Director, Federal Payer Accounts

Job overview
Our Director, Federal Payer Accounts is responsible for driving and securing formulary access and coverage for COMP360 across U.S. Federal healthcare systems, including Veteran's Administration (VA), Department of Defense (DoD), TriCare, and Indian Health Services (IHS) ahead of and through launch.

Reporting to the Senior Director, Strategic Payer Accounts, this individual is responsible for establishing and maintaining strategic and productive customer relationships, developing strategic account plans that support their efforts in translating the COMP360 value proposition into sustainable coverage wins, while partnering internally with Health Economics and Outcomes Research (HEOR), Medical Affairs, Government Affairs, and Commercial Operations to ensure payer strategies are fully executed with precision.

Location
Remote in the United States.

Reports to
Senior Director, Strategic Payer Accounts.

Roles and responsibilities
Federal Payer Account Strategy and Execution

Work closely with the Senior Director to develop and execute account strategies across VA, DoD, TriCare, and IHS payer segments to drive optimal formulary positioning for COMP360 at launch and beyond

Stay current with dynamic market forces, customer organizational changes, and policy changes at the federal and state level, that impact Compass and/or payer customers, and incorporate those variables into proposed account strategies and tactics as necessary and appropriate

Own strategic and tactical planning and prioritization for assigned payer accounts, profiling key decision-makers including Pharmacy Directors, Medical Directors, Clinical Pharmacy and Finance leads, and P&T committee members

Own strategic relationships with payer customers and serve as the primary interface and negotiator for coverage, contracting, and access discussions

Identify and proactively address barriers to formulary inclusion, developing tailored strategies to support timely P&T reviews and coverage policy development

Value Communication and Pull-Through

Articulate the clinical and economic value proposition of COMP360 to payer audiences, integrating HEOR evidence, budget impact models, and real-world data to support coverage and access decisions

Partner with the Senior Director and Finance on contracting recommendations to ensure proposals are commercially sound, aligned with government pricing compliance requirements, and GTN impacts are aligned with financial goals.

Collaborate with Sales and Patient Engagement on pull through initiatives in local VA/VISN and Military Treatment Facilities following national formulary wins

Cross-Functional Collaboration

Partner closely with HEOR, Medical Affairs, Government Affairs, Sales, and Patient Engagement to align payer specific push-or-pull-through strategies and tactics

Where applicable and possible for P&T meetings, lead and execute a multi-prong strategy:

Collaborate with Sales and Patient Engagement to obtain HCP support

Collaborate with Government Affairs around any relevant legislative‑related tactics

Collaborate with patient advocacy organizations (i.e. NAMI, AfPA, etc.) regarding appropriate support

Collaborate with Sales, Patient Engagement, and Commercial Operations leadership on HCP‑facing formulary and access update communications that enable effective Sales execution and pull through

Represent the payer perspective internally, providing strategic guidance to leadership on coverage risks, opportunities, and competitive landscape dynamics

Candidate Profile

7+ years in pharma/biotech market access, with significant direct experience in payer account management within the VA, DoD, TriCare, and IHS segments

Proven track record negotiating, securing, and maintaining formulary access for launch‑stage (and beyond) specialty or breakthrough products; CNS/psychiatry or novel treatment modality experience is a plus

Experience executing contracts specific to the Federal payer market (i.e. Temporary Drug Pricing contracts, VA National Contracts, Provisional/Temporary pricing, etc.), as well as other innovative, outcome, and/or value based contracts

Deep knowledge of US Federal payer landscape, formulary decision‑making processes, utilization management, and prior authorization design

Ability to translate HEOR and health economic data into compelling value narratives for payer audiences

Hands‑on launch experience at a growth‑stage biotech; comfortable working in ambiguous situations and building tools and capabilities from scratch

Exceptional stakeholder management skills; equally credible with external payer accounts and internal cross‑functional partners

Bachelor's degree required; advanced degree in Business, Public Health, Health Economics, or Pharmacy preferred

Mission and values‑aligned team player and cross‑functional leader, passionate about expanding access to mental health innovation; demonstrates Compass' values: Compassion, Boldness, Inclusion, Rigour

Base salary per annum
$220,000 - $270,000 USD

Benefits & Compensation
For an overview of our benefits package and compensation information, please visit "Working at Compass".

Equal opportunities
Reasonable accommodation
We are committed to building a workplace where everyone’s wellbeing matters. If you need reasonable accommodation during the interview process to be at your best, please let our recruiting team know.

UK applicants
We are proud of our commitment to diversity and equality (pursuant to the Equality Act 2010). We do not discriminate based upon race, religion or belief, colour, nationality, ethnic or national origin, gender, pregnancy or maternity, marital or civil partner status, sexual orientation, gender reassignment, age or disability.

US applicants
Compass Pathways is proud to be an equal opportunity employer. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, and related medical conditions), ethnicity, age, disability, sexual orientation, gender identity, gender expression, military service, genetic information, familial or marital status, or any other status, category, or characteristic protected by applicable law.

Sponsorship
Unfortunately, we cannot sponsor employment visas and can only accept applications if you have employment rights in the country to which you are applying.

Data Privacy
All data is confidential and protected by all legal and data privacy requirements, please see our recruitment Privacy Notice to learn more about how we process personal data.

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