Executive Director, Access & Reimbursement

Replimune Group, Inc. Woburn , MA 01801

Posted 2 weeks ago

Overview

The Executive Director of Access and Reimbursement will report to the Vice President Market Access, Pricing and Distribution and will be responsible for leadership and management of the commercial organization's payer engagement and reimbursement teams. This leader will manage a team of Directors of National Directors and Reimbursement Managers and will devise and execute customer specific strategies to support the appropriate coverage of Replimune commercial products. This position will integrate cross functionally with internal partners to ensure patient and provider access to support commercial launch and growth plans.

This position can be based either in our Woburn office or be a remote role

  • Our Woburn location welcomes hybrid work! Local candidates are expected to be on-site 2 days per week.

  • Remote candidates (i.e., living beyond 65 miles of our Woburn HQ) must be open to 10-25% travel to our Woburn HQ, every 4-6 weeks or as business needs require.

Responsibilities

Key responsibilities:

  • Responsible for the design, tactics and approach to maximize access and reimbursement for product portfolio and if necessary, contract performance.

  • Direct the payer account team to meet access goals and ensure medical coverage policies and pathways are consistent with the FDA approved prescribing information.

  • Collaborate with Sr Director of Trade & Distribution to train account directors to assist in trade and distribution strategy and execution as required.

  • Create and execute analyses to inform organizational understanding of influence of market dynamics, risks, and competitive behaviors and impact of all business segments, including Commercial, Medicare, Medicaid, VA, GPOs and Hospitals.

  • Evaluate contracting strategy requirements across customer base and build the business rules in collaboration with pricing and contracting team.

  • Proactively communicate payer criteria and terms to relevant field teams

  • Continuously update strategic plan to reflect business changes in the payer environment and customer segmentation. .

  • Serve as a point of contact to create the optimal customer experience, and when necessary, address service gaps in a timely manner.

  • Collaborate internally with Sales, Marketing, Operations, Supply Chain, IT, CMC, Finance, Medical Affairs, Legal and Compliance to identify and monitor deliverables related to access and reimbursement.

  • Build business plans to be used strategically with field teams and monitor quarterly updates to account plans.

  • Develop and manage the operational budgets consistent with corporate financial goals.

  • Ensure compliance with corporate policies and procedures, as well as US Healthcare laws and regulations.

Other responsibilities:

Willing to undertake various responsibilities outside of your area of expertise as opportunity presents

Qualifications

Educational requirements:

College degree with MBA preferred

Experience and skill requirement:

  • Bachelor's degree required; advanced degree preferred

  • 12+ years of biotech/pharma experience with greater than 5 years managing payer field account teams

  • Experience in the oncology buy and bill model with commercial and government-based payers

  • Strong leadership and collaboration skills and the ability to drive consensus

  • Proficient in Microsoft Word, PowerPoint and Excel

  • Deep understanding of performance and operational indicators of success

  • Demonstrated experience forecasting and managing vendor budgets

  • Strong background in pharma data platforms

  • Exemplary presentation and communication skills which can be used for internal and external executive engagement

  • Demonstrated negotiation skills and ability to make sound business arguments to influence internal and external decision makers

  • Extensive communication and collaboration skills and the ability to drive consensus

  • Ability to thrive in a fast-paced start-up environment with high expectations and accountability for the quality and timing of deliverables

  • Willing to undertake various responsibilities outside of your area of expertise

  • Experience in influence management across internal stakeholders and external partners

Location:

  • Our Woburn location welcomes hybrid work! Local candidates are expected to be on-site 2 days per week.

  • Remote candidates (i.e., living beyond 65 miles of our Woburn HQ) must be open to 10-25% travel to our Woburn HQ, every 4-6 weeks or as business needs require.

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Executive Director, Access & Reimbursement

Replimune Group, Inc.