Senior Director, Payer Accounts – UnitedHealth Group

Role Summary

The Senior Director, Payer Accounts leads payer account strategy and execution for Edgewise's launch products in a period of rapid commercial growth. The role requires deep, partnership-driven relationships with top corporate and national accounts, with a track record of engaging across pre- and post-pivotal data and PDUFA to secure rapid, high-quality access with or without contracting. The position reports to the VP, Market Access.

Responsibilities

• Leading Payer Account Strategy
  • Understand the patient and treatment journey, and ensure all payer account strategies and initiatives reflect the priorities of the patient, community, and Edgewise
  • Lead payer account strategy and management (e.g., relationship building/management, business planning, pre- and post-pivotal and PDUFA customer approach, business/GTN impact, pull-through) for top corporate accounts, key downstreams, other assigned national and regional accounts, and third-party access influencers (Commercial and Government)
  • Partner with Market Access, HEOR, Commercial, Medical, and other cross-functional teams to adapt the market access strategy for launch products for assigned accounts
  • Bring the voice and insights of the customer into key workstreams; be an active and strategic thought-partner to internal teams and initiatives. Understand and contribute to the development of core launch/commercial strategies
  • Collaborate with Commercial Operations to measure account performance and communicate situation analysis, approach, and results to internal audiences, including executives
  • Support the development of key market access strategies and tactics
  • Maintain an up-to-date understanding of evolving US market access landscape (e.g., industry consolidation, pricing policy, access-related regulation, patient affordability, rare disease drug coverage)
• Securing Rapid, High-Quality Access for Patients
  • Understand and help define anticipated access for sevasemten and EDG-7500, including timing and specific criteria that determine quality of coverage
  • Adopt a “turn over every stone” approach to access for patient communities. Secure multiple opportunities to educate payers on Edgewise, pipeline, and key products: pre- and post-pivotal data, pre- and post-PDUFA. These engagements should ideally be in-person but virtual when appropriate
  • Effectively communicate the clinical and economic value story of Edgewise products to pharmacy, medical, clinical, and other payer stakeholders, independently and in collaboration with Field HEOR
  • Lead and represent Edgewise at market access conferences and congresses
  • Upon approval, accountable for securing rapid, high-quality access at assigned accounts aligned with market access strategy
  • Proactively identify innovative ways to improve patient access (e.g., data, partnerships, programs)
  • Ensure all interactions and initiatives are professional, ethical, and compliant
• Supporting Patient Access and Pull-Through Efforts
  • Be a subject matter expert on market access landscape, access, and payers to internal teams
  • Lead efforts to bring the voice of the patient and provider community to payer audiences
  • Support cross-functional efforts to improve Edgewise teams’ access literacy and effectiveness in securing coverage (e.g., Commercial, Patient Advocacy, Patient Services, Medical)
  • Support pull-through efforts from Edgewise field teams, including advocating with customers to resolve access issues on behalf of patients, when compliant, appropriate, and necessary
  • As necessary, support center of excellence/integrated delivery network adoption of new Edgewise products, including engagement with hospital Pharmacy & Therapeutics committees and other executives
• Other
  • Read, understand, and comply with all workplace health and safety policies; safe work practices; and company policies and procedures.
  • Perform other duties as assigned by supervisor.

Qualifications

• BS/BA with at least 10+ years' pharma/biotech industry experience in market access account management, with at least 2-3 years in the rare disease environment
• US market access launch experience is required, preferably with first-in-disease, first-in-class, or best-in-class therapies
• Track record of success in payer engagement pre- and post-PDUFA and securing rapid, high-quality access for rare and specialty drugs

Additional Requirements

• Remote role with potential of frequent travel up to 75% to headquarters, internal meetings, customers, and relevant conferences/meetings as necessary