Director, Payer Access

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.

• 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.

• 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

• 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

• 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.