Vice President, Market Access

Bicara Therapeutics

Vice President of Market Access leading the development of payer and access strategies for oncology product launches. Strategically managing relationships and compliance to maximize patient access in a biotech startup.

Posted 6/13/2026full-timeBoston • Massachusetts • 🇺🇸 United StatesLead💰 $341,000 - $394,000 per yearWebsite

About the role

Key responsibilities & impact

Develop and execute U.S. market access strategy for Bicara’s oncology lead asset and portfolio.
Establish clear value and access vision that aligns clinical differentiation with payer, provider, and patient needs.
Lead market access planning from pre-launch through commercialization.
Build and lead a high-performing market access organization, including payer marketing, national accounts, trade and distribution, patient support, pricing, and access operations.
Develop payer engagement strategies to secure optimal coverage, reimbursement, and formulary positioning.
Build and manage relationships with commercial payers, Medicare, Medicaid, integrated delivery networks, and specialty pharmacy stakeholders.
Lead account planning and contract strategy for national and regional payer organizations.
Anticipate and address reimbursement barriers impacting patient access.
Lead development of launch pricing strategy and gross-to-net planning.
Oversee contracting strategies across payers, specialty pharmacies, and distribution partners.
Partner closely with Finance to model access scenarios, rebate strategies, and forecast implications.
Ensure compliance with all pricing and government reporting requirements.
Design and implement optimal specialty distribution and channel strategy.
Lead selection and management of specialty pharmacies, specialty distributors, and third-party logistics partners.
Establish channel performance metrics and governance processes.
Ensure launch readiness across distribution, inventory management, and product access pathways.
Develop patient support and access programs that reduce barriers to therapy initiation and persistence.
Oversee hub services, benefits verification, copay assistance, patient assistance programs, and reimbursement support.
Ensure patient services are scalable, compliant, and aligned with customer needs.
Partner with Medical Affairs and HEOR to develop evidence generation plans that support payer value propositions.
Translate clinical and real-world evidence into compelling payer communications.
Ensure access strategies are informed by evolving evidence, treatment pathways, and stakeholder needs.
Serve as the commercial lead for market access within launch readiness team and across the organization.
Partner with Medical Affairs on payer engagement and evidence dissemination strategies.
Collaborate with Regulatory and Legal to ensure compliant stakeholder interactions.
Work closely with Commercial Operations to develop forecasting, targeting, contracting, and analytics capabilities.
Recruit, develop, and retain top-tier market access talent.
Foster a culture of accountability, collaboration, innovation, and patient focus.
Establish organizational structure and capabilities appropriate for Bicara’s stage of growth.

Requirements

What you’ll need

Bachelor’s degree required; advanced degree (MBA, PharmD, MPH, or related discipline) preferred.
15+ years of biopharmaceutical industry experience with significant leadership responsibility in market access.
Demonstrated success leading market access strategy for oncology products.
Experience building market access capabilities in emerging biotechnology companies and/or leading launches in oncology.
Deep expertise across payer marketing, national accounts, pricing, contracting, reimbursement, trade, distribution, and patient services.
Proven ability to build and lead high-performing teams.

Benefits

Comp & perks

Comprehensive benefits and wellness package, including medical, dental, and vision coverage upon hire.
Short term and long term incentives, including cash bonus and equity incentive opportunities.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

market access strategypayer engagement strategiespricing strategycontract strategyreimbursement supportevidence generation plansforecastinganalytics capabilitiespatient support programsdistribution strategy

Soft Skills

leadershipteam buildingcollaborationinnovationaccountabilitycommunicationorganizational developmentrelationship managementstrategic thinkingproblem-solving

Certifications

Bachelor's degreeMBAPharmDMPH