Job Summary

This position will serve as the payer and channel access expert for Urogen products at the national, regional, and local level with government and commercial payers. The NAD will also serve as the content expert on all aspect of coverage, coding and reimbursement. This role will also be responsible for provider, trade, distribution, and GPO support around market access within assigned geography. This is a field-based position that reports to the VP of Market Access.

Duties & Responsibilities

• Establish and maintain coverage and access for UroGen products with national, government, and regional payers in the assigned geography
• Identify, develop, and execute business opportunities by focusing on appropriate value-based relationships within key targeted payers
• Demonstrate expertise in payment reform and payment models in the marketplace for internal/external customers
• Monitor, research and interpret Medicare Part B and commercial payer coverage policies for Urogen products both published and nonpublished
• Establish critical relationships with a variety of stakeholders within the assigned geography: including government and commercial health plans, carrier medical directors (CMD), CAC members, plan medical directors, pharmacy directors, policy analysts, claims processors, key practice managers and state society executive directors
• Responsible and accountable for the successful implementation within their region of the strategic and tactical Market Access plan
• Establish and maintain relationships with selected distribution and GPO network partners
• Educate sales force and regional business directors on payer coverage policies for Company products
• Identify and communicate distribution and product access issues or trends to the impacted region(s) and team
• Participate and coordinate activities with state key societies’ and other advocacy/influencer organizations
• Provide coverage and access updates at regional and national sales meetings
• Participate and provide payer perspective and strategic input to distributors, contractors, managed markets and brand teams at functional meetings on an as needed basis
• Utilizes industry awareness and knowledge to educate sales organization and internal marketing/operations teams on payer issues to enhance sales performance
• Understand the implications to the organization of payer and or government regulatory decisions and proactively develop strategies and solutions to address
• Approximately 75% travel required

List of qualifications

Experience:

• Preferred 10 years of in the Pharmaceutical/Biotech Industry and/or related experience with a broad scope over multiple areas, including billing, coding, reimbursement acumen, and/or payer relations
• Proven track record and established relationships with key government and commercial payers, organizations, KOL’s and state societies regional and national, preferred
• Current in-depth knowledge of Medicare Part B, Medicare Advantage plans, CMS regulations, specialty distribution and managed care trends, all aspects of part B reimbursement
• Demonstrated creative problem solving and decision-making skills with the ability to “think on his/her feet” and provide solutions in a dynamic, fast-paced environment
• Proven leadership abilities and strong business acumen, analytical thinking and financial modeling skills
• High interest in working in an entrepreneurial environment of a small biotechnology company, without the resources of larger companies
• Excellent verbal, written presentation skills

Education:

BA degree required; MBA or other advanced degree preferred