Director, Market Access Strategy (Heme)

Vertex Pharmaceuticals•Boston, MA

12d•Hybrid

About The Position

Vertex currently operates at the forefront of rare disease scientific innovation and has successfully developed and commercialized multiple breakthrough medicines for Cystic Fibrosis (CF), Sickle Cell Disease, Transfusion-Dependent Beta Thalassemia and Pain. In addition to clinical development programs in these commercialized areas, Vertex has more than a dozen ongoing research programs focused on the underlying mechanisms of other serious diseases including programs in Type 1 diabetes, IgA Nephropathy (IgAN), APOL-1 Mediated Kidney Disease, and Duchenne Muscular Dystrophy, among others. The Director, Market Access Strategy (Heme) is accountable for leading, overseeing, and project managing the development of Market Access (MA) strategies, primarily the payer value proposition (PVP) resources and associated materials and trainings, tactical support programs and overall execution of access resources across all channels for the commercialization of CASGEVY. This role requires a significant degree of collaboration, leadership, influencing and driving strategic alignment across multiple functions (Account Management, Trade, Pricing & Contracting, US Public Affairs, HEOR, Global Value & Access Strategy (GVAS), and Marketing). This role will report into the Sr Director, Market Access Strategy, Heme. Provide critical leadership and project management in developing and implementing brand and market access strategies by channel, to support patient access and customer reimbursement for CASGEVY via the creation and delivery of impactful market access resources to identified and prioritized accounts. This includes leadership with CRC submissions, reviews and responses. Strong ability to wholistically evaluate Market Access Landscape, continue to generate insights to inform strategy and execution Drive payer strategy including understanding of pricing, contracting, payer landscape, access & reimbursement to ensure all strategies and tactics are well thought through and aligned to overarching brand strategy Refinement and execution of the market access strategy across Payer and Trade Lead initiatives to understand, analyze and demonstrate clinical, economic, and societal value to payers, decision-makers, and influencers based on FDAMA114 guidelines (aka Pre-approval Information Exchanges) as well as payer value proposition Develop, train, and implement the necessary promotional resources and reimbursement pull-through that support field account teams’ efforts with key customers Plan and execute payer Advisory Boards Customize strategies based on Commercial, Medicaid & Medicare demographics, legislation, & trends Maintain a strong understanding of the CASGEVY patient journey, billing and coding requirements and be a strong partner to the Market Access Strategy lead for the Access and Reimbursement field team. Maintain a strong understanding of CASGEVY Trade policy and decisions, and work hand in hand with the trade strategy partners and trade account team to support our trade partners for an efficient and effective patient journey Identify and address key product barriers to payer access and performance by applying advanced payer analytics and market trends Primary point of contact overseeing agency and external vendors to deliver resources and strategic insights on time and within budget Developing KPIs and metrics to assess impact of key initiatives Act as trusted, subject matter expert on US market access landscape to internal colleagues and external customers

Requirements

Expert knowledge of US healthcare system, including gov’t & commercial payers (Medicaid experience preferred), policy, and regulatory environment
Strong experience working with National and Regional payer account teams aligning on policy language, and operationalization of payer processes
Strong understanding of the hospital setting , billing and coding requirements for therapies as well as the flow of funds coupled with cell & gene experience
Previous contract strategy leadership experience in the pharmaceutical/biotech or healthcare industry
Experience in developing and articulating a clear and pragmatic value proposition
Proven track record of meeting or exceeding objectives & goals, both as an individual and as part of a team
Excellent communication skills with experience presenting to customers and internal leadership
Demonstrated ability to successfully lead cross-functional teams, influencing without direct authority, with the interpersonal skills to foster collaboration and succeed in a highly matrixed environment
Ability to perform in a fast-paced environment , manage multiple priorities simultaneously, and work effectively across cross-functional teams
Bachelor’s degree in relevant field.
Typically requires 10+ years of MA experience or the equivalent combination of education and experience

Nice To Haves

MBA or Advanced degree preferred

Responsibilities

Provide critical leadership and project management in developing and implementing brand and market access strategies by channel, to support patient access and customer reimbursement for CASGEVY via the creation and delivery of impactful market access resources to identified and prioritized accounts. This includes leadership with CRC submissions, reviews and responses.
Strong ability to wholistically evaluate Market Access Landscape, continue to generate insights to inform strategy and execution
Drive payer strategy including understanding of pricing, contracting, payer landscape, access & reimbursement to ensure all strategies and tactics are well thought through and aligned to overarching brand strategy
Refinement and execution of the market access strategy across Payer and Trade
Lead initiatives to understand, analyze and demonstrate clinical, economic, and societal value to payers, decision-makers, and influencers based on FDAMA114 guidelines (aka Pre-approval Information Exchanges) as well as payer value proposition
Develop, train, and implement the necessary promotional resources and reimbursement pull-through that support field account teams’ efforts with key customers
Plan and execute payer Advisory Boards
Customize strategies based on Commercial, Medicaid & Medicare demographics, legislation, & trends
Maintain a strong understanding of the CASGEVY patient journey, billing and coding requirements and be a strong partner to the Market Access Strategy lead for the Access and Reimbursement field team.
Maintain a strong understanding of CASGEVY Trade policy and decisions, and work hand in hand with the trade strategy partners and trade account team to support our trade partners for an efficient and effective patient journey
Identify and address key product barriers to payer access and performance by applying advanced payer analytics and market trends
Primary point of contact overseeing agency and external vendors to deliver resources and strategic insights on time and within budget
Developing KPIs and metrics to assess impact of key initiatives
Act as trusted, subject matter expert on US market access landscape to internal colleagues and external customers

Benefits

This role is eligible for an annual bonus and annual equity awards.
Some roles may also be eligible for overtime pay, in accordance with federal and state requirements.
From medical, dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter), educational assistance programs including student loan repayment, a generous commuting subsidy, matching charitable donations, 401(k) and so much more.

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