Head of Payer Accounts
Taylor Strategy Partners
This job is no longer accepting applications
See open jobs at Taylor Strategy Partners.See open jobs similar to "Head of Payer Accounts" Ontario Bioscience Innovation Organization .Baltimore, MD, USA · Maryland, USA · United States
Posted on Wednesday, May 29, 2024
Description
ROLES & RESPONSIBILITIES
- Responsible for leading and developing a team of Account managers with relationships in designated payer accounts (PBM’s, Health Plans and Government business) across Pharmacy and Medical Benefits.
- Strong understanding of large National customers, their various business entities and how they work together.
- Develop strong relationships with key payer executives across national and regional customers
- Ability to work with above accounts to solve complex access, coverage and reimbursement issues and opportunities.
- Negotiate profitable access for BBL portfolio, represent deals through governance process
- Observe compliance with company policies.
- Maintain market awareness and self-educate in fields that surround NAD job competencies by monitoring payer organizations such as AMCP, PCMA, Asembia and other related markets such as Specialty Pharmacy, GPO’s, National Org’s, and related business partners.
- Have a working knowledge and awareness of changing CMS and Government regulations
- Understand market dynamics and draft business plans with creditable long-term goals and communicate those plans to key stakeholders.
- Deep knowledge of US payers and their economic drivers. Understand flow of the dollar for all channels. Familiar with National GPOs, Rebate contracts, Formulary and access impact on share.
- Effectively manage contract and bid cycles across portfolio with C&P team
- Builds strong working relationships with Biocon Biologics home office personnel
Requirements:
- Bachelor's degree required; Master’s/advanced degree preferred
Minimum 10 years of managed markets experience - Strong financial acumen
- Role model of the company vision, mission and values (patients, science, passion).
- Hires and develops best in class talent aligned with company vision, mission and values
- Successful working in both big pharma as well as small biotech start-up company environments
- Develops and sustains highly collaborative and effective cross-functional working relationships with US and European colleagues
- Develop key external relationships with payers, KOLs and business partners
- Demonstrates high level of professional expertise within the functional discipline
- Turns strategy into action; proactively develops own functional area to be prepared for the future to ensure long-term success
- Therapeutic experience in biologics space, Oncology, Diabetes, and Immunology marketplace preferred
- Demonstrated knowledge of payer decision-making for formulary processes, coverage, coding, billing, and patient access to drugs, biologicals, medical devices
- Exceptional communication skills that include verbal, written and presentation abilities
- Demonstrated problem-solving capabilities
- Experience negotiating contracts and agreements
- Outstanding consultative and networking capabilities
- Excellent project management skills, with the ability to handle multiple tasks at one time
- Ability to skillfully negotiate in tough situations with both internal and external groups
- Understanding of organizational behavior, corporate culture and be able to flourish in a complex and rapidly evolving workplace
- Extensive relationships and contracting experience with payers, health systems and organized customers at the national and regional level
Role Criteria: Field-based. Requires up to 50% travel
TSP Talent Solutions and our customers are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)
This job is no longer accepting applications
See open jobs at Taylor Strategy Partners.See open jobs similar to "Head of Payer Accounts" Ontario Bioscience Innovation Organization .