Your mission
The National Access Director will play a critical role in preparing for launch and facilitating urgent access to Tab-cel once approved.
In the pre-approval phase, they will work closely with Pierre Fabre's Cell Therapy Account Directors and Field Medical Directors to support site operational onboarding and readiness leading up to and after the anticipated approval of the Tab-Cel.
They will be responsible for pre- and post-approval information exchanges with payers to ensure payers have the appropriate data and information required to enable coverage decisions and provide a pathway to coverage for patients who may be prescribed the Tab-cel post approval.
Critically, they will ensure that financial stakeholders at treating facilities and payers have timely access to information needed to navigate the preparation for the relevant prior authorization process and potential single case agreements.
Simultaneously, the National Access Director will be responsible for commercial payer engagement and contracting for Hemangeol.Who you are ?
KEY RESPONSIBILITIES:
- Operate in compliance with all laws, regulations and policies that govern the conduct of Pierre Fabre activities
- Escalate individual patient access issues
- Contributes to the US Value and Access Team by monitoring trends, policy changes, and implications and taking ownership of this expertise
- Seek out opportunities for synergy and partnership to achieve both Pierre Fabre and customer goals through active and transparent planning and customer engagement with cross functional Team.
- Enable payer coverage assessment for Tab-Cel through pre-approval information exchange and post-approval with national and regional payers in the Commercial, Medicare, and VA sectors
- Support overall access strategy with engagement of Federal Payers and Medicare FFS
- Contribute to market access strategic imperatives
- Educate payers on the urgent unmet need and provide resources to ensure a pathway to coverage in the pre and post approval regulatory setting
- Identify appropriate payer stakeholders for the therapy and partner with payer colleagues to establish path for reviewing cases
- Provide approved product education and health economic information to key customers in payer and provider segment to communicate the value proposition of the product.
- Ensure financial and reimbursement confidence and communicate payer coverage with providers post approval
- Educate provider on reimbursement, coverage and coding details relevant for the Therapy post approval
- Liaise with external specialty distributor counterpart(s) to meet objectives while providing a best-in-class experience for sites of care
- Proactively communicate payer coverage criteria to internal field teams and external site of care stakeholders
- Prepare potential treatment centers to be reimbursement ready before and after anticipated approval
- Ensure that providers and payers have timely access to information needed to navigate prior authorizations and the negotiation of single-case agreements (e.g. coding, relevant policy, setting of care considerations)
- The National Access Director will be the primary field team member responsible for education regarding patient assistance programs at sites of care
- The National Access Director is the field expert in market access related issues related to Trade Policy
- National Access Director is responsible for partnering with payer relations teams at sites of care to resolve any issues regarding coverage and reimbursement
- Identify contracting strategies for pharmacy benefit product for rare pediatric disease
- Drive commercial payer coverage and provide value proposition for HEMANGEOL
- Collaborate with sales and marketing to pull through market access opportunities
REQUIRED EXPERIENCE
- 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 required with at least five years of direct experience in coverage and reimbursement dynamics of complex advanced therapies (E.g. cell therapy, gene therapy, radio ligand)
- Experience with cell and gene therapy networks and Medical Director teams at payers that manage Cell Therapy products
- Established relationships with PBMs and associated payer verticals
- Strong presentation skills and executive presence
- Exceptional business acumen and hospital administrative expertise
- Cell, Gene, Stem Cell Transplant service line experience and established relationships with financial KOLs
- Ability to work in fast-paced and dynamic environment while maintaining cross functional internal relationships and contribute to site of care account planning
- Experience with pharmacy/ therapeutics committee and high impact drug review processes at institutions
- Experience working in or with large academic healthcare facilities is desirable
REQUIRED EDUCATION
- Bachelor's degree required, healthcare degrees or credentials desirable
LOCATION:
US, remote, domestic travel up to 30%
We are convinced that diversity is a source of fulfillment, social balance and complementarity for our employees, which is why our offers are open to all, without restriction.
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