Payer Access Cell Therapy Director

Autolus Inc; Minnesota; Hybrid; USD 194,000 - 260,000; Full time

Benefits offered by this job

Competitive salary

Performance related bonus

Private medical insurance

Life assurance

Pension

Employee share scheme

Flexible working

Job summary

Autolus is seeking a Director, Payer Access Cell Therapy to lead the Market Access strategy across the Central/North East region, ensuring robust payer coverage, Medicare/Medicaid alignment, and timely patient access for Autolus therapies.

You will build partnerships with national and regional payers, educate centers, and work with Medical Affairs and Global Market Access to address payer concerns; travel approx. 50%.

Qualifications

• Bachelor’s degree or higher and 10+ years hematology / oncology experience in payer relations and market access.
• Experience with National and Regional payers in Commercial, Medicaid, and Medicare.
• Strong understanding of CART/Cell Therapy access, reimbursement, and policy dynamics.

Responsibilities

• Identify, develop, and manage strategic relationships with National / Regional Commercial and Government payers within assigned geography.
• Implement approved pre-launch payer education plan to ensure awareness of Autolus pipeline and prepare the payer market for new cell therapy entrants.
• Present / provide approved product education and health economic information to key customers and communicate the value proposition of Autolus products.
• Assess payer and policy landscape to understand and plan for potential coverage of Autolus products for Commercial, Medicare and Medicaid patients, including policy legislation, payer class management, and advocacy.
• Obtain coverage for Autolus products within assigned accounts, while also identifying and mitigating potential challenges that may hinder access.
• Partner with Medical Affairs and Global Market Access team to address clinical and outcomes concerns from payers.
• Working knowledge of total cost of care and all aspects of reimbursement (coding, coverage, and payment) for inpatient and outpatient settings across payer segments.
• Understand payer requirements and hospital reimbursement for cell therapies administered in the inpatient setting, including CMS requirements and implications for new novel therapies.
• Inform and educate authorized treatment centers on coverage, billing, coding, and reimbursement of Autolus cell therapies.
• Work with Autolus Patient Support to ensure understanding of payer coverage policies and requirements and assist with any coverage questions.
• Responsible and accountable for the successful implementation within geography of the strategic and tactical market access plan.
• Post launch, partner with field account management team to provide education on respective payers and to address any questions or concerns that arise.

Skills

Payer access & market access

Cell therapy knowledge

Policy & reimbursement

Stakeholder engagement

Cross-functional collaboration

Education

Bachelor’s degree or higher in a relevant field

Tools

PowerPoint

Excel

Word

Job description

Job Title

Director, Payer Access Cell Therapy (PACT)

Reporting & Department

Reports to: VP US Head of Market Access
Department: Commercial

Hours & Location

Full Time
Location: U.S., Remote

About Autolus

Autolus is a biopharmaceutical company, advancing innovative therapies at both clinical and commercial stages of development, focused on next-generation, programmed T cell therapies for the treatment of cancer. Using a broad suite of proprietary and modular T cell programming technologies, the company is engineering precisely targeted, controlled, and highly active T cell therapies designed to better recognize cancer cells, break down their defence mechanisms, and eliminate these cells. Autolus has a pipeline of product candidates in development for the treatment of haematological malignancies, solid tumours, and autoimmune diseases.

Why Autolus

Our team is passionate in the pursuit of excellence and in pushing the boundaries of cancer therapy and autoimmune diseases to deliver life-changing treatments to patients. Whilst working at Autolus you will enjoy a flexible, diverse, and dynamic working environment which actively promotes creativity, leadership and teamwork. In addition to this Autolus is proud to offer a competitive salary, performance related bonus as well as private medical insurance, life assurance, pension and access to an employee share scheme. Autolus promotes flexible working. Our Promise Autolus is developing complex, breakthrough therapies for a globally diverse market and equally recognises that diversity amongst our people is critical to our mission. As we draw on our differences, what we’ve experienced, and how we work, we celebrate diversity and are committed to creating an inclusive environment for all employees.

Role Summary

This role will be covering the Central/North East area. The Director, Payer Access Cell Therapy will be an integral member of the commercial organization, focused on operationalizing the overall Market Access strategy, and ensuring patients have timely access to Autolus therapies. The primary objective of the Director, Payer Access Cell Therapy is to secure robust coverage and reimbursement for all Autolus products through regional, national, and government payers. In collaboration with center engagement and account management, this role will be integral to onboarding treatment centers and supporting broad timely patient access. The Director, Payer Access Cell Therapy will be a thought leader on all access related items including payer policy, pricing communication, and treatment center reimbursement.

