Executive Director, National Payer Accounts

Overview

The Executive Director, National Payer Accounts will lead a field team accountable for formulary coverage access with the national payer organizations and their largest downstream regional account clients. Supporting the strategy of the Market Access team and execution of objectives for the payer customers. Collaborating with leaders in market access, therapeutic areas, insight, access strategy, finance, and medical affairs to align approaches to our largest customers.

Coordinating and leading our approach across the National Payer Accounts and their largest regional clients for our product portfolio.

• Lead, develop, and motivate a high-performing team of Sr. Directors, National Payer Accounts to deliver results aligned with function and organizational goals.
• Cultivate direct relationships with senior leaders at key accounts to strengthen strategic partnerships.
• Coordinate activities of the National Payer Account team in cooperation with the patient services and external partners to minimize barriers to access on a patient specific basis
• Identify opportunities for pull-through and improved account access in partnership with other field and home-office teams.
• Lead cross functional teams in developing and executing access-focused National Payer Account Plans in cooperation with relevant functions (Sales, Medical Affairs, Marketing and Pricing).
• Partner with Market Access colleagues and brand teams to create an impactful and strategically aligned tactical plan for the payer segment to successfully support access and awareness of Stemline products.
• Identify, create, and execute specific programs and services to support best in class market access support.

• Partner with Contract Strategy and Pricing team to develop and implement payer contracting strategies.
• Lead strategic direction and accountability for contract negotiations to support Stemline access goals, including discounts, rebates, administrative fees, and innovative contracting constructs, in accordance with Pricing Committee Guidelines and corporate objectives.
• Lead strategic planning exercises to inform the long-term Stemline access strategy including presentations and alignment with executive leadership
• Develop payer strategy for pipeline programs and provide input to lifecycle management activities as needed.
• Lead internal reviews to ensure cross-functional teams are aware of ongoing payer activities and mitigation plans for any challenges or risks.
• Maintain a deep understanding of the payer environment, including PBMs, private payers, and government channels and educate internal partners as required.

• Set clear performance objectives/expectations and provide ongoing coaching and development of direct reports including concrete business objectives.
• Create KPIs that measure success and align with Stemline business objectives.
• Continuously review, evaluate and recommend improvements to organization to enable higher performance.
• Manage field team expenses according to budget.
• Ensure all field team activities are conducted compliantly.
• Up to 30% travel, including customer meetings, conferences, and internal cross-functional workshops.

• Bachelor's degree required, advanced business or science degree desirable. 10+ years of pharma/biotech access-focused experience, with at least 5+ years with management experience.
• 5+ years working directly with National Payers/PBMs (specifically in Oncology)
• Strong understanding of reimbursement (Buy & Bill) pathways, pharmacy-benefit management, Medicare (Parts A, B, C,
  
  D), Medicaid, and commercial payer dynamics
• Demonstrated success in finding the point of intersection between customer and business priorities
• Thorough understanding of market dynamics across multiple therapeutic areas (Oncology/Hematology preferred) and across various business segments
• Understanding of financial concepts and contracting issues, including legal and best price and ASP implications
• Understanding of specialty pharmacy networks and patient out-of-pocket dynamics
• Proactive, results oriented, self-starter motivated by the desire to do the right thing for the patients…