Role Summary
The Director, Market Access Strategy (Heme) leads the development and execution of market access strategies and payer value proposition resources for CASGEVY. This role oversees cross-functional collaboration across Account Management, Trade, Pricing & Contracting, US Public Affairs, HEOR, GVAS, and Marketing, and reports to the Sr Director, Market Access Strategy, Heme. Responsibilities include leading the creation of market access materials, trainings, and channel-specific strategies to support patient access, reimbursement, and successful commercialization.
Responsibilities
- Provide leadership and project management in developing and implementing brand and market access strategies by channel to support patient access and customer reimbursement for CASGEVY, including leadership with CRC submissions, reviews, and responses.
- Holistically evaluate Market Access Landscape and generate insights to inform strategy and execution.
- Drive payer strategy including pricing, contracting, payer landscape, and access & reimbursement to align with the overarching brand strategy.
- Refine and execute the market access strategy across Payer and Trade.
- Lead initiatives to understand, analyze, and demonstrate clinical, economic, and societal value to payers, decision-makers, and influencers based on FDAMA114 guidelines and payer value proposition.
- Develop, train, and implement promotional resources and reimbursement pull-through to support field account teams with key customers.
- Plan and execute payer Advisory Boards.
- Customize strategies based on Commercial, Medicaid & Medicare demographics, legislation, and trends.
- Maintain understanding of the CASGEVY patient journey, billing and coding requirements and partner with Access and Reimbursement field team.
- Understand CASGEVY Trade policy and decisions and work with trade strategy partners to support trade partners for efficient patient journey.
- Identify and address product barriers to payer access using advanced payer analytics and market trends.
- Oversee agency and external vendors to deliver resources and insights on time and within budget.
- Develop KPIs and metrics to assess impact of key initiatives.
- Act as a trusted subject matter expert on the US market access landscape to internal colleagues and external customers.
Qualifications
- Expert knowledge of the US healthcare system, including govβt and commercial payers (Medicaid experience preferred), policy, and regulatory environment.
- Strong experience with National and Regional payer account teams aligning on policy language and operationalization of payer processes.
- Strong understanding of the hospital setting, billing and coding requirements for therapies and the flow of funds, plus cell & gene experience.
- Previous contract strategy leadership experience in the pharmaceutical/biotech or healthcare industry.
- Experience in developing and articulating a clear and pragmatic value proposition.
- Proven track record of meeting or exceeding objectives and goals, both individually and in teams.
- Excellent communication skills with experience presenting to customers and internal leadership.
- Demonstrated ability to lead cross-functional teams, influencing without direct authority, and fostering collaboration in a matrixed environment.
- Ability to perform in a fast-paced environment, manage multiple priorities, and work effectively across cross-functional teams.
Skills
- Strong knowledge of US healthcare payer landscape, policy, and regulatory environment.
- Experience collaborating with payer account teams on policy language and payer processes.
- Understanding of hospital billing, coding, and funding flows; cell & gene therapy experience.
- Value proposition development and clear communication of medical and economic value.
- Cross-functional collaboration and stakeholder management in a matrixed organization.
Education
- Bachelorβs degree in a relevant field; MBA or advanced degree preferred.
- Typically 10+ years of market access experience or an equivalent combination of education and experience.