National Payer Manager

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Telix Pharmaceuticals Limited

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2015

🏥 Healthcare

💼 Consulting

🧬 Biotechnology

Healthcare • Consulting • Biotechnology

Telix Pharmaceuticals Limited is a commercial-stage biopharmaceutical company dedicated to transforming the way cancer and rare diseases are diagnosed and treated. Focusing on the development and commercialization of theranostic radiopharmaceuticals, Telix utilizes targeted radiation to enhance treatment decision-making and deliver personalized therapy. With an extensive pipeline addressing areas such as prostate and kidney cancer, neuro-oncology, and musculoskeletal cancers, Telix has garnered global regulatory approvals for its lead imaging agent, Illuccix®, and is actively conducting numerous clinical trials worldwide.

📋 Description

• Secure positive coverage and reimbursement for Telix products across commercial and government payer segments by building and maintaining strong relationships with key decision-makers, including medical directors, policy analysts, case managers, and payer influencers. • Communicate and demonstrate Telix's value proposition to expand product and indication access, ensuring alignment with evolving payer expectations, clinical evidence, and health-economic justification. • Develop and strengthen partnerships with State Societies, professional organizations, and regional advocacy groups to advance Telix reimbursement objectives and influence policy development. • Collaborate with CMS, national accounts, regional payers, and RBMs to develop coordinated payer engagement strategies and proactively address coverage, coding, and reimbursement opportunities or barriers. • Deliver timely payer landscape updates to internal stakeholders including Market Access, Commercial, Medical Affairs, and Executive Leadership to support strategic decision-making and pull-through planning. • Provide clear, data-driven payer insights to external partners, ensuring consistent communication around policy developments, coverage trends, and access implications. • Analyze retrospective payer performance and competitive policy landscapes, advising on access strategies, forecasting reimbursement risk/opportunity, and informing life-cycle management planning. • Monitor and report emerging payer trends impacting current and future Telix products, ensuring internal teams remain informed and prepared for shifts in coverage, pricing, and reimbursement frameworks. • Educate and equip Market Access teams on payer structures, policy considerations, and reimbursement impacts to enhance customer discussions and regional strategy execution. • Lead cross-functional payer strategy discussions, collaborating closely with Commercial, Medical Affairs, Finance, HEOR, and other internal partners to align on market access priorities and execution pathways.

🎯 Requirements

• Bachelor’s degree in business or healthcare administration or relevant work experience. • 3+ years of payer interaction to obtain coverage for new products. • Experience with CMS regarding specialty medical benefits drugs, preferably radiopharmaceutical diagnostic and therapeutic products. • Proven experience in communicating with government and commercial payers. • Experience in analyzing healthcare data. • Proven experience demonstrating and understanding of the U.S. reimbursement structure.

🏖️ Benefits

• Competitive salaries • Annual performance-based bonuses • Equity-based incentive program • Generous vacation • Paid wellness days • Support for learning and development