Director, Federal Payer Accounts

Compass Pathways

1d•$220,000 - $270,000•Remote

About The Position

Compass Pathways plc is a biotechnology company dedicated to accelerating patient access to evidence-based innovation in mental health. The Company is headquartered in London, UK, with offices in New York City in the US. We focus on developing novel treatments that have the potential to improve the lives of those who are suffering with mental health conditions and who are not helped by current treatments. We are pioneering a new paradigm for treating mental health conditions focused on rapid and durable responses through the development of our investigational COMP360 synthetic psilocybin treatment, potentially a first in class treatment. COMP360 has Breakthrough Therapy designation from the US Food and Drug Administration (FDA) and has received Innovative Licensing and Access Pathway (ILAP) designation in the UK for treatment-resistant depression (TRD) due to the pressing unmet need in this area. We are currently in phase 3 for TRD, have completed phase 2 studies for both post-traumatic stress disorder (PTSD) and anorexia nervosa and are planning a further late-stage study in PTSD. We envision a world where mental health means not just the absence of illness but the ability to thrive.

Requirements

7+ years in pharma/biotech market access, with significant direct experience in payer account management within the VA, DoD, TriCare, and IHS segments.
Proven track record negotiating, securing, and maintaining formulary access for launch-stage (and beyond) specialty or breakthrough products.
Experience executing contracts specific to the Federal payer market (i.e. Temporary Drug Pricing contracts, VA National Contracts, Provisional/Temporary pricing, etc.), as well as other innovative, outcome, and/or value based contracts.
Deep knowledge of US Federal payer landscape, formulary decision-making processes, utilization management, and prior authorization design.
Ability to translate HEOR and health economic data into compelling value narratives for payer audiences.
Hands-on launch experience at a growth-stage biotech; comfortable working in ambiguous situations and building tools and capabilities from scratch.
Exceptional stakeholder management skills; equally credible with external payer accounts and internal cross-functional partners.
Bachelor's degree required.
Mission and values-aligned team player and cross-functional leader, passionate about expanding access to mental health innovation; demonstrates Compass' values: Compassion, Boldness, Inclusion, Rigour.

Nice To Haves

CNS/psychiatry or novel treatment modality experience is a plus.
Advanced degree in Business, Public Health, Health Economics, or Pharmacy preferred.

Responsibilities

Drive and secure formulary access and coverage for COMP360 across U.S. Federal healthcare systems, including Veteran's Administration (VA), Department of Defense (DoD), TriCare, and Indian Health Services (IHS) ahead of and through launch.
Establish and maintain strategic and productive customer relationships.
Develop strategic account plans that support efforts in translating the COMP360 value proposition into sustainable coverage wins.
Partner internally with Health Economics and Outcomes Research (HEOR), Medical Affairs, Government Affairs, and Commercial Operations to ensure payer strategies are fully executed with precision.
Develop and execute account strategies across VA, DoD, TriCare, and IHS payer segments to drive optimal formulary positioning for COMP360 at launch and beyond.
Stay current with dynamic market forces, customer organizational changes, and policy changes at the federal and state level, that impact Compass and/or payer customers, and incorporate those variables into proposed account strategies and tactics as necessary and appropriate.
Own strategic and tactical planning and prioritization for assigned payer accounts, profiling key decision-makers including Pharmacy Directors, Medical Directors, Clinical Pharmacy and Finance leads, and P&T committee members.
Own strategic relationships with payer customers and serve as the primary interface and negotiator for coverage, contracting, and access discussions.
Identify and proactively address barriers to formulary inclusion, developing tailored strategies to support timely P&T reviews and coverage policy development.
Articulate the clinical and economic value proposition of COMP360 to payer audiences, integrating HEOR evidence, budget impact models, and real-world data to support coverage and access decisions.
Partner with the Senior Director and Finance on contracting recommendations to ensure proposals are commercially sound, aligned with government pricing compliance requirements, and GTN impacts are aligned with financial goals.
Collaborate with Sales and Patient Engagement on pull through initiatives in local VA/VISN and Military Treatment Facilities following national formulary wins.
Partner closely with HEOR, Medical Affairs, Government Affairs, Sales, and Patient Engagement to align payer specific push-or-pull-through strategies and tactics.
Where applicable and possible for P&T meetings, lead and execute a multi-prong strategy: Collaborate with Sales and Patient Engagement to obtain HCP support, Collaborate with Government Affairs around any relevant legislative-related tactics, Collaborate with patient advocacy organizations (i.e. NAMI, AfPA, etc.) regarding appropriate support, Collaborate with Sales, Patient Engagement, and Commercial Operations leadership on HCP-facing formulary and access update communications that enable effective Sales execution and pull through.
Represent the payer perspective internally, providing strategic guidance to leadership on coverage risks, opportunities, and competitive landscape dynamics.