Senior Director, Government Accounts and Public Policy

### The Role

We are looking for a Senior Director of Government Accounts and Public Policy responsible for the development and implementation of government channel strategy and tactics designed to secure, maintain, and expand appropriate access and reimbursement for all products. This person will be responsible for strategic imperatives and tactical planning for targeted government channels: CMS, Medicare Part B MACs, Medicaid, VA, DOD, and Tricare East and West.

This position will facilitate access and reimbursement for products and ensure coordinated/targeted pull-through with Customer Engagement and Marketing. The Senior Director, Government Accounts, and Public Policy will maintain a high level of collaboration and integration with Marketing, Customer Engagement, Clinical Operations & Development, Medical Affairs, Legal, Compliance, Training, Finance, and Senior Leadership. This role will report to the VP of Market Access.

### Key Responsibilities

– Develops, implements, and manages national government channel payer strategies for all products.
– Leads government channel contract design and negotiations to optimize patient and provider access and reimbursement, product performance from a patient access, safety, and profitability perspective.
– Identifies immediate growth opportunities and recommends pull-through strategies.
– Proactively identifies critical risk areas and develops mitigation strategies.
– Coordinates with state and local legislation on payer policy initiatives.
– Identifies and collaborates with key decision-makers in local public policy.
– Collaborates with Marketing, HEOR, Medical, and Finance to develop value-based messaging and metrics to ensure long-term relationships with payer partners.
– Builds long-term strategic partnerships and leads cross-functional support for payer initiatives, including appropriate internal, field-based, and external stakeholders.
– Identifies and engages KOL support.
– Develops and maintains channel-specific partnerships with Medicare Contractors, Carrier Advisory Committee (CAC) members, professional medical societies, and members/officials within the US Veteran and Military Healthcare Systems.
– Serves as internal project lead to establish and execute payer initiatives in collaboration with marketing, reimbursement, sales, HEOR, and internal and external stakeholders.
– Collaborates with the field, corporate account directors, and internal team to execute strategies and pull through.
– Explores and assesses business opportunities for all products to increase sales revenue/profit; assessment to potentially include Trade and distribution, SP and Specialty Distributor channels, Accountable Care Organizations and Integrated Delivery Networks.
– Negotiates and manages new business agreements aligned with brand strategy.
– Works cross-functionally and collaboratively with Marketing, Customer Engagement, Medical Affairs, Legal, Contracting, Reimbursement, and Finance to support development and Life Cycle Management activities.
– Serves as the Government Channel subject matter expert (SME) for all internal stakeholders.

### Desired Experience/Education and Personal Attributes

– Bachelor’s or Master’s Degree required.
– Minimum 10 years of pharmaceutical/biotech industry experience.
– Minimum 10 years of oncology experience (Academic and Community).
– Minimum 8 years of field-based Market Access Account Management experience with a proven track record in access and reimbursement, working with biotech specialty products (Commercial Account Management, Government Account Channels, Market Access Payer Marketing, Patient/Provider Reimbursement HUB services, and some degree of coding and claims processing).
– Demonstrated experience in negotiating agreements/contracts.
– In-depth understanding of the functions and procedures of distribution channels, wholesalers, and specialty pharmacies, including physician buy and bill reimbursement models.
– Strong understanding of payer market and payer dynamics, both commercial and government-funded, and experience in different access and reimbursement models, including Medicare Parts B and D, Medicare Advantage (e.g., Medicare Coverage Determinations (NCDs, LCDs, and Coverage Articles), ASP pricing.
– In-depth understanding of Health Care Reform, Medical Policy, and the legislative arena.
– In-depth understanding of coverage, coding, and reimbursement for specialty therapies across all sites of care: CMS ASP, ASC, OPPS, J, C, and Q Codes.
– In-depth understanding of federal GSA contracts and pricing requirements (FSS, BPA, DAPA/E-CAT – Defense Logistics Agency).
– Demonstrated success in developing and implementing targeted pull-through to maximize sales objectives with the appropriate/needed training.
– Outstanding customer relationships, interpersonal and communication skills with the established ability to effectively communicate across diverse audiences and influence cross-functionally.
– Ability to travel up to 50%.

TSP Talent Solutions and our customers are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled).

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