Account Director, Payer Field Team (Multiple Positions)

Responsibilities

• Serves as single-point-of-contact for all Authorized Treatment Centers (ATCs) with respect to field-related payer-access engagements (including onboarding) as identified by Orca Pod
• Develop and execute Payer Strategy for assigned regional and national payer accounts, to secure access to ORCA-T at launch, as well as on-going payer segmentation and business strategy tactics
• Present analysis of scientific data, clinical practice goals, guidelines, and anticipated economic program outcomes to support product value proposition
• Utilize clinical expertise of Medical Science Liaisons or medical providers in delivering comprehensive product and disease state presentations to key decision makers
• Deliver and maintain favorable access, advantageous payer medical policy, and appropriate reimbursement for ORCA-T upon launch at regional & national payer accounts and throughout its commercialization and continued life cycle management of all of Orca’s portfolio
• Accountable for partnerships with targeted Academic Hospitals/Health Systems to ensure patient access for ORCA-T on a case-by-case basis, as needed
• Frequent interactions with Orca’s Case Management team to resolve patient access issues
• Assist field representatives with reimbursement challenges
• Track KPIs and ensuring accuracy of dashboards to measure account market access results
• Must adhere to Orca's core values, policies, procedures, and business ethics
• Perform miscellaneous duties as assigned

Requirements

• Bachelor’s Degree required
• 12+ years related Payer/Hospital reimbursement experience in the healthcare industry
• Proven relationships with Commercial Payer Medical Directors, Medicare Part A, State Medicaid, and Managed Medicaid stakeholders
• Strong analytical skills with experience in Payer Case rates, Payer policy development, and Payer Policy data tracking tools
• Problem solving skills and multi-tasking experience are critical
• Proactive, results-oriented, collaborative, self-starter with demonstrated strong leadership skills and experience in a complex reimbursement environment
• Excellent presentation skills, both written and verbal
• Knowledge of regulations and laws governing the protection of patient identifying information, OIG, FDA, and CMS policies pertaining to access
• Must be a true team player and work collaboratively with key internal stakeholders
• Open to frequent travel during site onboarding process and ad hoc meetings (~75%)