, Legal, and Finance to support rebate or innovative contracting approaches when appropriate.
- Collaborate on public payer-specific distribution, specialty pharmacy, and affordability strategies/considerations.
- Lead and coordinate cross-functional account teams (Market Access, Sales, Medical Affairs, HEOR, Trade, Marketing, Legal, Finance, Patient Services).
- Translate complex clinical, economic, and health equity data into clear, compliant payer communications.
- Partner with Patient Services, Trade and Field teams to support rapid patient access.
- Support organizational readiness and pull-through across pre-launch and post-launch phases.
- Monitor/synthesize payer, policy, reimbursement, and competitive insights for senior leadership.
- Represent the organization at payer meetings, industry forums, and trade associations.
- Identify opportunities for strategic partnerships, policy engagement, and innovative access programs.
- Ensure all public payer engagements comply with applicable laws, regulations, and internal compliance policies.
Qualifications
- Bachelor’s degree; advanced degree (MBA, MPH, MS, PharmD) preferred.
- 10+ years biopharma experience; at least 8 years in Medicaid, public payer, or managed markets roles.
- Strong understanding of Medicaid structures, state policy environments, reimbursement mechanics, and public payer decision-making.
- Experience supporting access for specialty, rare disease, or high-cost therapies.
- Deep understanding of U.S. payer systems, reimbursement pathways, specialty distribution, and Medicaid/federal payer dynamics.
- Excellent communication, stakeholder engagement, and cross-functional leadership skills.
- Strong negotiation and strategic planning abilities with executive presence.
- Demonstrated success in launch-stage, high-growth, or ambiguous environments.
- Ability to travel domestically, including overnight travel.
Compensation
- MA pay range: $238,000 - $260,000 USD