Own and advance a pipeline of payer opportunities, driving engagements from early conversations to concrete coverage and access outcomes.
Build and expand relationships with assigned payer accounts, leading meetings and negotiating pilots, data evaluations, and agreements.
Navigate complex payer organizations, partner cross-functionally, and deliver compelling materials emphasizing clinical and economic value.
GRAIL is a healthcare company pioneering early cancer detection technologies using next-generation sequencing and data science. It is a multi-disciplinary organization of scientists, engineers, and physicians, supported by leading global investors and headquartered in the Bay Area with locations in Washington, D.C., North Carolina, and the United Kingdom.
Lead market access engagement with national and regional payers across Commercial, Medicare, and VA segments.
Enable payer coverage assessments and educate stakeholders on product value proposition and reimbursement considerations.
Prepare treatment centers for reimbursement readiness and serve as a field expert on market access and patient assistance programs.
Our partner is a biotechnology company developing an investigational advanced cell therapy for life-threatening diseases. They operate in a fast-growing, collaborative environment with a focus on patient-centric innovation and cross-functional teamwork.
Educate provider offices on payer requirements, reimbursement processes, and patient support services to support appropriate patient access.
Develop and execute a territory access plan, prioritize accounts, and coordinate with sales, market access, and patient services stakeholders.
Monitor payer policy, formulary coverage, and access barriers, and communicate relevant insights to internal teams.
Stratis Group is an independent pharmaceutical consulting firm specializing in commercialization, market access, patient services, field reimbursement, and data-driven analytics. The company size and culture are not specified in the posting.
Educate healthcare providers on patient support programs and access resources, including reimbursement and specialty pharmacy networks.
Provide local expertise on payer policies, coding changes, and claims submission to enhance access for approved oncology therapies.
Collaborate with internal stakeholders and report payer trends to support key account management and patient services.
AbbVie discovers and delivers innovative medicines and solutions for serious health issues in immunology, oncology, neuroscience, and aesthetics. It is a large global biopharmaceutical company with a collaborative culture focused on making a remarkable impact.
Establish and maintain strategic relationships with key oncology accounts to enable optimal market access for Summit's innovative medicines.
Lead cross-functional collaboration across Commercial, Medical Affairs, Legal, and Marketing to ensure successful integration of therapies within provider-driven pathways.
Negotiate favorable contracts and agreements aligned with enterprise objectives and market access strategy.
Summit Therapeutics Inc. is a biopharmaceutical oncology company focused on improving quality of life and resolving serious unmet medical needs through innovative therapies. The company has multiple global Phase 3 clinical studies and is headquartered in Miami, Florida, with additional offices in California, New Jersey, the UK, and Ireland.
Establish and maintain relationships with key Medicaid decision makers to secure optimal product access and positioning.
Navigate state-level utilization management including prior authorization, step edits, and P&T committee submissions.
Partner with cross-functional teams to design support infrastructure and ensure alignment on access and reimbursement strategies.
Summit Therapeutics is a biopharmaceutical oncology company committed to improving quality of life and addressing unmet medical needs. The company has multiple global Phase 3 clinical studies and a team driven by core values of integrity, passion, and collaboration.
Serve as subject-matter expert on coding, coverage, and payment for Medicare and commercial payers.
Build provider relationships and minimize reimbursement barriers across multiple sites of service.
Provide billing, coding, and audit education while aligning with sales and internal teams.
Inspire Medical Systems develops a first-of-its-kind FDA-approved device to treat obstructive sleep apnea and enhance patient lives. They are a fast-growing, people-first company that values diverse voices, offers strong benefits, and promotes professional growth.
Review paid claims to identify underpayments and analyze payer reimbursements against contract terms.
Initiate and track underpayment recovery efforts through appeals, reconsiderations, and payer escalations.
Develop tracking reports, quantify financial impacts, and present findings to leadership.
We are one of the largest gastroenterology multi-specialty groups in the United States, with over 130 locations. Our team of gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals fosters a collaborative culture focused on outstanding medical care.
Lead strategic growth and operational management of pharmacy benefit and managed care relationships nationwide.
Oversee contract evaluation, negotiation, implementation, and renewal with major healthcare payers.
Analyze reimbursement trends and contract performance to support revenue optimization and business growth.
This company operates in the specialty pharmacy sector, supporting patients with chronic and rare illnesses. It is a mission-driven, rapidly growing environment focused on improving access, care, and outcomes for patients with complex healthcare needs.
Manage daily activities virtually to support appropriate patient access to client products.
Educate provider offices on payer requirements, reimbursement processes, and patient support services.
Develop and execute a territory access plan and coordinate with sales, market access, and patient services teams.
Stratis Group is an independent pharmaceutical consulting firm that specializes in commercialization throughout a brand’s lifecycle, focusing on market access, patient services, field reimbursement, and data-driven analytics. The company size is not specified.
Independently manage Medicare, Medicaid, and TriCare cost reports and coordinate audits.
Lead the annual cost report peer-review process and manage provider appeals.
Collaborate with internal stakeholders and external reimbursement organizations to ensure compliance.
They are a large health system providing patient-focused healthcare services. The organization is collaborative and mission-driven, with a focus on financial sustainability.
Lead HEOR evidence strategy and economic models for precision diagnostics across CKD and transplant.
Develop real-world and trial evidence, publications, and payer value communications.
Collaborate cross-functionally with Medical Affairs, Biostatistics, Market Access, and Commercial partners.
Natera is a global leader in cell-free DNA (cfDNA) testing, focusing on oncology, women's health, and organ health. Its team of scientists, clinicians, and business professionals works to make personalized genetic testing part of standard care.