支付访问总监
Director, Payer Access
总监（支付方准入）
该职位的薪资范围为20万美元至24.5万美元
实际入职薪资可能根据多种因素有所变化，包括但不限于候选人的相关资质、技能和经验。公司目前还提供长期激励计划（现金计划），为基本工资的25%，年度绩效奖金目标为基本工资的25%（需满足计划要求）。
职位概述
总监（支付方准入）是一个以实地工作为主的战略性职位，负责在全国和区域健康计划、药品福利管理公司（PBMs）以及采购组织（GPOs）中制定并执行支付方准入计划。该职位专注于改善临床使用管理政策，确保有利的药品目录准入，并推动扩大关键品牌患者准入的业务策略。总监与跨职能合作伙伴（包括销售、市场、医学事务和市场准入领导）紧密合作，以确保战略一致性和有效执行。该职位向国家支付方准入总监汇报。
主要职责
- 领导药品目录谈判，确保在指定支付方账户中获得积极的覆盖、报销和准入。
- 与关键支付方决策者合作，影响并塑造临床政策和使用管理标准。
- 为优先账户制定全面的业务计划，识别提升药品目录地位和拉动效应的机会。
- 与全国和区域支付方、药品福利管理公司（PBMs）及采购组织的高级领导者建立并维护战略关系。
- 准备并主导及时、准确且有说服力的招标文件（RFP）回应，代表产品组合的支付方价值主张。
- 与内部利益相关者合作，确保信息一致和市场准入策略的整合执行。
- 分析合同表现，并利用洞察优化谈判策略和业务成果。
- 呈现支付方价值主张和健康经济学信息，以支持准入讨论。
- 在主要行业和支付方会议（如AMCP、PCMA、Asembia）上代表公司。
- 确保所有活动完全符合法律法规和公司政策。
战略影响与关键联系
总监（支付方准入）通过获得和维持有利的支付方覆盖，直接影响报销、患者准入和整体品牌表现。
查看英文原文
Director of Payer Access
The salary range for this position is between $200K and $245K
Actual salary at the time of hire may vary and may be above or below the range based on various factors, including, but not limited to, the candidate’s relevant qualifications, skills, and experience. The company also currently offers a Long-Term Incentive Plan (cash plan) of 25% base salary, annual performance bonus target of 25% base salary (subject to meeting plan requirements).
Position Overview
The Director, Payer Access is a field-based strategic role responsible for shaping and executing payer access initiatives across national and regional health plans, PBMs, and GPOs. This role focuses on improving clinical utilization management policies, securing favorable formulary access, and driving business strategies that expand patient access for key brands. The Director collaborates closely with cross-functional partners—including Sales, Marketing, Medical Affairs, and Market Access leadership—to ensure alignment and effective execution of payer strategies. This position reports to the National Director, Payer Access.
Key Responsibilities
- Lead formulary negotiations and secure positive coverage, reimbursement, and access across assigned payer accounts.
- Influence and shape clinical policy and utilization management criteria in collaboration with key payer decision-makers.
- Develop comprehensive business plans for priority accounts, identifying opportunities to enhance formulary status and pull-through.
- Build and maintain strategic relationships with senior leaders at national and regional payers, PBMs, and GPOs.
- Prepare and lead timely, accurate, and compelling RFP responses representing the payer value proposition for the product portfolio.
- Partner with internal stakeholders to ensure aligned messaging and integrated execution of market access strategies.
- Analyze contract performance and leverage insights to optimize negotiation strategies and business outcomes.
- Present payer value propositions and health economics information to support access discussions.
- Represent the organization at major industry and payer conferences (e.g., AMCP, PCMA, Asembia).
- Ensure all activities are executed in full compliance with laws, regulations, and company policies
Strategic Impact & Key Interfaces
The Director, Payer Access directly impacts reimbursement, patient access, and overall brand performance by securing and maintaining favorable payer coverage. The role acts as a key external ambassador to payer organizations and a critical internal partner who aligns payer insights with brand and organizational strategy. Primary interfaces include Market Access Leadership, Sales, Marketing, Medical Affairs, Legal, Compliance, Finance, and Patient Services.
Required Qualifications & Experience
- Bachelor’s degree required; advanced degree preferred (MBA, MPH, or related field).
- 10+ years of progressive experience in the pharmaceutical or biotech industry.
- Minimum 5 years of direct market access experience engaging national and regional payers.
- Demonstrated success negotiating formulary access, UM criteria, contract terms, and payer RFPs.
- Proven experience shaping clinical policy and driving access outcomes within payer accounts.
- Strong analytical capability with experience evaluating contract performance and business impact.
- Established relationships with key payer decision-makers.
- Solid proficiency with Microsoft Office (PowerPoint, Excel, Word).
- Proven track record in business planning and leading strategies that expand market share and improve access.
Core Competencies & Behaviors
- Strategic account leadership and influence
- Skilled negotiator with strong analytical decision-making
- Executive level communication and presentation skills
- Cross-functional collaboration and stakeholder management
- High integrity, ethical judgment, and compliance mindset
- Ability to operate autonomously and manage multiple priorities
- Strong problem-solving and critical thinking skills
- Adaptability in a dynamic payer and healthcare environment
Key Success Factors
- Strengthened payer relationships built on credibility and value
- Improved formulary access and clinical policy outcomes
- Effective alignment between payer account strategy and brand priorities
- High-quality RFP responses and strong contract performance
- Clear communication of payer insights to internal teams
- Consistent compliance with all regulatory and company standards
Ethics & Compliance
- Demonstrates the highest level of ethics, integrity, and professionalism.
- Ensures all payer interactions and negotiations adhere to legal, regulatory, and company policies.
- Maintains accountability for compliant behavior and promotes a culture of transparency and trust.
*If you are a California resident applying for the above position, please review ourCalifornia Applicant Privacy Notice.
Salary: $200K - $235KOriginally posted on Himalayas