PRIMARY RESPONSIBILITIES
Strategic Market Access Leadership
- Serve as primary corporate account lead for targeted organized customers and decision-makers for priority IDNs
- Develop and execute national account strategies across IDNs, academic medical centers, large health systems, and individual cancer centers
- Engage pharmacy leadership, supply chain, finance, population health, quality, and clinical stakeholders to support access objectives
- Lead engagement plans to improve formulary access, operational readiness, reimbursement optimization, and financial adoption
- Support health system and organized customer contracting strategies
- Collaborate with Pricing, Trade, and Contracting to evaluate opportunities and optimize access positioning
- Provide strategic input on payer/provider dynamics impacting adoption and utilization
- Identify barriers to adoption and develop customized solutions aligned to customer operational and financial objectives
- Coordinate cross-functionally with Market Access, Sales, Medical Affairs, Trade, HEOR, Compliance, Legal, Finance, and Patient Services
Pre-Approval Information Exchange (PIE)
- Lead compliant PIE engagements to support awareness and planning for launches/label expansions
- Deliver value messaging within FDA/compliance guidelines
- Educate stakeholders on product impact, reimbursement pathways, coding considerations, and implementation planning
- Develop/present budget impact analyses, pro formas, and economic value assessments; quantify financial implications and outcomes
Revenue Cycle & Reimbursement Expertise
- Advise on hospital/health system revenue cycle operations (coding/billing, DRG/APC, NTAP/pass-through, buy-and-bill, specialty pharmacy/medical benefits, charge capture/claims)
- Identify reimbursement risks and develop mitigation strategies
HUB & Patient Services Collaboration
- Partner with HUB/patient support to optimize onboarding, benefit verification, prior auth support, financial assistance, and therapy access
- Ensure understanding of support services/workflows; provide feedback to improve HUB effectiveness
Account Planning & Execution
- Build national account plans (stakeholder mapping, opportunity ID, financial analyses, access strategies)
- Drive execution against objectives, performance metrics, and pull-through; monitor market/reimbursement/policy and maintain documentation, forecasting, and reporting
QUALIFICATIONS
- Bachelorβs degree required; MBA/MPH/PharmD/MS or related preferred
- 8β12 yearsβ experience in pharma/biotech/specialty pharmacy/healthcare consulting/market access
- Experience with IDNs, academic medical centers, organized health systems, and institutional customers
- Travel as needed (up to 50%), including overnight(s); national travel as required