Payer & Customer Engagement : Develop and implement strategic account plans to secure, maintain, and expand coverage for both new and existing PDx products. Ensure the development of appropriate medical coverage policies.
Provider Reimbursement Strategy : Design and execute strategies to support provider reimbursement for PDx products, ensuring accessibility and financial sustainability.
Stakeholder Relationship Management : Build and maintain strong relationships with key decision-makers, stakeholders, and influencers within assigned health plans and payer organizations, including C-suite executives, to effectively communicate the value of PDx products.
Clinical & Economic Evidence Communication : Collaborate with Health Economics and Outcomes Research (HEOR) , Medical Affairs , and Evidence Generation teams to deliver compelling value proposition presentations, clinical evidence, and analytical tools to both payers and providers.
Advocacy & Market Awareness : Partner with Marketing and Medical Affairs to engage with regional advocacy groups, physician key opinion leaders, and medical societies to enhance patient access to PDx products.
Market & Policy Monitoring : Continuously track and analyze changes in national and regional medical policies, reimbursement trends, and coverage landscapes related to the PDx portfolio.
Cross-Functional Collaboration : Work closely with the Field Commercial team to address customer inquiries and provide tailored solutions for access and reimbursement.
Presentations & Training : Develop and deliver impactful presentations for site visits, virtual client meetings, training sessions, and large group discussions, often interacting directly with provider office staff.
Required Qualifications
Bachelor’s degree required.
Minimum 10 years of experience in the US healthcare, pharmaceutical, or medical device industry .
Strong expertise in US Market Access , including State Medicaid, Managed Medicaid, reimbursement strategies, medical policy, claims processing, and payment mechanisms.
Proven ability to collaborate with cross-functional teams and lead strategic initiatives.
Excellent problem-solving and decision-making skills, with the ability to navigate complex challenges and provide innovative solutions.
Ability to travel as needed to engage with payers, customers, and field teams.
Strong project management, organizational, and analytical skills .
Preferred Qualifications
Experience securing positive medical coverage policies with US payers.
Background in radiopharmaceuticals, medical imaging, or diagnostics .
Product launch experience within the healthcare sector.