Senior Director, Market Access Assessment & Development

Remote

Full time

R12904

• Commercial payer and PBM contracting
• Medical and pharmacy benefit strategies
• Value-based and outcomes-based agreements
• Market Access strategy and lifecycle management, New Product planning
• Gross-to-net and pricing implications
• Innovative reimbursement models
• Cross-functional leadership across Market Access, Finance, HEOR, Legal, and Commercial Analytics

This SD will lead the development, governance, and continuous improvement of proposal and contracting processes for U.S. market access across commercial payers, PBMs, GPOs, specialty pharmacies, trade, and institutional customers. This leader oversees a team responsible for pre-deal analytics, business case development, term sheet and contract drafting, and post-deal performance analytics, ensuring proposals align with brand and market access strategy while meeting financial, legal, and compliance requirements.

This role is a key thought partner for strategic pricing decisions and is responsible for annual proposals for WAC pricing.

• Lead the end-to-end proposal and deal development lifecycle, from opportunity assessment and pre-deal analytics through contract execution and post-deal performance evaluation.
• Partner with account management and payer marketing to develop robust business cases for major national and regional opportunities, including  deal vs. no-deal  scenarios and share-shift assumptions by bid option.
• Oversee creation of term sheets and draft contract language, including redlines, in close collaboration with Legal and Market Access Strategy to ensure alignment with approved strategy and risk tolerance.
• Own and optimize Pricing Committee (PC) / deal approval process for high-impact accounts (e.g., big three PBMs and other major customers), including timelines, required inputs, and stakeholder engagement.
• Chair or co-lead core deal teams composed of account leads, contracting leads, and payer marketing leads to refine deal strategies, challenge assumptions, and prepare for PC and Market Access alignment.
• Ensure proposals are developed within approved brand and channel contract strategies and guidelines, and highlight/explain any requested exceptions.
• Direct pre-deal analytics including optimal net price determination, opportunity sizing, margin impact analyses, and risk/benefit assessment across commercial, Medicare, Medicaid, and institutional channels.
• Lead coordination with finance, Gross-to-Net, forecasting, data/analytics, and claims operations to ensure proposals use the most accurate and consistent data sources (e.g., claims systems, customer portals) rather than solely third-party data.
• Oversee post-deal analytics, including creation and dissemination of contract performance dashboards that compare actual performance vs. forecast, track gross profit margin, and inform renewal recommendations.
• Ensure systematic documentation and repository management for proposals, contracts, amendments, EC decks, and meeting minutes, including tracking volumes and activity metrics.
• Increase the customer-facing effectiveness of the proposal function by supporting account teams with deal presentations and participation in customer meetings as needed.
• Partner with Market Access Strategy to clarify and operationalize contract strategy (max rebate rates, preferred positioning targets, ideal language constructs), and ensure strategies are actionable for proposal development.
• Identify, evaluate, and champion opportunities for automation, contract lifecycle tools, and application of AI or bots to streamline proposal drafting, document comparison, and metrics generation.
• Mentor and develop a high-performing team, ensuring sufficient cross-training and backup coverage to reduce single-point dependency risk in proposal and contracting execution.
• Develop quantitative frameworks to (1) include Customer/Payer 360 view, (2) model gross-to-net (GTN) revenue outcomes and consider GP impact, (3) evaluate competitive action
• Develop annual WAC change recommendations and cupport pricing strategies for launch products and inline therapies.
• Optimize discount structures and craft new programs including eligibility requirements, value-based agreements, and discounts. Translate complex deal terms into clear, legally enforceable contract language and ensure operational coordination.
• Present business cases to Pricing Committee for deal approvals
• Oversee contract drafting for Payer/GPOs, Wholesalers, GPOs,…