VP, Market Access - US Biomedicine *PC 1477
Miltenyi BiotecAbout the role
Your Tasks:
This role will be responsible for developing and executing the market access, reimbursement, and pricing strategy for the launch of the company’s first CAR T-cell therapy. This role will lead payer engagement, contracting, patient support plans, distribution, and HEOR initiatives to ensure broad and sustainable patient access. As a leader, this position will build and lead a high-performing market access team, working cross-functionally to align access initiatives with corporate and commercial objectives. This individual will also engage directly with U.S. and global payers, policymakers, and key stakeholders to drive long-term success in the evolving cell therapy landscape.
This position will report to the Chief Officer, North America Biomedicine.
Essential Duties and Responsibilities:
- Develop and execute the market access, reimbursement, and pricing strategy to support the successful launch and long-term adoption of the CAR T-cell therapy.
- Provide strategic leadership for payer access, coverage, reimbursement, contracting, pricing, health economics, and trade and distribution.
- Design and oversee the strategic framework of the patient services hub, ensuring alignment with payer requirements and provider needs, while partnering with the Business Excellence function for long-term operational management.
- Lead payer engagement efforts, proactively developing relationships with commercial insurers, PBMs, IHNs, State Medicaid, Medicare, and Federal VA/DoD to secure optimal reimbursement and coverage.
- Develop U.S. pricing recommendations that account for contracting, rebating, price adjustments, best price considerations, and broader market dynamics.
- Lead trade and distribution strategy, ensuring appropriate channel management to support product accessibility.
- Shape innovative reimbursement models and contracting strategies, ensuring affordability and access while maintaining financial sustainability.
- Collaborate with Marketing to develop a compelling product value proposition and payer engagement resources to support market access efforts.
- Ensure clinical research incorporates HEOR needs, leading the development of budget impact and cost-effectiveness models in partnership with Medical Affairs and Clinical Development.
- Stay ahead of evolving market trends, payer policies, and healthcare regulations, proactively adjusting strategies as needed.
- Build and lead a high-performing market access team while ensuring strong cross-functional collaboration across Commercial, R&D, Marketing, Sales, Manufacturing, and Medical Affairs.
- Ensure strict compliance with OIG, FDA, and other regulatory guidelines related to pricing, reimbursement, and market access activities.
Requirements:
- Bachelor’s (BA/BS) degree required, advanced degree (MBA, MPH, PharmD, PhD) preferred; A minimum of fifteen (15) years of progressive leadership experience in market access within the pharmaceutical industry, including pricing & contracting, reimbursement, HEOR, and established relationships with several key national and regional payers; Or a combination of education and experience.
- Proven track record in payer engagement, contracting, and policy shaping at an executive level.
- Strong experience leading market access strategy for a high-cost, complex therapy requiring specialized reimbursement and distribution solutions, ideally in oncology, cell therapy, gene therapy, or rare diseases.
- Demonstrated ability to build and lead high-performing teams in a launch setting.
- Ability to travel domestically and internationally as required (30-50%)
Knowledge, Skills & Abilities
- Deep understanding of U.S. and global healthcare reimbursement systems, payer decision-making frameworks, and policy trends.
- Expertise in innovative pricing models, value-based agreements, and HEOR strategies.
- Proven ability to negotiate with and influence payers, policymakers, and healthcare systems at a senior level.
- Executive presence with excellent communication and leadership skills.
- Strong cross-functional collaboration skills, with the ability to align strategy across Commercial, R&D, Manufacturing, and Business Excellence functions.
- Proven experience ensuring compliance with the OIG, FDA, and other regulatory requirements related to market access, pricing, reimbursement, and patient support programs.
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