Senior Director, Market Access
Rockstar
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- Develop and execute market access strategies and tactics across commercial, Medicaid, and specialty channels.
- Partner with external vendors and internal Medical Affairs colleagues to develop payer engagement tools and materials including value proposition deck/dossier, value narratives, and real-world evidence that meet payer expectations.
- Lead payer engagement: develop account plans, negotiate coverage criteria, influence prior authorization policies, and secure favorable reimbursement.
- Own state Medicaid strategy: prepare dossiers, coordinate testimony, and navigate state-specific rules and coverage pathways.
- Build and maintain relationships with specialty distributors and third-party logistics vendors.
- Working in partnership with Qualified Treatment Centers, oversee patient services (navigation, financial assistance, reimbursement support) with guardrails for compliance and equity.
- Execute pricing strategy.
- Monitor and interpret policy changes and advise proactive adaptations.
- Ensure all access and patient service programs comply with federal and state regulations, OIG guidance, HIPAA, anti-kickback statute (AKS), and industry codes.
Requirements
- Bachelor’s degree required; advanced degree (e.g., MBA, MPH, MHA, PharmD) a plus.
- 10+ years in market access, payer strategy, or reimbursement roles, including direct leadership of payer and Medicaid initiatives.
- Demonstrated success securing coverage for rare diseases and/or genetic medicines (one-time treatments).
- Deep understanding of U.S. payer landscape: commercial payers, state Medicaid, specialty distribution of advanced medicines.
- Proven ability to develop compliant patient support programs for high-touch therapies.
- Exceptional communication, negotiation, and relationship-building skills; data-driven decision-making and cross-functional leadership.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
market access strategiespayer engagement toolsaccount planscoverage criteria negotiationprior authorization policiespricing strategypatient support programsreal-world evidencedossier preparationpolicy interpretation
Soft skills
communicationnegotiationrelationship-buildingdata-driven decision-makingcross-functional leadership
Certifications
Bachelor's degreeMBAMPHMHAPharmD