National Access Director, US Market Access & Payer Strategy

PIERRE FABRE PHARMACEUTICAL INC (USA); United States; Remote; USD 200,000 - 270,000; Full time

Benefits offered by this job

Bonus program

Job summary

Pierre Fabre Pharmaceuticals is seeking a National Access Director to guide market access and payer relations for Tab-cel in the United States. The role focuses on pre- and post-approval information exchanges, national and regional payer engagement, and coordinating with site of care teams to ensure timely coverage decisions.

The position requires a deep background in biotech/pharma reimbursement, strong executive presence, and the ability to operate in a fast-paced startup-like environment as

Qualifications

• Bachelor’s degree required, healthcare degrees or credentials desirable.
• Strong, pre-existing working experience with national and regional payers that manage medical and pharmacy benefit policy.
• Deep knowledge of inpatient and outpatient reimbursement methodology and dynamics and impacts to hospital access economics.
• 10+ years of biotech/pharma required with at least two years of direct experience in coverage and reimbursement dynamics of complex advanced therapies (E.g. cell therapy, gene therapy, radio ligand).
• Strongly Preferred Experience with cell and gene therapy networks and Medical Director teams at payers that manage Cell Therapy products.
• Strong presentation skills and executive presence.
• Exceptional business acumen and hospital administrative expertise.
• Cell, Gene, Stem Cell Transplant service line experience and established relationships with financial KOLs at institutions.
• Ability to work in fast-paced and dynamic environment while maintaining cross functional internal relationships and contribute to site of care account planning.
• Experience with pharmacy/ therapeutics committee and high impact drug review processes at institutions.

Responsibilities

• Operate in compliance with all laws, regulations and policies that govern the conduct of Pierre Fabre activities.
• Facilitate urgent access to Tab-cel post approval by educating payer customer segment and treatment center financial stakeholders of value proposition of product.
• Contributes to the US Value and Access Team by monitoring trends, policy changes, and implications and taking ownership of this expertise.
• Seek opportunities for synergy and partnership to achieve both Pierre Fabre and customer goals through active and transparent planning and customer engagement with cross functional Team Tab-Cel Support.
• Enable payer coverage assessment for Tab-Cel through pre-approval information exchange and post-approval with national and regional payers in the Commercial, Medicare, and VA sectors.
• Support overall access strategy with engagement of Federal Payers and Medicare FFS.
• Educate payers on the urgent unmet need and provide resources to ensure a pathway to coverage in the pre and post approval regulatory setting.
• Identify appropriate payer stakeholders for the therapy and partner with payer colleagues to establish path for expedited review of cases.
• Provide approved product education and health economic information to key customers in payer and provider segment to communicate the value proposition of the product.
• Ensure financial and reimbursement confidence and communicate payer coverage with providers post approval.
• Partner with treatment sites and key stakeholders to educate on reimbursement process, coverage and coding details relevant for the Therapy post approval, ensuring stakeholder comfort and confidence in their reimbursement process.
• Liaise with external specialty distributor counterpart(s) to meet objectives while providing a best-in-class experience for sites of care.
• Proactively communicate payer coverage criteria to internal field teams and external site of care stakeholders.
• Prepare potential treatment centers to be reimbursement ready before and after anticipated approval.
• Ensure that providers and payers have timely access to information needed to navigate prior authorizations and the negotiation of single-case agreements (e.g. coding, relevant policy, setting of care considerations).
• The National Access Director will be the primary field team member responsible for education regarding patient assistance programs at sites of care.
• The National Access Director is the field expert in market access related issues related to Trade Policy.
• The National Access Director is responsible for partnering with payer relations teams at sites of care to resolve any issues regarding coverage and reimbursement.
• Other duties and responsibilities may be assigned as required based on evolving business needs.

Skills

Executive presence

Presentation skills

Healthcare payer policy

Education

Bachelor’s degree

Healthcare degree desirable

Job description

Pierre Fabre Pharmaceuticals is seeking a National Access Director to guide market access and payer relations for Tab-cel in the United States. The role focuses on pre- and post-approval information exchanges, national and regional payer engagement, and coordinating with site of care teams to ensure timely coverage decisions.

The position requires a deep background in biotech/pharma reimbursement, strong executive presence, and the ability to operate in a fast-paced startup-like environment as