Senior Director Market Access

Sophia Genetics Boston , MA 02108

Posted 5 days ago

The Senior Director of Market Access will be responsible for developing and implementing the market access strategies for SOPHiAs Clinical Genomics business in North America. The role will also be responsible for securing access for current and future SOPHiA products among commercial and government payers. Individual will serve as a key interface to peers in marketing, sales, medical affairs, BioPharma, and regulatory affairs providing commercial guidance for all payer and brand access related activities. This role will also be responsible for helping facilitate clinical and economic strategies to enhance the efforts of the field-based team in NORAM. Importantly this role will also be customer facing and you will be working with key accounts to explore access and reimbursement for SOPHiAs bundled and dry-lab platform solutions.

-Develop Market Access Strategy for SOPHiAs Clinical genomics business in NORAM

  • Responsible for all payer related activities for SOPHiAs Genomics bundled and Dry Lab AI platform offering (SDDM or SOPHiA Data Driven Medicine)
  • Lead the preparation of a market access strategy as a key component of new product launches across SOPHiAs portfolio (mainly Genomics but evolving to Multi-modal incl. Radiomics).
  • Develop and execute strategic plans to external and internal customers related to all payer activity
  • Provide trends and impact analysis on reimbursement and economic value
  • Oversee the development of reimbursement reference materials
  • Develop and maintain relationships with professional medical organizations/societies to manage healthcare policy and reimbursement issues
  • Other projects and assignments as needed

-Implement payer strategies with the cross-functional commercial team in NORAM

  • Recommend and implement plans for the development of product and procedural codes
  • Work closely with the Commercial team to position reimbursement messages and tools to educate and train the field, our customers, and patients in synergy with the strategic plans
  • Provide direction and communication working closely with commercial team to meet company objectives and goals
  • Participate in reimbursement development activities in close cooperation with cross-functional teams (Commercial, Medical, Regulatory, and Legal) on new product and procedure development and evidence-based value proposition
  • Lead educational training to Sales and Marketing with regards to health policies and reimbursement

-Be and expert advisor for key accounts exploring reimbursement and payer strategies for SOPHiAs portfolio in NORAM

  • Collaborate on Commercial payers with key customers (Academic Medicial Centers, Private and Reference Molecular Laboratories, C-suite management)
  • Collaborate with key customers to develop and support LCD submissions
  • Monitor and influence CMS (Medicare/Medicaid) relating to payment proposals for Outpatient Prospective Payment Systems, Physician Fee Schedules, and Hospital Purchase Orders by obtaining coding, coverage, and reimbursement.


  • Bachelors Degree (Advanced Degree in Healthcare, Healthcare Economics, or Business Administration is preferred)
  • Minimum of 10 years experience in reimbursement in diagnostics, medical device, life sciences consulting or the biotech industry
  • Strong understanding of medical reimbursement with Academic Medical Centers and private molecular laboratories (billing, coding, coverage, and payment) in the healthcare system (CMS and private) to work to resolve contract and billing issues with providers
  • Min. 5 years experience as a senior leader in commercial team
  • Proven trackrecord of successful payer and access strategies for product launches in the genomic Dx space
  • Strategic thinker with the wish to implement strategies, team player and customer focused
  • Solution oriented self-starter
  • Effective communicator both internally to peers and executive management and externally to key stakeholders in the NORAM accounts

Leadership Requirements:

An ongoing commitment to conducting our global business according to the highest legal and ethical standards, and to continually pursue excellence in the development and delivery of all of our products and services. This includes:

  • Respecting the laws and operating within the applicable regulations of the places in which we conduct business, as well as our own Company policies and procedures.
  • Being honest and treating people with respect and courtesy.
  • Constantly striving to make SOPHiA a great place to work, and a company respected for the quality of its people and products.
  • Acting as role models for our fellow employees by acting responsibly, fairly, and honestly in our dealings and exercising sound judgment in performing our jobs.
  • Occasional business travel to tradeshows, sales meetings, educational programs and customer and partner meetings.


  • A competitive compensation package.
  • A flexible and friendly working environment with a collaborative atmosphere
  • An exciting company mission that brings together science and technology to directly impact the lives of patients with life threatening illness.
  • A fast-growing company with plenty of opportunity for personal growth and development

Starting date: ASAP (or to be decided)

Contract type: Permanent full-time

Location: Home Office, USA

Application process

If you think you fit this position, please send a CV and a cover letter. Please note that incomplete applications will not be considered.

