VP, US Market Access & Payer Strategy

Skyhawk Therapeutics; Waltham (MA); On-site; USD 250,000 - 450,000; Full time

Job summary

Skyhawk Therapeutics seeks a VP of US Market Access to lead payer strategy and market access execution for SKY-0515 and future assets. This hands-on builder role requires proven orphan/rare disease launch experience and the ability to stand up access capabilities in a small biotech.

You will collaborate across Commercial, HEOR, Legal, Medical Affairs, Marketing and Sales to align payer strategy with launch readiness, contracting, and patient access programs, including value-based arrangements

Responsibilities

• Develop and execute Skyhawk’s national US payer strategy across Commercial, Medicare, and Medicaid channels.
• Build and personally lead relationships with national and regional MCOs, PBMs, IDNs and specialty pharmacy/hub partners.
• Design and lead the account-planning and workload model for the payer-facing field team.
• Own the strategy and execution for pre-approval payer engagement in coordination with Legal/Compliance.
• Lead the evaluation, design, and negotiation of value-based agreements and other innovative contracting models with payers.
• Partner with HEOR, Pricing, Medical Affairs, Finance, Marketing and Legal to structure outcomes-based terms, rebate architecture, risk-sharing mechanisms.
• Evaluate managed access and alternative reimbursement pathways for applicability to the US market.
• Own Skyhawk’s Medicare (PDP and MA) and Medicaid access strategy, including formulary review timing, prior authorization/step-therapy criteria, and rebate/pricing program compliance.
• Monitor CMS policy — Inflation Reduction Act provisions, Medicare drug price negotiation, and related rulemaking — on launch and lifecycle strategy.
• Serve as the market access lead on the cross-functional launch team, ensuring payer, distribution, and patient-access workstreams are sequenced and resourced correctly ahead of approval.
• Partner with Distribution/Trade and 3PL on channel strategy, contracting, and operational readiness.
• Work with Patient Services to design hub and patient-support program eligibility criteria, ensuring alignment between payer coverage realities and the support patients receive.

Job description

Skyhawk Therapeutics seeks a VP of US Market Access to lead payer strategy and market access execution for SKY-0515 and future assets. This hands-on builder role requires proven orphan/rare disease launch experience and the ability to stand up access capabilities in a small biotech.

You will collaborate across Commercial, HEOR, Legal, Medical Affairs, Marketing and Sales to align payer strategy with launch readiness, contracting, and patient access programs, including value-based arrangements