National Account Executive, West

Genetix Biotherapeutics•Los Angeles, CA

1d•$250,000 - $265,000

About The Position

The National Account Executive is a field-based role covering the Western U.S., with candidates residing anywhere in California and approximately 50% travel required. As part of Genetix Biotherapeutics’ Market Access, Advocacy + Policy (MAAP) team, this role implements strategic payer engagement and access initiatives to support timely, sustained reimbursement for the company’s gene therapy portfolio. The position engages commercial and government payers, executes value-based agreements, and partners with Qualified Treatment Centers (QTCs) to streamline access pathways. It works cross-functionally with internal and external stakeholders to address barriers throughout the patient journey while maintaining high standards of professionalism and compliance.

Requirements

Bachelor’s degree and 10 years of experience in the biotech or pharmaceutical field.
Track record of engaging tertiary and quaternary clinical and research institutions and integrated delivery networks on market access issues.
Comprehensive understanding of the current and evolving U.S. payer landscape for cell and gene therapies or complex therapies, from both medical and pharmacy benefit perspectives.
Strong clinical aptitude or acumen.
Deep knowledge of U.S. markets and understanding of commercial payers, PBMs, stop-loss and reinsurance, and government payers, including fee-for-service and managed Medicaid, Medicare, and TRICARE.
Established relationships with Pharmacy Directors, Medical Directors, and other key stakeholders at assigned accounts.
Demonstrated knowledge of specialty pharmacy and buy-and-bill procurement models across commercial and government payers.
Experience as a subject matter expert for assigned key payer accounts, including navigating complex vertically integrated organizations.
Exceptional customer business planning, tactical planning, and successful execution skills.
High degree of attention to detail and demonstrated ability to manage multiple competing priorities.
Ability to travel approximately 50%.

Nice To Haves

Master’s degree in a relevant health- or finance-related field.
Recent experience with specialty pharmacy and buy-and-bill procurement models across commercial and government payers.
Experience negotiating and implementing outcomes-based or other alternative payment models.

Responsibilities

Meet access goals and ensure medical coverage pathways are consistent with FDA-approved prescribing information.
Collaborate with QTC Account Liaisons, Marketing, the Patient Support Team, Medical Value Liaisons, and other stakeholders to identify access barriers and support patient access.
Implement strategies and tactics to support individual patient access and reimbursement, including coverage and coding, across payer segments.
Serve as the primary regional point of contact for the Genetix QTC network on market access issues; educate QTCs about state Medicaid and commercial payer coverage criteria and prior authorization processes, and address educational gaps.
Build confidence in the access pathway by leveraging published medical policies and patient approvals across the QTC network and aligning messaging with the market access engagement strategy.
Develop and maintain relationships with QTC business functions, including managed care contracting, CFO and revenue cycle, government affairs, billing, hospital quality and legal teams, gene therapy coordinators, financial coordinators, and prior authorization and appeals support.
Work proactively with QTCs to improve prior authorization submissions and reduce incomplete submissions and administrative inaccuracies.
Engage national and regional commercial payers, fee-for-service and managed Medicaid plans, and federal payers to influence clinical criteria and medical policy.
Present, negotiate, execute, and manage payer-level value-based and other value contracts to facilitate timely access to Genetix therapies.
Respond to ad hoc requests from small regional payers in the assigned territory.
Identify payer-ecosystem delays or friction in the approval process, develop plans, and implement timely resolutions; support QTCs in addressing prior authorization requirements and denials, distribution channel preferences, and related barriers.
Educate QTCs with Letters of Intent on case-rate agreement considerations; facilitate best-practice sharing among QTCs and connect them with appropriate health-plan decision makers for escalation and resolution.
Identify payer contacts and connect payer stakeholders with QTCs to streamline prior authorization review and approval.
Work within the POD team structure and across functions, including apheresis, patient support, field medical, legal and contracting, and QTC account leads, to coordinate support and mitigate barriers at consultation and treatment stages.
Partner with Medical Value Liaisons on targeted situations such as prior authorization preparation, appeals, and policy and coverage influence.
Share insights and feedback from market access stakeholders, particularly payers and QTC financial decision makers.
Encourage and facilitate QTC patients’ enrollment in the Genetix Cares patient support program.
Maintain the utmost standard of professionalism and compliance in all internal and external engagements.