VP, Access Strategy, Payer Engagement

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $340k - $365k / year

⏰ Full Time

🔴 Lead

👔 Vice President

👻 Ghost score 0%

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Ocular Therapeutix, Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

🏥 Healthcare

🧬 Biotechnology

💊 Pharmaceuticals

Healthcare • Biotechnology • Pharmaceuticals

Ocular Therapeutix, Inc. is a company dedicated to advancing ophthalmic treatments through innovative technology. The company focuses on developing pharmaceutical therapies and drug delivery solutions for ocular diseases such as retinal diseases, glaucoma, and those requiring ophthalmic surgery. Ocular Therapeutix utilizes its proprietary ELUTYX™ technology to create preservative-free, sustained-release implants, aiming to improve patient outcomes by reducing the frequency of treatments. Their pipeline products include AXPAXLI™ and PAXTRAVA™, alongside marketed products like DEXTENZA® and ReSure® Sealant. The company is committed to enhancing vision health and provides career opportunities within a dynamic and inclusive workplace.

📋 Description

• Own end-to-end market access strategy across the portfolio from early lifecycle development through commercial execution • Define payer value propositions, messaging, and positioning for each product and indication • Build and refine market access playbooks and monitor access performance metrics • Own the HEOR strategic agenda and define the evidence generation roadmap • Partner with Medical Affairs and Clinical teams to integrate HEOR priorities into trial design and data collection • Develop economic models, including budget impact analyses, cost-effectiveness models, and value-based contract frameworks • Translate HEOR outputs into value narratives for payer, provider, and HCP audiences • Oversee AMCP dossiers, value dossiers, and other payer-facing evidence packages • Engage external health economics thought leaders, advisory boards, and payer medical directors • Inform pricing and contracting strategy and balance access investment against gross-to-net discipline • Own national payer account strategy across commercial, Medicare, and Medicaid channels • Lead negotiations with national and regional payers and PBMs • Represent the company in health policy engagement, including regulatory comment letters and coverage determination processes • Build market-shaping strategies and lead payer-facing launch readiness • Identify and close access readiness gaps for pipeline assets • Track policy developments and competitive payer coverage and contracting positions • Partner with executive leadership, Legal, Commercial, Medical, Patient Services, and Patient & Provider Services • Represent payer strategy and account status to the executive team and Board as needed • Lead and develop the Market Access team, build team capability and talent pipelines, and operate as a player-coach • Model strong leadership values and behaviors

🎯 Requirements

• Bachelor's degree required • Advanced degree — MBA, or a healthcare-related or business field equivalent — strongly preferred • 12–15+ years of progressive experience in pharmaceutical or biotech market access, payer strategy, or HEOR, including at least 3 years at the ED or VP level • Demonstrated success building and executing multi-year market access plans and integrating access strategy into long-range financial planning and brand planning processes • Prior experience in Retina or ophthalmology a plus • Expert-level knowledge of US payer dynamics, formulary mechanics, and gross-to-net economics across commercial, Medicare, and Medicaid channels • Direct experience launching a Medicare Part B buy-and-bill product, including navigating miscellaneous J-code periods through permanent coding • Deep understanding of health economics and outcomes research methodology, including cost-effectiveness analysis, budget impact modeling, cost-utility analysis, and indirect treatment comparisons • Experience defining and overseeing real-world evidence (RWE) strategies, including retrospective database studies, patient-reported outcomes (PRO) research, registry studies, and burden of illness analyses • Working knowledge of Inflation Reduction Act provisions and their downstream impact on pricing, access, and contracting strategy • Demonstrated ability to translate brand P&L dynamics into access investment and gross-to-net trade-off decisions • Strong understanding of how payer, pricing, and contracting strategies interact with enterprise-level financial performance • Proven track record negotiating directly with national payers and PBMs at a senior level on coverage policy, contracting, and value-based arrangements • Strong influence and alignment skills with senior commercial and medical stakeholders • Ability to build trust and drive consensus across a matrixed organization while navigating ambiguity and organizational change • Previous supervisory and people management experience with a demonstrated ability to develop talent and scale team capabilities alongside portfolio growth