Genetixbiotherapeutics
National Account Executive, West
Los Angeles, CA. Posted a month ago
The role
The National Account Executive implements strategic payer engagements and access initiatives to ensure reimbursement for gene therapy portfolios. This person engages commercial and government payers, executes value-based agreements, and partners with treatment centers.
What you will do
- Meet access goals and ensure medical coverage pathways are consistent with FDA approved prescribing information
- Collaborate with stakeholders to identify access barriers and ensure patient access
- Implement strategies and tactics to support individual patient access and reimbursement
- Serve as the primary regional point-of-contact for the Qualified Treatment Center network
- Develop and maintain core relationships with business functions at Qualified Treatment Centers
- Work with Qualified Treatment Centers to establish hygienic PA submissions
- Engage National and Regional commercial payers, FFS and Managed Medicaid plans, and Federal payers
- Present, negotiate and execute Value Based Agreements at the payer level
- Negotiate and manage value contracts with assigned payers
- Respond to ad hoc requests by small regional payers in assigned territory
Required qualifications
- 10 years of experience in the biotech/pharma field
- Bachelor's degree
- Track record of success engaging tertiary and quaternary clinical and research institutions and integrated delivery networks on market access issues
- Comprehensive understanding of the current and evolving US payer landscape within cell and gene therapies or complex therapies from a both medical and pharmacy benefit perspective
- Strong clinical aptitude/acumen
- Deep knowledge of U.S. markets and understanding of Commercial Payers, PBMs, Stop Loss and Reinsurance and Government Payers (FFS and Managed Medicaid, Medicare, and TRICARE)
- Established relationships with Pharmacy Directors, Medical Directors, and other key stakeholders with assigned accounts
- Demonstrated knowledge of specialty pharmacy and buy and bill procurement models across commercial and government payers
- Demonstrated expertise as a subject matter expert (SME) for assigned key payer accounts with experience in navigating complex vertically integrated orgs
- Exceptional customer business planning, tactical planning, and successful execution skills
- High degree of attention to detail including proven ability to manage multiple, competing priorities
- Travel 50%
Nice to have
- Master's degree in a relevant health or finance related field
- Recent experience with specialty pharmacy and buy and bill procurement models
- Experience negotiating and implementing outcomes-based or other alternative payment models
Benefits
- Comprehensive health, life and disability insurance
- Employer-matched 401(k) plan
- Lifestyle spending account
- Flexible time-off
- Paid holidays
- Winter holiday period
- Tuition reimbursement & loan repayment assistance
- Paid parental leave
- Paid onsite parking
- Commuter subsidy
About the company
Genetix Biotherapeutics is pursuing curative gene therapies to give patients and their families more days. The company is composed of doers, thinkers and collaborators who embrace values of innovation, diversity, and radical care.