Market Access & Payer Strategy Lead

Scorpion Therapeutics; United States; On-site; USD 110,000 - 160,000; Full time

Job summary

Scorpion Therapeutics is seeking a Field Access Manager (Market Access) to lead payer strategy across a defined geography and to ensure robust access for Telix portfolio products. You will coordinate with providers, sites of service staff, and policy stakeholders to optimize reimbursement and educate on medical policy.

The role requires extensive experience in pharmaceutical market access, Medicare/Medicaid knowledge, and strong cross-functional collaboration.

Qualifications

• BA/BS degree or equivalent experience.
• 5+ years in pharmaceutical/biotech, market access preferred.
• 3+ years in healthcare coverage, coding and/or reimbursement.
• Experience with Medicare Part B, buy-and-bill, and payer policies.

Responsibilities

• Support Access and Reimbursement for Telix brand portfolio within an assigned geography; maintain regional payer portfolio.
• Collaborate with site of service staff, providers, and stakeholders on reimbursement education, appeals/denials, patient support services, and appropriate use criteria.
• Educate site of service staff on medical policy and reimbursement topics/policy criteria.
• Develop KOL relationships to support patient advocacy and grassroots efforts.
• Serve as reimbursement and payer policy subject matter expert across Telix and competitor landscape; understand Medicaid, Medicare, and commercial reimbursement regulations.
• Perform access reviews within key accounts to confirm reasonable/custodial reimbursements.
• Manage regional payer accounts from pre-commercial through launch and maintenance.
• Engage policymakers, industry associations, and advocacy groups to shape local/regional healthcare policies.
• Deliver market access value proposition to population health decision-makers, medical directors, policy development directors, DUR committees, and formulary managers.
• Develop/execute strategy for policy creation and implementation; improve medical policy placement and remove access barriers.
• Monitor/analyze healthcare policies and provide updates to internal and external stakeholders.
• Complete timely administrative responsibilities (e.g., case and success/challenge reporting, expense, vacation/time-off reporting).

Skills

Market access

Payer policy

Reimbursement knowledge

Stakeholder engagement

Policy development

Education

BA/BS degree or equivalent experience

Job description

Scorpion Therapeutics is seeking a Field Access Manager (Market Access) to lead payer strategy across a defined geography and to ensure robust access for Telix portfolio products. You will coordinate with providers, sites of service staff, and policy stakeholders to optimize reimbursement and educate on medical policy.

The role requires extensive experience in pharmaceutical market access, Medicare/Medicaid knowledge, and strong cross-functional collaboration.