Key Responsibilities

• Identify, develop, and manage strategic relationships with National / Regional Commercial and Government payers within assigned geography.
• Implement approved pre-launch payer education plan to ensure awareness of Autolus pipeline and prepare the payer market for new cell therapy entrants.
• Present / provide approved product education and health economic information to key customers and communicate the value proposition of Autolus products.
• Assess payer and policy landscape to understand and plan for potential coverage of Autolus products for Commercial, Medicare and Medicaid patients, including policy legislation, payer class management, and advocacy.
• Obtain coverage for Autolus products within assigned accounts, while also identifying and mitigating potential challenges that may hinder access.
• Partner with Medical Affairs and Global Market Access team to address clinical and outcomes concerns from payers.
• Working knowledge of total cost of care and all aspects of reimbursement (coding, coverage, and payment) for inpatient and outpatient settings across payer segments.
• Understand payer requirements and hospital reimbursement for cell therapies administered in the inpatient setting, including CMS requirements and implications for new novel therapies.
• Inform and educate authorized treatment centers on coverage, billing, coding, and reimbursement of Autolus cell therapies.
• Work with Autolus Patient Support to ensure understanding of payer coverage policies and requirements and assist with any coverage questions.
• Responsible and accountable for the successful implementation within geography of the strategic and tactical market access plan.
• Post launch, partner with field account management team to provide education on respective payers and to address any questions or concerns that arise.
• Demonstrated Skills and Competencies Experience Demonstrated successful experience with National and Regional payers in Commercial, Medicaid, and Medicare. Sustained track record of access and reimbursement achievement in cell therapy, gene therapy, or hematology / oncology. Excellent strategic and business acumen skills, with demonstrated ability to successfully partner with payers. Knowledge of medical benefit along with inpatient and outpatient economics preferred. Extensive experience with private and public payers, across all settings of care, to include the economic complexities for reimbursement in each setting. Extensive understanding of hematology / oncology clinical landscape, and the business of cell therapy. Strong ability to work collaboratively and cross-functionally to ensure goals are achieved. Possess a willingness and ability to work hands-on and with a sense of urgency, in a fast-paced, entrepreneurial environment. Experience in onboarding cell therapies with treatment centers highly preferred.

Experience

Demonstrated experience with National and Regional payers in Commercial, Medicaid, and Medicare. Sustained track record of access and reimbursement achievement in cell therapy, gene therapy, or hematology / oncology.

Qualifications

Bachelor’s degree or higher and 10+ years hematology / oncology experience in payer relations and market access.

Skills / Specialist Knowledge

• Deep knowledge of CART/Cell Therapy access, reimbursement, and policy dynamics.
• In-depth therapeutic and clinical knowledge in hematologic malignancies.
• Strong ability to work cross-functionally in a dynamic, fast paced environment.
• Routinely synthesizes customer information into actionable insights & recommendations.
• Proven leadership experience and capabilities.
• Recognized role model of Autolus core values and ways of working that inspire high performance culture and engagement.
• Ability to problem solve, demonstrate flexibility, and think strategically.
• Outstanding written and verbal communication skills with the ability to effectively present to and engage with a wide range of audiences.
• Proficient in PowerPoint, excel and word.
• Resilient in high-pressure environments.

Travel

Approximately 50%.

Salary

The anticipated annual base salary range for this position is $194,000 - $260,000. Actual compensation will be determined based on a number of factors, including relevant experience, skills, qualifications, geographic location, and internal equity considerations.

Benefits

• Competitive salary
• Performance related bonus
• Private medical insurance
• Life assurance
• Pension
• Employee share scheme
• Flexible working

Core Competencies

• Focus on Results: Works to meet business goals set by management and leaders
• Builds Trust and Relationships: Ensures trust with internal and external partners by delivering on commitments
• Resilience: Has the capacity to recover quickly from difficulties; toughness
• Communicates and Collaborates: Builds partnerships and works collaboratively with others to meet objectives

Legal & Compliance

Autolus is committed to the protection of the personal information that we collect & process and we are fully compliant with General Data Protection Regulations (GDPR). Autolus is committed to providing an inclusive and fair workplace for all. We are an equal opportunity employer and do not discriminate on the basis of race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristic. We also provide reasonable accommodations where appropriate. Autolus is committed to the protection of the personal information that we collect & process and we are fully compliant with General Data Protection Regulations (GDPR). Autolus is committed to providing an inclusive and fair workplace for all. We are an equal opportunity employer and do not discriminate on the basis of race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristic. We also provide reasonable accommodations throughout the recruitment process. Autolus' success is driven by equality and inclusion; we believe all voices are of equal value and must be heard. Whilst operating with focus and integrity, we are committed to improving diversity and inclusion within our business and our industry.