Associate Director, Market Access Engagement – Rare Disease

October 31

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Sumitomo Pharma America, Inc.

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Biotechnology • Pharmaceuticals • Healthcare Insurance

Sumitomo Pharma America, Inc. is dedicated to improving the health and well-being of people around the world by driving innovative treatments, science, and technology. The company focuses on addressing patient needs in critical areas such as psychiatry & neurology, oncology, urology, women's health, rare diseases, and cell & gene therapy. As a subsidiary of Sumitomo Pharma Co. , Ltd. , SMPA embodies the promise of combining technology and life-sciences expertise to improve patient outcomes. With a diverse pipeline of preclinical and clinical programs, SMPA is committed to delivering patient-first solutions through a technology-driven approach.

1001 - 5000 employees

🧬 Biotechnology

💊 Pharmaceuticals

⚕️ Healthcare Insurance

📋 Description

• Develop and implement strategies aligned with franchise commercial and market access strategy across all payer stakeholders to ensure SMPA Rare Disease products to ensure access for patients through various payers (commercial and government payers to include FFS and Managed Medicaid) and remove reimbursement barriers to treatment • Build and maintain strong relationships with key payers to facilitate successful contracting, access and reimbursement - including fostering strong relationships with payers and driving collaboration to achieve mutual goals • Conduct formal and informal presentations and convey complex scientific, reimbursement, and business information fluently to assigned targets by employing excellent customer centric selling skills in a compliant and ethical manner • Gain formulary/pathway positioning for RETHYMIC and establish process for providers to access RETHYMIC • Collaborate with treatment center financial teams to support in access issue resolution and escalations as needed to ensure timely access for patients • Engage with government stakeholders, including state and federal health agencies, to ensure alignment with healthcare policies and reimbursement mechanisms for rare disease therapies • Collaborate with external advocacy groups and policy organizations to drive policy changes that improve access to innovative treatments for rare diseases • Collaborate with Patient Services, specialty pharmacies, and specialty distributors to streamline access to treatment and ensure timely product availability and efficient distribution to Qualified Treatment Centers (QTCs) while identifying and resolving potential barriers in the supply chain to ensure treatment is accessible to all patients • Partner with Customer Engagement and Commercial Lead to co-develop a comprehensive funnel strategy and reduce barriers to access • Effectively utilize all available resources and programs including peer-to-peer education and cross-functional partners within the company (Market Access, Account Directors, Trade and Distribution, Field Reimbursement, etc.) to address identified knowledge gaps • Develops and maintains a high-level, in-depth disease and therapeutic clinical and scientific knowledge • Utilize the CRM System to maximize efficiency and effectiveness • Execute all the above with a strong understanding and adherence to compliance and corporate policies including appropriate documentation and reporting

🎯 Requirements

• 8+ years of progressive business experience in the healthcare, pharma or biotech industry, inclusive of field payer and access/commercial experience • Rare disease experience is preferred • Excellent virtual/remote customer engagement skills along with verbal and written communication skills • A successful track record in field reimbursement, clinical education or in pharmaceutical sales/management of products that required significant payer and reimbursement involvement • Knowledge of applicable regulations and standards affecting the pharmaceutical industry • Adaptable to changing priorities and market dynamics including payer-reimbursement challenges • Buy and Bill and specialty pharmacy vendor management experience highly preferred; experience in supporting Cell and Gene therapy administered by a designated health care professional in a surgical inpatient setting • Expertise in navigating payer environments, reimbursement systems, and distribution channels for rare disease therapies • Experience working with government agencies, payer organizations, and advocacy groups in rare diseases, particularly in policy development and government relations • Knowledge of the regulatory, pricing, and contracting landscape within the rare disease space • Comprehensive understanding of field/patient reimbursement, non-profit organizations, and patient advocacy groups • Must be comfortable spending 60% of time traveling; some overnight travel required.

🏖️ Benefits

• Merit-based salary increases • Short incentive plan participation • Eligibility for 401(k) plan • Medical, dental, vision, life and disability insurances • Flexible paid time off • 11 paid holidays • Additional time off for a shutdown period during the last week of December • 80 hours of paid sick time upon hire and each year thereafter