Genetix Biotherapeutics is hiring a National Account Executive

Genetix Biotherapeutics is looking for a National Account Executive to implement strategic direction and execution of all payer engagements and access initiatives. Your work will ensure timely and sustained reimbursement for the company’s gene therapy portfolio. You will engage commercial and government payers, execute innovative value-based agreements, and partner 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 Team and Medical Value Liaisons and other Genetix stakeholders to identify access barriers and ensure patient access.
• Implement strategies and tactics to support individual patient access and reimbursement (e.g., coverage, coding) 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 the business functions at Genetix’s QTCs with a focus on patient pull through.
• Proactively work in a preventative measure 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 positively influence decision makers in areas of 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 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 the payers and connect those payer 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 at every step in the patient journey.
• Work closely with Medical Value Liaison (MVL) in tandem for targeted situations e.g. PA prep, appeals, policy and coverage influence.
• Share insights and feedback from across market access stakeholders (with a focus on payers and financial decision makers at QTCs).
• Encourage and facilitate QTC patient’s enrollment into Genetix’s patient support program My Bluebird Support (MBS) to enrich the patient treatment journey.
• Maintain the utmost standard of professionalism and compliance in all internal and external engagements.

What We're Looking For

• 10 years of experience in the biotech/pharma field with a bachelor’s degree required.
• 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 from a both medical and pharmacy benefit perspective.
• Strong clinical aptitude/acumen.
• Deep knowledge of U.S. markets and understanding of Commercial Payers, PBMs, Stop Loss and Reinsurance and Government Payers (FFS and Managed Medicaid, Medicare, and TRICARE).
• Established relationships with Pharmacy Directors, Medical Directors, and other key stakeholders with assigned accounts.
• Demonstrated knowledge and specialty pharmacy and buy and bill procurement models across commercial and government payers; recent experience preferred.
• Demonstrated expertise as a subject matter expert (SME) for assigned key payer accounts with experience in navigating complex vertically integrated orgs.
• Exceptional customer business planning, tactical planning, and successful execution skills.
• High degree of attention to detail including proven ability to manage multiple, competing priorities.
• Travel 50%.

Nice to Have

• Master’s degree in a relevant health or finance related field preferred.
• Experience negotiating and implementing outcomes-based or other alternative payment models preferred.

Team & Environment

Member of the Market Access Advocacy and Policy team (MAAP). Works cross-functionally within the POD team structure.

Benefits & Compensation

• Compensation: $250,000 - $265,000
• 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.

Work Mode

This is a local-country position based in the Central Great Plains Region.

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.