Director, Payer Access

🕒 March 11

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Averitas Pharma

WebsiteLinkedInAll Job Openings

51 - 200 employees

💊 Pharmaceuticals

⚕️ Healthcare Insurance

🔬 Science

Pharmaceuticals • Healthcare Insurance • Science

Averitas Pharma is a pharmaceutical company committed to developing innovative alternatives for managing pain, with a strong focus on patient-centric solutions. The company seeks to address unmet patient needs through affordable access to treatments for neuropathic pain. Leveraging scientific research, including the discovery of the Transient Receptor Potential Vanilloid 1 (TRPV1) receptor, Averitas Pharma aims to create a positive impact on patients' lives. With a legacy built on 75 years under the global healthcare company Grünenthal, Averitas Pharma is dedicated to approaching pain not just as a symptom, but as a disease that requires effective solutions.

📋 Description

• Lead formulary negotiations and secure positive coverage, reimbursement, and access across assigned payer accounts • Influence and shape clinical policy and utilization management criteria in collaboration with key payer decision-makers • Develop comprehensive business plans for priority accounts, identifying opportunities to enhance formulary status and pull-through • Build and maintain strategic relationships with senior leaders at national and regional payers, PBMs, and GPOs • Prepare and lead timely, accurate, and compelling RFP responses representing the payer value proposition for the product portfolio • Partner with internal stakeholders to ensure aligned messaging and integrated execution of market access strategies • Analyze contract performance and leverage insights to optimize negotiation strategies and business outcomes • Present payer value propositions and health economics information to support access discussions • Represent the organization at major industry and payer conferences (e.g., AMCP, PCMA, Asembia) • Ensure all activities are executed in full compliance with laws, regulations, and company policies

🎯 Requirements

• Bachelor’s degree required; advanced degree preferred (MBA, MPH, or related field) • 10+ years of progressive experience in the pharmaceutical or biotech industry • Minimum 5 years of direct market access experience engaging national and regional payers • Demonstrated success negotiating formulary access, UM criteria, contract terms, and payer RFPs • Proven experience shaping clinical policy and driving access outcomes within payer accounts • Strong analytical capability with experience evaluating contract performance and business impact • Established relationships with key payer decision-makers • Solid proficiency with Microsoft Office (PowerPoint, Excel, Word) • Proven track record in business planning and leading strategies that expand market share and improve access.

🏖️ Benefits

• Long-Term Incentive Plan (cash plan) of 25% base salary • Annual performance bonus target of 25% base salary