Remote Senior Director, Industry & Payor Strategy

Lumicera; Madison (WI); Remote; USD 180,000 - 280,000; Full time

Benefits offered by this job

Health insurance

Dental Insurance

Vision Insurance

Paid time off

Parental leave

401K match

Adoption assistance

Flexible Spending Account

Education assistance

Professional membership

Referral bonus

Job summary

Lumicera Health Services seeks a Sr.Director, Industry and Payor Strategy to lead our industry partnerships, payor strategy, and specialty pharmacy market access. This executive level role shapes multiyear plans to expand access, strengthen competitive positioning, and drive sustainable growth.

You will manage a team, build executive relationships with manufacturers, payors, PBMs, GPOs, and health systems, and oversee contracting, network participation, and reimbursement strategies to deliver

Qualifications

• Bachelor’s degree in Business, Healthcare, Health Services, Pharmacy, or a related field, or equivalent work experience, required.
• MBA, MHA, or PharmD from an accredited pharmacy school preferred.
• 10+ years of progressive experience in specialty pharmacy, pharmaceutical industry relations, market access, payor or PBM strategy, trade relations, account management, or a related industry, required.
• 5+ years of progressive leadership experience, including strategic oversight and experience leading individual contributors and/or other leaders, required.
• Experience in contract negotiation required, with strong preference in specialty or PBM rebate contracting.
• Knowledge of specialty pharmacy medications, including REMS requirements and Limited Distribution Drug (LDD) best practices, required.

Responsibilities

• Serve as a strategic advisor to the Chief Growth Officer and senior leadership, translating industry and payor insights into recommendations on market positioning, partnership priorities, investment decisions, and enterprise growth opportunities.
• Lead and develop a high-performing industry and payor strategy team; establish clear decision rights, priorities, and accountability for strategic execution, partner outcomes, and financial results.
• Build organizational capability through leadership development, succession planning, coaching, and continuous improvement; align team structure and capabilities with evolving industry and payor priorities.
• Own the development and execution of the multiyear industry and payor strategic plan, including annual operating priorities, resource allocation, departmental budgets, and measurable growth, access, and profitability objectives aligned with Lumicera’s enterprise strategy.
• Provide leadership and management to ensure that the mission and core values of Lumicera are put into practice and shared with strategic partners.
• Lead executive and cross-functional alignment on strategic priorities, communicating business cases, tradeoffs, risks, and progress to secure sponsorship and drive coordinated execution across commercial, clinical, operations, finance, legal, and compliance teams.
• Define and lead payor strategy across health plans, PBMs, and other purchasers, prioritizing network access, preferred specialty pharmacy positioning, reimbursement sustainability, and strategic partnerships that support patient access and profitable growth.
• Direct complex negotiations with manufacturers, payors, PBMs, wholesalers, GPOs, and health systems for distribution, procurement, network participation, reimbursement, and service agreements.
• Develop and steward executive-level relationships with pharmaceutical manufacturers, payors, PBMs, wholesalers, GPOs, health systems, and providers; establish joint strategic plans that expand access, reduce costs, diversify revenue, and strengthen long-term partnership value.
• Lead cross-functional development of differentiated payor and industry value propositions, including clinical outcomes, patient experience, total cost of care, and service capabilities; translate these into partnership proposals, requests for proposal responses, and scalable commercial offerings.
• Establish portfolio-level contracting strategy and governance, including pricing and reimbursement frameworks, renewal priorities, performance guarantees, analytical controls, and audit processes. Evaluate contract profitability, concentration risk, and strategic fit, and recommend corrective actions or alternative arrangements.
• Own the manufacturer access and specialty product portfolio strategy, prioritizing LDD opportunities, enhanced service programs, and emerging therapies. Direct launch readiness and agreement implementation to align product access with payor coverage, operational capabilities, and patient needs.
• Other duties as assigned.

Education

Bachelor’s degree or equivalent in Business, Healthcare, Health Services, Pharmacy, or related field

MBA, MHA, or PharmD preferred

Job description

Lumicera Health Services seeks a Sr.Director, Industry and Payor Strategy to lead our industry partnerships, payor strategy, and specialty pharmacy market access. This executive level role shapes multiyear plans to expand access, strengthen competitive positioning, and drive sustainable growth.

You will manage a team, build executive relationships with manufacturers, payors, PBMs, GPOs, and health systems, and oversee contracting, network participation, and reimbursement strategies to deliver