Account Director, Market Access (Payer Field) - Southeast US

Key Responsibilities

• Serves as the single-point-of-contact for all Authorized Treatment Centers (ATCs) with respect to field-related payer-access engagements (including onboarding) as identified by Orca Pod
• Develops and executes Payer Strategy for assigned regional and national payer accounts, state Medicaid agencies, and Medicare Administrative Contractors to secure access to Orca products, as well as ongoing payer segmentation and business strategy tactics
• Presents analysis of scientific data, clinical practice goals, guidelines, and anticipated economic program outcomes to support product value proposition
• Utilizes clinical expertise of Medical Science Liaisons or medical providers in delivering comprehensive product and disease state presentations to key decision makers
• Delivers and maintains favorable access, advantageous payer medical policy, and appropriate reimbursement for Orca products at regional and national payer accounts throughout the life cycle management of Orca’s portfolio
• Accountable for partnerships with targeted Academic Hospitals/Health Systems to ensure patient access for Orca products on a case-by-case basis, as needed
• Frequent interactions with Orca’s Case Management team to resolve patient access issues
• Tracks KPIs and ensures accuracy of dashboards to measure account market access results
• Must adhere to Orca Bioscience’s core values, policies, procedures, and business ethics
• Performs miscellaneous duties as assigned

Required Qualifications

• Bachelor’s Degree
• 12+ years of related Payer/Hospital reimbursement experience in the healthcare industry
• Proven relationships with Commercial Payer Medical Directors, Medicare Part A, State Medicaid, and Managed Medicaid stakeholders
• Strong analytical skills with experience in Payer Case rates, Payer policy development, and Payer Policy data tracking tools
• Problem-solving skills and multi-tasking experience are critical
• Proactive, results-oriented, collaborative, self-starter with demonstrated strong leadership skills and experience in a complex reimbursement environment
• Excellent presentation skills, both written and verbal
• Knowledge of regulations and laws governing the protection of patient identifying information, OIG, FDA, and CMS policies pertaining to access
• Must be a true team player and work collaboratively with key internal stakeholders
• High level of proficiency in Microsoft Excel, Word, and PowerPoint is required
• Open to frequent travel during site onboarding process and ad hoc meetings (~40%)