Executive Director, Payer Strategy and Engagement (Tumor HI Program)

Rezolute • Redwood City, CA

160d • $290,000 - $320,000 • Hybrid

About The Position

Rezolute is a late-stage rare disease biopharmaceutical company developing therapies for severe metabolic and endocrine disorders. The Executive Director, Payer Strategy and Engagement will provide leadership for above-country market access strategy in support of the company’s tumor-related hyperinsulinism program. The role includes developing disease models, value stories, global pricing strategies and economic models, and providing input into clinical development programs.

The position works across Medical Affairs, organized customers, distribution providers, payers, patients, vendors and internal teams to develop evidence and access solutions. It leads payer engagement and reimbursement strategy, including value materials, coding initiatives, coverage and payment strategy, and resolution of access barriers. The role also contributes market access intelligence, training and strategic guidance across the organization and represents Rezolute at industry conferences.

The position is based in the home office and requires a minimum of three days per week in the office. The anticipated base salary range is $290,000 to $320,000, depending partly on location and qualifications, with eligibility for an annual performance bonus. Qualifying employees may participate in the company’s benefit programs.

Requirements

• Experience with rare or orphan drugs is required.
• Product launch experience is required.
• Familiarity with the legal and regulatory landscape relevant to the pharmaceutical and biotechnology industry.
• Strong analytical capabilities and working knowledge of government pricing practices, including calculation methodologies, HTA, healthcare programs, supporting regulations, and trade systems and processes.
• Ability to adapt to change, implement creative solutions to complex problems, and function in a project leadership role.
• Ability to develop and maintain strong internal and external relationships, including direct collaboration with vendors and other third parties.
• Strong interpersonal, oral and written communication, and presentation skills, with close attention to detail.
• Strong business acumen and a compliance mindset.
• Advanced skills in Microsoft Excel, Word, and PowerPoint.
• Bachelor’s degree required.
• At least 10 years of overall biotech or pharmaceutical industry experience in areas such as market access and reimbursement, sales, sales management, marketing, training, sales operations, or healthcare/life sciences consulting.
• At least 5 years of US market access and reimbursement experience, including HTA, US payer, patient and provider access, HEOR, and medical benefit reimbursement coding expertise.

Nice To Haves

• Therapeutic area experience.
• Company start-up experience.
• A degree in sciences or business.
• An advanced degree related to medicine, health economics, health outcomes research, or epidemiology, such as MS, MBA, MPH, MD/DO, PhD, or PharmD.
• Global and/or international experience.

Responsibilities

• Develop above-country market access strategies, including disease models, value stories, global pricing, economic modeling, and input into clinical development programs.
• Work with Medical Affairs, organized customers, and distribution providers to identify real-world and patient quality-of-life data capture, evidence value solutions, and publication opportunities.
• Monitor healthcare legislation and policy, assess their implications, and develop reimbursement strategies to address provider and patient access barriers.
• Evaluate total cost of care and reimbursement—including coverage, coding, and payment—for outpatient and inpatient settings across payer segments.
• Develop disease and product value propositions, payer engagement materials such as AMCP dossiers and value and economic propositions, and provider and patient reimbursement support tools.
• Monitor competitors and assess how market changes affect current and future market access strategies.
• Develop pricing recommendations and coding and reimbursement strategies for current and pipeline assets in the US and key ex-US markets.
• Support ICD-10-CM coding initiatives and product-specific HCPCS coding applications.
• Identify market access risks and opportunities for products in development and incorporate them into product strategies and Target Product Profiles.
• Identify pricing and reimbursement analogues to support value and access decisions.
• Create payer materials for branded and unbranded disease awareness campaigns.
• Support the development of defensible, performance-driven quality, outcomes-based, risk-based, product, or portfolio contract and rebate opportunities.
• Manage agency relationships and contracts, ensuring delivery of tools, tactics, and resources on time and within the departmental budget.
• Provide the broader organization with expertise and intelligence on competitive and product coverage access, healthcare reform, landscape trends, and pull-through initiatives.
• Support cross-functional corporate training, content, tools, and presentation development with Training and cross-departmental leaders.
• Represent Rezolute at industry conferences such as AMCP, PCMA, ISPOR, and Asembia.
• Ensure activities and interactions meet high ethical and professional standards and are completed with quality and in accordance with Rezolute values.
• Manage or recruit an in-house or contracted payer account team to educate key payers using Payer Information Exchange before approval and Payer Value Proposals after approval.
• Educate payers on the product label and seek to influence policies based on the label and/or clinical trial exclusion criteria.
• Resolve rejection and prior authorization issues promptly in collaboration with payers and the patient support services team and hub.

Benefits

• Annual performance bonus, subject to applicable plan terms and company and individual performance.
• Medical, dental, and vision insurance.
• Disability, life, and long-term care insurance.
• Holiday pay.
• Tracking Free Vacation Program.
• 401(k) plan match.
• Educational assistance benefit.
• Fitness center reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive