What are the responsibilities and job description for the Exec Director, Managed Markets & Payer Strategy position at Gossamer Bio?
Summary:
The Executive Director, Managed Markets & Payer Strategy, is responsible for shaping and executing Gossamer Bio’s payer access strategy to ensure optimal coverage and reimbursement across Commercial, Medicare, and Medicaid channels. Reporting to the Vice President of Market Access, this leader will oversee National Account Directors, Government Pricing, and Market Access operations, while managing strategic vendor partnerships. The role requires deep expertise in payer contracting, policy engagement, and cross-functional collaboration to drive sustainable patient access and maximize enterprise value.
Essential Duties and Responsibilities
- Lead the development and execution of national and regional payer access strategies across commercial, Medicare, and Medicaid segments.
- Define contracting and negotiation strategies with PBMs, MCOs, IDNs, and specialty pharmacies to ensure competitive access and formulary positioning.
- Partner with Pricing, Trade & Distribution, and Legal/Compliance to design rebate, chargeback, and pricing frameworks aligned with gross-to-net (GTN) targets.
- Develop payer value propositions, budget impact models, and AMCP dossiers that articulate clinical and economic differentiation.
- Oversee payer account management, field reimbursement strategy, and customer engagement initiatives.
- Partner with Marketing and Field Teams to develop payer-focused tools, messaging, and training to support internal and external stakeholders.
- Ensure all strategies and initiatives align with legal, regulatory, and compliance frameworks.
- Lead the development of customer segmentation, messaging, and campaign strategies targeting payers, PBMs, and large health systems.
- Oversee development of HEOR strategy, real-world evidence (RWE) generation, and outcomes-based value demonstration.
- Oversee compliance with all federal and state pricing programs, including Medicaid, 340B, VA/FSS, and Medicare Part D reporting.
- Partner with Legal, Compliance, and Finance to ensure accurate calculation of AMP, BP, URA, and ASP in accordance with CMS and OIG requirements.
- Monitor evolving policy and legislative developments that affect drug pricing, reimbursement, and market access, and provide strategic recommendations to senior leadership.
Education, Certifications, Experience
- Bachelor’s degree required; advanced degree (MBA, MPH, MHA, or related field) strongly preferred.
- 15 years of progressive experience in managed markets/market access within the pharmaceutical or biotech industry.
- 10 years in a leadership role of people or function.
- Demonstrated expertise in U.S. payer, reimbursement, and pricing landscapes across both pharmacy and medical benefit channels.
- Proven success in payer contracting, account management, and policy engagement with Commercial, Medicare, and Medicaid plans.
- Leadership experience managing account directors and/or market access teams.
- Cross-functional exposure to HEOR, Sales, Marketing, Regulatory, Finance, and Business Development.
- Prior experience in vendor selection and management.
- Strong strategic thinking with the ability to translate corporate vision into tactical execution.
- Excellent communication and negotiation skills with proven ability to influence senior payer executives and internal leadership.
- Deep understanding of payer value frameworks, patient access programs, and reimbursement pathways.
- Strategic, data-driven, and collaborative leader who can balance innovation with compliance rigor.
- Proficiency in Microsoft Office and ability to quickly adopt new tools and technologies.
- Position can be based in San Diego, CA or remote.
- Domestic and occasional international travel required.
Gossamer Bio is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants and complies with all applicable national, state and local laws governing nondiscrimination in employment.