After an initial screening process, candidates will be invited for remote interviews. Selected candidates will then be invited for personal interviews.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Global Pricing & Market Access Director

Vertex Pharmaceuticals, Inc

Posted 1 week ago

VIEW JOBS 1/11/2021 12:00:00 AM 2021-04-11T00:00 Job Description Vertex currently operates at the forefront of rare disease scientific innovation and has successfully developed and commercialized multiple breakthrough medicines for Cystic Fibrosis (CF). In addition to clinical development programs in CF, Vertex has more than a dozen ongoing research programs focused on the underlying mechanisms of other serious diseases including programs in pain, hemoglobinopathies, focal segmental glomerulosclerosis (FSGS) and Alpha-1 Antitrypsin Deficiency (AAT), among others. In consideration of our expanding pipeline and an increasingly complex and challenging Global market access environment, Vertex is expanding its Global Pricing & Market Access (GPMA) team. Our focus is to extend our expertise in this functional area in order to deliver impactful market access strategies and contextualize the rapidly evolving healthcare landscape for the pricing and reimbursement of Vertex therapies. We are driven by a desire to deliver groundbreaking pricing & reimbursement solutions to allow our medicines to reach patients faster than ever before. The Director, GPMA role will join the Non-CF Pipeline team within GPMA and serve as Market Access Lead for our APOL-1 mediated kidney disease (AMKD) program. Pipeline products for AMKD are in development to treat FSGS as well as other chronic kidney diseases in patients with APOL1 genetic risk alleles. In this capacity, the individual will be responsible for leading the development of Global Market Access strategies, as well as co-lead for the Global Commercial Team. This role will also support initiatives within the Non-CF Pipeline team as needed including business development initiatives. This position reports to the Senior Director, Non-CF Pipeline, within GPMA, and is a member of the Global Market Access & Value (GMAV) organization. Key Responsibilities: * Responsible for Global payer strategic planning to support value and access optimization for assets in development for AMKD * Lead development of Market Access strategies and core Global P&R deliverables operating within the cross-functional, cross-regional commercialization process * Ensure the payer position is consistently represented to internal stakeholders and ensure robust strategic input into commercialization and development decisions * Support strategies with deep functional knowledge, in-depth market research, environmental data & analogs * Inform financial forecasts * Partner with HEOR and Global Marketing to ensure robust value proposition and integrated evidence plans are optimized to support global market access and reimbursement * Co-lead Global Commercial Team (with Global Marketing) for AMKD program, and work cross-functionally to develop optimal commercial and market access strategies * Develop market access strategy including robust payer landscape, initial pricing assumptions * Partner with HEOR and Global Marketing to ensure development of a robust value proposition and supporting value story * Lead capability building and thought leadership projects that advance knowledge of and readiness for the rapidly evolving Global payer environment. * The individual in this role is expected to be the internal thought leader on payer-related aspects of the funding, pricing, and access for gene therapies * Support payer pricing & access assumptions for business development and emerging pipeline opportunities * Collaborate closely with HEOR, International P&R, Corporate Affairs, US Managed Markets, Countries, Marketing and Clinical Development counterparts to ensure value and access optimization Qualifications: * 7+ years of direct biotechnology / pharmaceutical industry experience and/or payer experience * Experience in comparable Global role considered a plus; deep working knowledge of both US and ex-US healthcare systems required * Demonstrated ability to think strategically and make sound pricing and market access recommendations * Strong practical, quantitative and analytical skills combined with a sound understanding of how to successfully apply pricing & reimbursement / HEOR principles to support Vertex * General experience in commercialization and drug development * Exhibits outstanding written and oral communication skills, including the ability to effectively write and deliver presentations to professionals at all levels within Vertex * Demonstrated relationship building at all levels of the organization and across geographies * Recognized as a team player with excellent interpersonal skills who is flexible and reliable * Displays sound ethics and a fit for Vertex's core values Education: * BA in field of study requiring quantitative analysis; Advanced degree preferred Company Information Vertex is a global biotechnology company that invests in scientific innovation. Vertex is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Vertex is an E-Verify Employer in the United States. Vertex will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law. Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the recruiter or hiring manager, or contact Talent Acquisition at Vertex Pharmaceuticals, Inc Boston MA

Senior Director Market Access

Sophia Genetics