Director, Market Access- Strategic Accounts West

Lantheus; Los Angeles (CA); Remote; USD 90,000 - 150,000; Full time

Job summary

An established industry player is seeking a Director for Market Access National Accounts to lead strategic initiatives in the Oncology, Urology, and Imaging sectors. This role involves developing reimbursement strategies and enhancing patient access to innovative diagnostics and therapies. The ideal candidate will leverage extensive experience in coverage and coding while fostering strong relationships with key stakeholders. Join a dynamic team that values collaboration and innovation, and make a significant impact on patient care and outcomes through strategic market access initiatives.

Qualifications

• 10+ years of experience in coverage, coding, and payment.
• Experience in imaging, urology, and oncology required.
• Strong understanding of US payer market.

Responsibilities

• Develop and implement brand reimbursement strategies.
• Collaborate with strategic accounts on contract development.
• Educate corporate staff on billing and coding.

Skills

Coverage expertise

Coding knowledge

Payment mechanisms

Prior authorization pull-through

Account analytics

Negotiation skills

Communication skills

Strategic planning

Education

BS/BA in Business, Marketing, or Economics

Advanced degree (strongly preferred)

Job description

Description

Lantheus is headquartered in Bedford, Massachusetts with offices in Canada, and Sweden. For more than 60 years, Lantheus has been instrumental in pioneering the field of medical imaging and has helped physicians enhance patient care with its broad product portfolio.

Lantheus is an entrepreneurial, agile, growing organization that provides innovative diagnostics, targeted therapeutics, and artificial intelligence (AI) solutions that empower clinicians to find, fight and follow disease. At Lantheus our purpose and values guide our behaviors in all interactions and play a vital role in creating a dynamic environment that contributes to our success. Every employee is crucial to our success; we respect one another and act as one knowing that someone's health is in our hands. We believe in helping people be their best and are seeking to bring together a diverse group of individuals with different viewpoints and skill sets to be a part of a productive and inclusive team.

Summary of role:
The Director, Market Access National Accounts, Non-Hospital will be responsible for providing US coverage, coding, and payment expertise to key strategic accounts in the Oncology, Urology & Imaging spaces in support of the Lantheus product portfolio. The individual in this role will have responsibility for the implementation of brand reimbursement strategies, market access pull-through strategies while serving as an integral part for key support staff on payer coverage, coding, and payment policies, and maintaining positive prior authorization pull-through for key products.

The primary customer segments for this position include large urology group practices (LUGPAs), large non-hospital (mobile and independent) imaging providers, large community-based oncology practices. The Director, Market Access National Accounts Non-Hospital/ will also be an integral part of the strategic contract discussions & pull-through, site setup process for office-based customers adopting radioligand therapy.

This position will serve as the face of Lantheus Market Access for office-based, non-hospital providers and staff and will be initiative-taking in customer approach to problem-solving. The successful candidate will have a proven track record of account analytics related to payer mix, reimbursement methodologies, educating and pulling through prior authorizations in large accounts, developing advocates, developing customer relationships, and working cross-functionally to facilitate appropriate patient access.

Key Responsibilities/Essential Functions:

• This position will report to the Head Market Access National Accounts


• Market Access member responsible for large urology group practices (LUGPAs), large non-hospital (i.e.., mobile and independent) imaging providers and large community-based oncology providers.

• Collaborate with Strategic Accounts on contract assessment and development based on awareness of payer mix, reimbursement methodologies


• Demonstrated ability to develop credible relationships at elevated levels within accounts to include Service Line and C-Suite personnel.


• Serves as a strategic partner to other Lantheus partners, sharing business insights on accounts and market trends.


• Manage and coordinate resolution of reimbursement issues by collaborating with internal teams and respective account staff.


• Assists key accounts to help overcome access barriers for key client stakeholders.

• Coordinates with Patient Access Leader (PAL) so that the PAL will conduct reviews of approved patient-specific information in cases where the site has specifically requested assistance in resolving issues or coverage challenges.


• Ensures all actions taken create a positive impact on the patient journey and the brand experience with these strategic customers.


• Educate corporate staff and coordinates with PAL on local office-based customers on proper billing and coding and ensure claims documentation is in alignment with national guidelines and payer coverage policies.


• Serves as the lead for Market Access strategic account providers and staff and will be proactive in customer approach to problem-solving.


• Provide first-in-class pull-through service in support of Lantheus' portfolio of products.


• Build advocacy in support of Lantheus grassroots initiatives.


• Execute Market Access educational programs in respective accounts.


• Build advocacy support to achieve positive medical coverage policies for key products across payer types.


• Clearly possess and articulate a strong clinical acumen to ensure optimal access to Lantheus' portfolio of products.


• Provide expertise on coding, coverage, and reimbursement/payment mechanisms to Sales, Marketing, and other functional areas to ensure key reimbursement information is incorporated into business strategy.


• Collaborate and coordinate across functions (Sales, Marketing, and Medical Affairs, Patient Access) to achieve business goals.

Minimum Skills, Experience and Education:

• BS/BA degree in Business, Marketing, Economics, or related field; advance degree strongly preferred.


• 10+ years of coverage, coding, payment, and prior authorization pull-through experience across all payer types.


• Experience in imaging, urology and/or oncology is required.


• Background in radiopharmaceutical imaging and diagnostics is strongly preferred.


• Demonstrates a broad understanding of the US payer market, has experience with both commercial and public payers, and understands the decision-making process for new therapeutics and imaging agents within the payer community.


• Track record of strategic impact in defining and executing complex customer experience roadmaps while driving for innovative results.


• Demonstrated experience using account facing strategic analytics


• Demonstrated ability to develop credible relationships at elevated levels within accounts.


• Possesses strong business acumen negotiation and presentation skills.


• Ability to thrive in a cross-functional working environment.


• Successful decision-making, strategic planning, and critical thinking skills


• Superb written and verbal communication skills


• Field-based role; must be an initiative-taker with ability to work independently and organize own work without continuous direct supervision.


• Field-based, ability to travel (60% +). Located in the west region.

Core Values:

The ideal candidate will embody Lantheus core values:

• Let people be their best


• Respect one another and act as one


• Learn, adapt, and win


• Know someone's health is in our hands


• Own the solution and make it happen

Lantheus is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Lantheus is an E-Verify Employer in the United States. Lantheus will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law.

Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the Lantheus Talent Acquisition team at [e-mail].

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Equal Opportunity Employer

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