Payer Account Director - Southeast

16 hours, 30 minutes ago
Full-time
Executive
Sales and Business Development
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
51-200
Founded 2016
$192M raised

Description

  • Serve as the primary payer-access contact for Authorized Treatment Centers, including treatment-center onboarding.
  • Develop and execute account strategies for regional and national payers, state Medicaid agencies, and Medicare Administrative Contractors.
  • Secure and maintain favorable coverage, medical policies, and reimbursement throughout Orca Bio’s product lifecycle.
  • Present scientific, clinical, and economic analyses that support product value propositions to payer decision-makers.
  • Partner with Medical Science Liaisons and medical providers to deliver product and disease-state presentations.
  • Collaborate with field sales to onboard treatment centers and expand timely patient access.
  • Partner with academic hospitals and health systems to address case-by-case patient access needs.
  • Work with Case Management to resolve patient access issues.
  • Track market-access KPIs and maintain accurate account dashboards.
  • Collaborate with Field Sales, Medical Affairs, Legal, Quality, and Marketing teams.

Requirements

  • Bachelor’s degree.
  • 12+ years of payer or hospital reimbursement experience in the healthcare industry.
  • 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 payer-policy data tracking tools.
  • Knowledge of patient-information protection regulations and OIG, FDA, and CMS access policies.
  • Strong analytical, problem-solving, multitasking, leadership, and stakeholder-collaboration abilities.
  • Excellent written and verbal presentation skills.
  • Proficiency in Microsoft Excel, Word, and PowerPoint.
  • Ability to travel frequently for site onboarding and ad hoc meetings, approximately 40%.
  • Ability to cover the Southeast US, including FL, GA, TN, KY, WV, NC, SC, AL, OK, MS, AR, LA, and part of TX.

Benefits

  • Pre-IPO equity and annual bonus.
  • Competitive medical, dental, and vision coverage.
  • Paid time off.
  • 401(k) plan.
  • Life, accidental death, and disability coverage.
  • Parental leave benefits.
  • 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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