Director, U.S. Regional Payer Accounts Northwest

This is what you will do:

The Director of U.S. Regional Payer Accounts is responsible for implementing access strategies to ensure that regional payers provide appropriate patient access to Alexion’s medicines. This includes leading negotiations with assigned regional payers and tier two national payers, managing relationships with senior managed care executives, and leveraging internal subject matter experts to communicate the value of Alexion’s medicines.  The Director also educates cross-functional teams on payer policies, collaborates with internal stakeholders to resolve access challenges, provides field insight to inform access strategy as needed, and engages payer accounts for contract negotiations and product education. This is a field-based role and reports to the Senior Director, U.S. Payer Accounts and must reside within their assigned geography.

You will be responsible for:

• Driving the execution of access strategies for assigned regional payers to ensure appropriate patient access, policy, and reimbursement to Alexion’s medicines
• Leading negotiations with assigned payers to secure favorable terms and patient access
• Maintaining and fostering relationships with senior managed care medical and pharmacy executives by leveraging expert knowledge of the customer’s organizational structure and strategic priorities
• Leveraging internal resources and subject matter experts (e.g., HEOR, Medical, patient advocacy, etc.) to effectively communicate the value of Alexion’s medicines to regional payers
• Educating internal cross-functional teams on payer coverage policies to enhance strategic planning, execution, and business knowledge
• Promoting cross-functional collaboration with internal stakeholders to align strategies and optimize access solutions
• Coordinating with Alexion’s national payer account directors to be aware of the impact national payer/PBM accounts may have on their downstream regional clients
• Developing tailored solutions for the field force and access teams to address any customer-specific product access or reimbursement challenges
• Collaborating with market access, patient services and brand team colleagues, including TLLs (thought leader liaisons) and patient advocacy, to develop strategies and ensure execution against threats and opportunities in their region
• Engaging regional payer accounts to present product value propositions, conduct disease state education for pipeline products, perform pre-approval information exchange (PIE) engagements, and negotiate contract agreements in line with the contract strategy
• Acting as the regional lead on pulling-through access wins by coordinating with FRMs, brand, sales, and access strategy and marketing teams to develop and execute on pull-through or push-through strategies
• Acting as a customer resource through knowledge of relevant therapeutic areas and market trends analytics for category performance, and thorough knowledge of product real world use and treatment algorithms
• Conducting periodic business reviews with contracted customers to ensure compliance with contract terms and alignment on mutual goals.
• Providing insights to internal stakeholders (e.g., medical liaisons) on customer-specific priorities to inform access strategy as regional point of contact to align across regional, national, and channel account directors, as well as home-office strategy teams
• Engaging cross-functional stakeholders (e.g., HEOR) in customer meetings to ensure comprehensive and effective communication
• Identifying credible real world patient access gaps, trends, and/or opportunities for engagement with regional payers
• Gathering information and create analyses to enhance the organization's understanding of current and emerging payer market dynamics, risks, and competitive behaviors, with a focus on identifying potential business impacts

You will need to have:

• Bachelor’s Degree in a relevant area of study
• 7-10+ years’ experience in Market Access in the      biopharmaceutical/pharmaceutical industry
• 5+ years’ experience in an account management role with responsibility for payer and PBM customers
• Experience negotiating contracts with payers and/or PBMs
• Well established payer account contacts
• Demonstrated ability to collaborate effectively within a high performance, high stakes team environment
• Expert knowledge of U.S. managed markets including commercial and government payers
• Demonstrated success in securing appropriate coverage for specialty medicines covered under the medical benefit and pharmacy benefit
• Ability to articulate branded and unbranded communications relating to the therapy areas of Alexion’s medicines
• Strong understanding of reimbursement methodologies utilize