VP, Market Access

TarsusRX•Irvine, CA

7d•Hybrid

About The Position

The VP, Market Access is an enterprise leader responsible for shaping and executing Tarsus’ market access strategy to expand patient access and drive sustainable commercial growth across marketed products and the pipeline. The role will help make market access a competitive advantage for XDEMVY® and build the access infrastructure needed for future products. It oversees payer strategy and relationships, pricing and contracting, reimbursement, patient services, and distribution channels, while embedding access considerations in product development and supporting business development opportunities. The position reports to the Chief Commercial Officer and partners across the organization to build and lead high-performing teams that deliver measurable results for patients and the business. The VP develops payer, formulary, reimbursement, government programs, pricing, and contracting strategies; oversees the access-to-revenue chain and gross-to-net economics; and advises the Executive Team on healthcare policy, payer requirements, and competitive dynamics. The role also shapes product value propositions, patient services, distribution strategy, launch readiness, and market access diligence for potential licensing, acquisition, and partnership opportunities. This leader scales the market access organization, develops talent and succession depth, builds access analytics and insights capabilities, defines meaningful KPIs, and manages functional priorities, resources, and budgets. The position is ideally based in Tarsus’ Irvine office, with remote work potentially available in a hybrid work environment. Travel may be required, up to 20%.

Requirements

Bachelor’s degree required.
15+ years of progressive pharmaceutical commercial experience, including launch experience, payer expertise, distribution and patient services, gross-to-net oversight, cross-functional collaboration, and leadership of field-based reimbursement and patient services teams.
Blockbuster or $1B+ brand experience, including a demonstrated track record of taking a product from launch to $500M–$1B+ in annual revenue.
Deep specialty pharmaceutical experience, including payer/PBM contracting expertise and hands-on patient access/hub experience.
Experience scaling an organization through rapid growth and building teams and infrastructure for the next stage of growth.
Managed care experience, including strong national and regional account management expertise and senior-level relationships across commercial and government payer systems, including PBMs, Medicare, Medicaid, and specialty pharmacy.
Fluency in formulary strategy, utilization management, benefit design, medical versus pharmacy benefit, rebates, and gross-to-net economics.
High integrity, accuracy, and attention to detail.
Strong technical, data-driven, and analytical skills to identify and solve problems.
Self-motivated, assertive, and self-confident, with the ability to act urgently and meet time-sensitive deadlines.
Strong organizational, productivity, innovation, and priority-setting skills, with the ability to complete assignments on time and on budget.
Ability to make thoughtful, timely decisions and take action without waiting for perfect information, using data and analytics to inform judgment.
Ability to collaborate, incorporate diverse perspectives, manage relationships, strengthen decision-making, and influence without relying on hierarchy.
Entrepreneurial approach and ability to balance enterprise strategy with hands-on execution in a fast-paced, resource-conscious environment.
Mastery of Tarsus Leadership Competencies for Leading the Enterprise: Grows Capacity, Business Acumen, Innovative Mindset and Action, Effective Communicator, and Strategic Thinking.

Nice To Haves

MBA or other advanced degree.
Experience supporting Business Development due diligence for licensing, partnerships, or M&A from a market access, pricing, and reimbursement perspective.

Responsibilities

Develop, implement, and execute managed care payer strategy to drive and maintain broad, profitable access across the product portfolio.
Lead formulary and reimbursement strategies, partnering with Medical on HEOR evidence generation needs and planning.
Establish and expand relationships with national and regional payers, insurance and managed care organizations, PBMs, specialty pharmacies, and integrated delivery networks.
Own the access-to-revenue chain and minimize payer friction, including prior authorization and step-edit burden, approval rates, and patient abandonment.
Develop payer value propositions grounded in clinical, economic, and real-world evidence to support optimal formulary positioning across pharmacy and medical benefit designs.
Lead government programs strategy, including Medicare Part D, Medicaid, and government pricing, in partnership with Government Affairs and Legal.
Assess healthcare policy, payer requirements, and competitive dynamics; advise the Executive Team on business implications and recommend access, pricing, and reimbursement adjustments.
Attend access-related trade shows, payer meetings, and industry conferences.
Develop managed market pricing strategies consistent with customer and market dynamics and the overall portfolio.
Develop and evolve cross-functional pricing committee governance, including SOPs and policies, with Legal, Finance, Compliance, and leadership.
Oversee contracting strategy, negotiation, contract performance, and partnership with Finance on gross-to-net assumptions, forecasts, and net revenue.
Negotiate payer and PBM positioning and develop innovative contracting models that protect brand economics.
Improve gross-to-net economics through rebate strategy, utilization-management trade-offs, and benefit-design insight, translating access decisions into financial implications.
Engage early in product value proposition, therapeutic product profiles, positioning, and product specifications to support access from early product development.
Oversee patient services, field reimbursement, and distribution channel strategy.
Partner with Business Development on diligence for potential licensing, acquisition, and partnership opportunities, assessing payer, pricing, reimbursement, and access dynamics.
Lead integrated market access launch plans, readiness milestones, and strategies for new indications and acquired assets.
Partner cross-functionally to develop business strategies that enhance access and increase profitability.
Scale and lead the market access organization by developing leaders, coaching talent, building capabilities, and strengthening succession depth.
Build access analytics and insights capabilities; define and use KPIs such as coverage quality, prior authorization approval rates, time-to-fill, first-fill conversion, abandonment, persistence, and gross-to-net per prescription.
Foster engagement, accountability, collaboration, innovation, and urgency in serving patient needs and achieving the company’s vision.
Set functional priorities, allocate resources, and develop and manage budgets to achieve measurable results while balancing broader organizational financial objectives.
Comply with corporate policies and procedures and applicable healthcare laws and regulations; observe Company Health, Safety, and Environmental guidelines.
Perform other duties and responsibilities as assigned.