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Payer Account Director - Southeast

5 hours, 21 minutes ago
United States
Full-time
Lead
Head of Sales
Sales and Business Development
Apply Now
Orca Bio

Orca Bio

Orca Bio is revolutionizing allogeneic cell therapy with next-gen therapies for better outcomes and fewer risks, transforming lives through precision and innovation.

Pharmaceuticals
51-250
Founded 2016
$192M raised
View All Jobs 7

Description

  • Serve as the primary field payer-access contact for Authorized Treatment Centers, including onboarding support.
  • Develop and execute strategies for regional and national payers, state Medicaid agencies, and Medicare Administrative Contractors.
  • Secure and maintain favorable coverage, medical policies, and reimbursement throughout the product portfolio lifecycle.
  • Present scientific, clinical, guideline, and economic analyses to communicate product value.
  • Partner with Medical Science Liaisons and medical providers on product and disease-state presentations.
  • Build partnerships with targeted academic hospitals and health systems to support case-by-case patient access.
  • Collaborate with Case Management to resolve patient access issues.
  • Track market access KPIs and maintain accurate performance dashboards.
  • Collaborate with Field Sales, Medical Affairs, Legal, Quality, and Marketing teams while following company policies and ethics.

Requirements

  • Bachelor’s degree.
  • 12+ years of related payer or hospital reimbursement experience in healthcare.
  • Established relationships with Commercial Payer Medical Directors, Medicare Part A, State Medicaid, and Managed Medicaid stakeholders.
  • Experience with payer case rates, payer policy development, and policy data-tracking tools.
  • Knowledge of OIG, FDA, CMS, and patient-identifying-information regulations and policies.
  • Strong analytical, problem-solving, multitasking, presentation, written, and verbal communication skills.
  • Proactive, results-oriented self-starter with leadership experience in complex reimbursement environments.
  • Collaborative team player with strong cross-functional partnership skills.
  • Proficiency in Microsoft Excel, Word, and PowerPoint.
  • Willingness to travel approximately 40% for site onboarding and ad hoc meetings.

Benefits

  • Pre-IPO equity and annual bonus eligibility.
  • Competitive medical, dental, and vision benefits.
  • Paid time off and parental leave.
  • 401(k) plan.
  • Life and accidental death and disability coverage.
  • Subsidized daily lunches and snacks at on-site locations.

Interested in this position?

Apply directly on the company website

Apply Now

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