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National Payer Manager
Telix Pharmaceuticals LimitedNational Payer Manager securing commercial and government payer coverage for Telix's products. Building relationships with key decision-makers and ensuring broad reimbursement access.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in payer engagement strategies, reimbursement analysis, and policy development within the healthcare sector. Strong ability to communicate value propositions and collaborate with cross-functional teams to enhance market access for Telix products.
Highest-signal resume keywords
Payer InteractionU.S. Reimbursement StructureHealthcare Data AnalysisCMS ExperienceMarket Access Strategy
ATS Keywords
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Hard Skills
Payer EngagementReimbursement AnalysisPolicy DevelopmentData-Driven InsightsForecasting Reimbursement RiskCoverage StrategyCoding KnowledgeHealthcare AdministrationMarket Access PlanningCompetitive Policy Analysis
Soft Skills
Relationship BuildingCommunicationCollaborationStrategic Decision-MakingInfluencing
Industry Keywords
Commercial PayersGovernment PayersRadiopharmaceuticalsHealth-Economic JustificationState SocietiesProfessional OrganizationsAdvocacy GroupsPayer Landscape UpdatesAccess ImplicationsSpecialty Medical Benefits
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- Competitive salaries
- Annual performance-based bonuses
- Equity-based incentive program
- Generous vacation
- Paid wellness days
- Support for learning and development