POSITION SUMMARY:

We are seeking an exceptional Senior Director, Payer Relations who will work with the Market Access management team to provide strategic insight for the Archer portfolio as well as the entire therapeutic area. This individual must exhibit exceptional organizational skills and knowledge of coding, coverage, and reimbursement in all settings of care. 

The Senior Director, Payer Relations will support the company’s business imperatives by leading the immediate reimbursement strategy and ensuring success of short term business objectives by focusing on two phases of development: Phase 1 includes pre launch activities such as: building relationships with internal and external customers and compilation of a payer dossier. These relationships and tactical activities will lead a fast start for Archer’s IVD CDx. Phase 2 includes supporting the ongoing operational component by ensuring successful execution of public and private payer strategies in the hospital, IDN, and laboratory environments. This position will lead projects from beginning to completion based on the needs of the company. This position requires a strategic individual with previous hands on experience and expertise with both pre-launch and post-launch activities. 

As a core member of the Market Access team, the Senior Director will have responsibility to assist in building the commercial capability and infrastructure to successfully launch the Company’s first FDA-approved product; and, to provide market intelligence on the therapeutic area that will provide critical insights to marketing, sales, medical affairs, and market access. 

RESPONSIBILITIES

• Maintain market intelligence on the evolution of the marketplace. Assess changes and protocols occurring in the future that will have impact on Archer products and provide insight on any changes on our relationships with customers. (Constantly ensuring the value proposition does not need modifications)
• Responsibility for the 7 Medicare Administrative Contractors (MACs). Responsible for in person meetings with each Contractor Medical Director and the distribution and discussion of Archer product material. Assist SVP on the submission for Z-code to McKesson/Palmetto.
• Assist the SVP on working with HEOR personnel to develop and ensure the payer dossier and accompanying economic models are effective for market access customers (payers and LBMs). Will develop an accompanying power point slide deck of HEOR materials to provide to the reimbursement field teams for customer discussions.
• Create detailed training materials for integration of the reimbursement field team in supporting Market Access objectives. Integrate training from other departments such as marketing, sales and medical affairs.
• Lead on the collation and summarization of existing clinical and economic evidence to support product positioning.
• Responsibility for coverage discussions with all national commercial payers (United, Aetna, CIGNA, Anthem, and Humana). 
• Responsibility for 3rd party clinical/technical assessment committees (Hayes, ECRI, BCBSA)
• Work with the cross-functional business units to prepare for critical commercial payer meetings and provider (Hospital, IDN, LBM) meetings.
• Collaborate with internal market access personnel, marketing, sales management, clinical, regulatory and product development teams to ensure a unified strategy is executed effectively throughout the business.
• Own the business by creating and seizing opportunities as well as identifying and clearing any barriers to delivering results.
• Lead on providing pricing information to First Databank for effective crosswalk of NDC to unlisted codes.

 EXPERIENCE:

• Experience with U.S. market access conditions and health policy trends.
• Minimum of fifteen years of progressive responsibilities and demonstrated experience with Medicare local contractors and commercial payers in successfully establishing coding, coverage and payment for products.
• Candidate must have an excellent understanding of issues surrounding the coverage of new products by MCOs, Medicare and Medicaid.
• Position requires a thorough knowledge of how pharmacoeconomic data may be used to influence decision-making.
• Preferred experience includes one or more of the following: experience with local Medicare contractors, Medicaid and private insurers to positively influence company products coding, coverage and reimbursement status, managing payer accounts, interfacing with medical societies to generate physician advocacy with payers, and public health/health care economics consulting.

KEY ATTRIBUTES:

• Exhibits exceptional leadership skills, high emotional intelligence and an executive disposition that is consistent with the company’s vision and values.
• Strong persuasion and influence skills and compelling communication skills.
• Ability to quickly adjust to work environment changes and proactive moving projects and priorities forward in the face of ambiguity.
• Strong strategic skills to prioritize work, assess problems and make decisions.
• Exhibit strong teamwork skills and ability to contribute to collaborative projects.
• Exceptional leadership skills with a proven track record of developing commercial strategies and collaborating across functions.
• Ability to engender trust and loyalty and foster an environment of open communication, collaboration and engagement.
• Possesses the ability to navigate organizational politics in an effective manner.
• Quickly modifies behavior to deal effectively with changes in the work environment; tries new approaches appropriate for new or changed situations; does not persist with ineffective behaviors.

EDUCATION:

• Bachelor's degree (B. A.) from a four-year college or university. Master’s degree in business, health care administration or public health preferred.