National Access Director
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Job Description
National Access Director preparing payer coverage and reimbursement access for Pierre Fabre’s investigational Tab-cel cell therapy. Supporting treatment centers and financial stakeholders through US launch.
Responsibilities:
- Operate in compliance with all laws, regulations, and policies governing Pierre Fabre activities
- Facilitate urgent access to Tab-cel post approval by educating payer customers and treatment-center financial stakeholders on the product value proposition
- Monitor trends, policy changes, and implications for the US Value and Access Team
- Seek opportunities for synergy and partnership through active, transparent planning and cross-functional customer engagement
- Enable payer coverage assessment for Tab-cel through pre-approval information exchange and post-approval engagement with national and regional payers in Commercial, Medicare, and VA sectors
- Support access strategy through engagement with Federal Payers and Medicare FFS
- Contribute to market access strategic imperatives
- Educate payers on urgent unmet need and provide resources for coverage pathways before and after approval
- Identify appropriate payer stakeholders and establish paths for expedited case review
- Provide approved product education and health economic information to payer and provider customers
- Communicate payer coverage to providers post approval and support reimbursement confidence
- Educate treatment sites and stakeholders on reimbursement processes, coverage, and coding details
- Liaise with external specialty distributor counterparts
- Communicate payer coverage criteria to internal field teams and external sites of care
- Prepare potential treatment centers to be reimbursement-ready before and after anticipated approval
- Help providers and payers navigate prior authorizations and single-case agreement negotiations
- Educate sites of care about patient assistance programs
- Serve as field expert on market access issues related to Trade Policy
- Partner with payer relations teams at sites of care to resolve coverage and reimbursement issues
Requirements:
- Bachelor’s degree required; healthcare degrees or credentials desirable
- Strong, pre-existing working experience with national and regional payers that manage medical and pharmacy benefit policy
- Deep knowledge of and experience with inpatient and outpatient reimbursement methodology and dynamics and impacts to hospital access economics
- 10+ years of biotech/pharma experience required
- At least five years of direct experience in coverage and reimbursement dynamics of complex advanced therapies, such as cell therapy, gene therapy, or radioligand therapy
- Experience with cell and gene therapy networks and Medical Director teams at payers that manage Cell Therapy products preferred
- Strong presentation skills and executive presence preferred
- Exceptional business acumen and hospital administrative expertise preferred
- Cell, Gene, Stem Cell Transplant service line experience and established relationships with financial KOLs at institutions preferred
- Ability to work in a fast-paced and dynamic environment while maintaining cross-functional internal relationships and contributing to site-of-care account planning preferred
- Experience with pharmacy/therapeutics committee and high-impact drug review processes at institutions preferred
Benefits:
- Pierre Fabre bonus, commission, or incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Voluntary benefits
- 401(k) retirement plan
- Generous PTO policy
- Paid company holidays
- Paid parental leave
- Employee discounts on products
- Professional development opportunities
- Mental health and wellness programs
- Remote work arrangement
- Domestic travel up to 30%
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