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Director, Market Access Strategy (Heme)

Vertex Pharmaceuticals
Remote friendly (Boston, MA)
United States
$201,200 - $301,800 USD yearly
Market Access

Role Summary

The Director, Market Access Strategy (Heme) leads and oversees the development and execution of Market Access strategies for CASGEVY, focusing on payer value proposition resources, trainings, and access materials across channels. This role collaborates with cross-functional teams to align payer strategy with the brand and drives patient access, reimbursement, and market access initiatives. Reports to the Sr Director, Market Access Strategy, Heme.

Responsibilities

  • Provide leadership and project management in developing and implementing brand and market access strategies by channel to support patient access and customer reimbursement, including leadership with CRC submissions, reviews and responses.
  • Holistically evaluate the 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.
  • Refinement and execution of 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 teamsโ€™ efforts with key customers.
  • Plan and execute payer Advisory Boards.
  • Customize strategies based on Commercial, Medicaid, and Medicare demographics, legislation, and trends.
  • Maintain understanding of the CASGEVY patient journey, billing and coding requirements, and partner with the Access and Reimbursement field team.
  • Understand CASGEVY Trade policy and decisions and collaborate with trade partners to support effective 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 government and commercial payers; Medicaid experience preferred, policy, and regulatory environment.
  • Experience working with national and regional payer account teams aligning on policy language and operationalization of payer processes.
  • Strong understanding of hospital settings, billing and coding requirements for therapies, and the flow of funds with cell & gene experience.
  • Previous contract strategy leadership experience in the pharmaceutical/biotech or healthcare industry.
  • Experience developing and articulating a clear and pragmatic value proposition.
  • Proven track record of meeting or exceeding objectives and goals, individually and in teams.
  • Excellent communication skills with experience presenting to customers and internal leadership.
  • Demonstrated ability to lead cross-functional teams, influence without direct authority, and foster collaboration in a matrixed environment.
  • Ability to manage multiple priorities in a fast-paced environment and work across cross-functional teams.

Skills

  • Strategic market access planning and execution
  • Payer analytics and value demonstration (clinical, economic, societal)
  • Stakeholder engagement and cross-functional leadership
  • Regulatory and payer policy navigation
  • Effective communication and training development

Education

  • Bachelorโ€™s degree in a relevant field; MBA or advanced degree preferred.
  • Typically requires 10+ years of market access experience or equivalent combination of education and experience.