Overview
The Executive Director, National Payer Accounts will lead a field team accountable for formulary coverage access with the national payer organizations and their largest downstream regional account clients. Supporting the strategy of the Market Access team and execution of objectives for the payer customers. Collaborating with leaders in market access, therapeutic areas, insight, access strategy, finance, and medical affairs to align approaches to our largest customers. Coordinating and leading our approach across the National Payer Accounts and their largest regional clients for our product portfolio.
Responsibilities
Team Leadership
Lead, develop, and motivate a high-performing team of Sr. Directors, National Payer Accounts to deliver results aligned with function and organizational goals.
Cultivate direct relationships with senior leaders at key accounts to strengthen strategic partnerships.
Coordinate activities of the National Payer Account team in cooperation with the patient services and external partners to minimize barriers to access on a patient specific basis
Identify opportunities for pull-through and improved account access in partnership with other field and home-office teams.
Lead cross functional teams in developing and executing access-focused National Payer Account Plans in cooperation with relevant functions (Sales, Medical Affairs, Marketing and Pricing).
Partner with Market Access colleagues and brand teams to create an impactful and strategically aligned tactical plan for the payer segment to successfully support access and awareness of Stemline products.
Identify, create, and execute specific programs and services to support best in class market access support.
Payer Strategy
Partner with Contract Strategy and Pricing team to develop and implement payer contracting strategies.
Lead strategic direction and accountability for contract negotiations to support Stemline access goals, including discounts, rebates, administrative fees, and innovative contracting constructs, in accordance with Pricing Committee Guidelines and corporate objectives.
Lead strategic planning exercises to inform the long-term Stemline access strategy including presentations and alignment with executive leadership
Develop payer strategy for pipeline programs and provide input to lifecycle management activities as needed.
Lead internal reviews to ensure cross-functional teams are aware of ongoing payer activities and mitigation plans for any challenges or risks.
Maintain a deep understanding of the payer environment, including PBMs, private payers, and government channels and educate internal partners as required.
Performance Management
Set clear performance objectives/expectations and provide ongoing coaching and development of direct reports including concrete business objectives.
Create KPIs that measure success and align with Stemline business objectives.
Continuously review, evaluate and recommend improvements to organization to enable higher performance.
Manage field team expenses according to budget.
Ensure all field team activities are conducted compliantly.
Up to 30% travel, including customer meetings, conferences, and internal cross-functional workshops.
Qualifications
Bachelor's degree required, advanced business or science degree desirable.10+ years of pharma/biotech access-focused experience, with at least 5+ years with management experience.
5+ years working directly with National Payers/PBMs (specifically in Oncology)
Strong understanding of reimbursement (Buy & Bill) pathways, pharmacy-benefit management, Medicare (Parts A, B, C, D), Medicaid, and commercial payer dynamics
Demonstrated success in finding the point of intersection between customer and business priorities
Thorough understanding of market dynamics across multiple therapeutic areas (Oncology/Hematology preferred) and across various business segments
Understanding of financial concepts and contracting issues, including legal and best price and ASP implications
Understanding of specialty pharmacy networks and patient out-of-pocket dynamics
Proactive, results oriented, self-starter motivated by the desire to do the right thing for the patients and their caregivers
Excellent planning, organization and time management skills including the ability to support and prioritize multiple projects
Strong oral and written presentation skills and executive presence.
Proven ability to work in a fast-paced, highly visible and dynamic environment; able to work effectively with ambiguity and incomplete information.
Ability to influence and lead across functions; operate in a matrix environment.
Must be a highly cross functional team player that is willing to participle in activities that may not necessarily be in his/her core responsibilities
Must adhere Stemline’s core values, policies, procedures and business ethicsOvernight travel of 30% may be required
Base Salary Range of $267,000 to $322,000. Menarini Stemline offers generous compensation and benefits packages, including Short and Long-Term Incentive Programs, Fidelity 401(k) (with 6% company match), Anthem Premier PPO and HDHP insurance plans, Company paid Basic Life & AD&D insurance and pre-tax FSA/HSA programs.
Menarini Stemline is committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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Executive Director, National Payer Accounts
Menarini Group, New York, NY, USA
Pay: $267,000-$322,000/yr
Job type: Contract