Genetix Biotherapeutics is seeking a National Account Executive to implement strategic direction and execution for all payer engagements and access initiatives. In this role, you will ensure timely and sustained reimbursement for our gene therapy portfolio by engaging commercial and government payers, executing innovative value-based agreements, and partnering with treatment centers to streamline access pathways.

What You'll Do

Meet access goals and ensure medical coverage pathways are consistent with FDA approved prescribing information.
Collaborate with Qualified Treatment Center (QTC) Account Liaisons, Marketing, Patient Support Teams, Medical Value Liaisons, and other stakeholders to identify access barriers and ensure patient access.
Implement strategies and tactics to support individual patient access and reimbursement across payer segments.
Serve as the primary, regional point-of-contact for Genetix’s Qualified Treatment Center network for all market access-related issues.
Develop and maintain core relationships with business functions at Genetix’s QTCs with a focus on patient pull through.
Proactively work with QTCs to establish hygienic PA submissions to alleviate incomplete submissions or administrative inaccuracies.
Consistently engage National and Regional commercial payers, FFS and Managed Medicaid plans, and Federal payers to influence decision makers in clinical criteria and medical policy.
Negotiate and manage value contracts with assigned payers for optimal Genetix product access.
Respond to ad hoc requests by small regional payers in your assigned territory.
Work within the payer ecosystem to identify delays or friction in the approval process, develop a plan, and implement a timely resolution.
Educate QTCs with Letter of Intent on considerations for case rate agreements to reduce delays.
Identify and leverage contacts within payers and connect those stakeholders with the QTC to streamline PA review and approval processes.
Work cross-functionally within the POD team structure to ensure alignment across Genetix’s stakeholders and that QTCs receive surround sound support.
Work closely with Medical Value Liaisons for targeted situations such as PA prep, appeals, and policy influence.
Share insights and feedback from across market access stakeholders.
Encourage and facilitate QTC patient enrollment into Genetix’s patient support program My Bluebird Support (MBS).
Maintain the utmost standard of professionalism and compliance in all engagements.

What We're Looking For

10 years of experience in the biotech/pharma field with a bachelor’s degree.
A track record of success engaging tertiary and quaternary clinical and research institutions and integrated delivery networks on market access issues.
Comprehensive understanding of the current and evolving US payer landscape within cell and gene therapies or complex therapies.
Strong clinical aptitude/acumen.
Deep knowledge of U.S. markets and understanding of Commercial Payers, PBMs, Stop Loss and Reinsurance, and Government Payers.
Established relationships with Pharmacy Directors, Medical Directors, and other key stakeholders within assigned accounts.
Demonstrated knowledge of specialty pharmacy and buy and bill procurement models across commercial and government payers.
Demonstrated expertise as a subject matter expert for assigned key payer accounts with experience navigating complex vertically integrated organizations.
Exceptional customer business planning, tactical planning, and successful execution skills.
High degree of attention to detail and proven ability to manage multiple, competing priorities.
Ability to travel 50% of the time.

Nice to Have

Master’s degree in a relevant health or finance related field.
Recent experience with specialty pharmacy and buy and bill procurement models across commercial and government payers.
Experience negotiating and implementing outcomes-based or other alternative payment models.

Team & Environment

You will be a member of the Market Access Advocacy and Policy team (MAAP) and work cross-functionally within the POD team structure.

Benefits & Compensation

Compensation: $204,000 - $271,000
Comprehensive health, life and disability insurance
Employer-matched 401(k) plan
Lifestyle spending account
Flexible time-off + paid holidays and winter shutdown
Tuition reimbursement & loan repayment assistance
Paid parental leave
Generous commuter subsidy

Genetix is proud to be an equal opportunity employer, seeking to create a welcoming and diverse environment. All applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status or any other applicable legally protected characteristics.