At the direction of The Director, Government Account, the associate director will be responsible for the development and fostering of relationships with strategic government payers within an assigned geographic region (East Coast) - payors will include the following, Medicare, State Medicaid, Managed Medicaid plans and government entities. The associate director will be responsible for providing subject matter expertise in Government reimbursement to both internal and external stakeholders. This position will implement short - and long-term payer business plans that will ensure consistent and appropriate coverage, coding, payment of and patient access to current and new products.
The position requirements will be inclusive of short and long term actions with each assigned payer customer and act to influence payer decisions in the direction that creates and maintains open patient access to care with current and new products. These actions require strong relationships across the organization, including payer Medical and Economic decision-makers (clinical and administrative), for example case managers, and other medical management. Efforts will include working with regional affiliates of those assigned payer organizations in executing pull-through strategies.
Additional responsibilities will require education and guidance activity with any new product portfolio. This role will work closely with internal corporate partners to insure a strategic collaboration in partnering with the reimbursement team for these buy and bill products.
The Associate Director, Government Account is expected to work under the direction of the Director, Government Accounts with minimal supervision and strategic independent thought. This individual will also work cross functionally with other department Directors and Managers within Market Access and National Accounts, as well as Sales and Marketing Management to ensure consistent exchange of important payer information and messages that should be communicated.
This role will provide periodic market updates to Executive, Sales and Marketing Leadership that link important provider and payer trends and issues as well as documents initiatives and their outcomes.
Responsibilities and duties include, but are not limited to, the following:
• Implement strategies and tactics to support appropriate, product placement, reimbursement (coverage, coding, payment and patient access) across payer customers.
• Negotiate, where necessary, cost effective contracts that allow access to our products by providers and their patients.
• Maintain responsibility for outcomes in payers as assigned.
• Create clear messages for dissemination to sales on important payer trends, reimbursement changes, and billing requirements that will affect product utilization.
• Represent the Market Access organization at priority national payer organizations (e.g., Centene, Molina, etc.)
• Maintain accurate account information in customer database, i.e., SFDC.
• Work with the various product hotlines and case managers to assure accurate coverage determinations and resolve customer issues.
• Perform other duties as assigned.
• Bachelor’s degree from an accredited college or university.
• Minimum of at least 5 years’ medical device/pharmaceutical/biotech Sales and/or Marketing experience with: 1. at least 3 years calling on National payers; or 2. existing government relationships to support corporate strategies.
• Demonstrated knowledge of payer decision-making for policy, coverage, coding and patient access existing and new products.
• Exceptional communication skills that include verbal, written, and presentation abilities
• Demonstrated problem-solving capabilities.
• Experience negotiating significant contracts and agreements with visionary planning leading to successful win-win outcomes.
• Outstanding consultative and networking capabilities.
• Excellent project management skills, with the ability to handle multiple tasks at one time.
• Ability to skillfully negotiate in tough situations with both internal and external groups.
• Understanding of organizational behavior, corporate culture and be able to flourish in a complex and rapidly evolving workplace.
• Skill to successfully lead partner account teams through collaboration with other members within and across sales, marketing and other business groups to improve overall effectiveness.
Osiris Therapeutics, Inc. is an Equal Opportunity Employer with a commitment to diversity. Applicants are considered on the basis of individual merit without regard to race, color, national or ethnic origin, gender, gender identity, sexual orientation, marital status, veteran status, pregnancy, age, religion, disability, genetic information, or any other characteristic protected by law.