Summary:
The Executive Director, Managed Markets & Payer Strategy, is responsible for shaping and executing Gossamer Bio’s payer access strategy to ensure optimal coverage and reimbursement across Commercial, Medicare, and Medicaid channels. Reporting to the Vice President of Market Access, this leader will oversee National Account Directors, Government Pricing, and Market Access operations, while managing strategic vendor partnerships. The role requires deep expertise in payer contracting, policy engagement, and cross-functional collaboration to drive sustainable patient access and maximize enterprise value.
Essential Duties and Responsibilities
- Lead the development and execution of national and regional payer access strategies across commercial, Medicare, and Medicaid segments.
- Define contracting and negotiation strategies with PBMs, MCOs, IDNs, and specialty pharmacies to ensure competitive access and formulary positioning.
- Partner with Pricing, Trade & Distribution, and Legal/Compliance to design rebate, chargeback, and pricing frameworks aligned with gross-to-net (GTN) targets.
- Develop payer value propositions, budget impact models, and AMCP dossiers that articulate clinical and economic differentiation.
- Oversee payer account management, field reimbursement strategy, and customer engagement initiatives.
- Partner with Marketing and Field Teams to develop payer-focused tools, messaging, and training to support internal and external stakeholders.
- Ensure all strategies and initiatives align with legal, regulatory, and compliance frameworks.
- Lead the development of customer segmentation, messaging, and campaign strategies targeting payers, PBMs, and large health systems.
- Oversee development of HEOR strategy, real-world evidence (RWE) generation, and outcomes-based value demonstration.
- Oversee compliance with all federal and state pricing programs, including Medicaid, 340B, VA/FSS, and Medicare Part D reporting.
- Partner with Legal, Compliance, and Finance to ensure accurate calculation of AMP, BP, URA, and ASP in accordance with CMS and OIG requirements.
- Monitor evolving policy and legislative developments that affect drug pricing, reimbursement, and market access, and provide strategic recommendations to senior leadership.
Education, Certifications, Experience
- Bachelor’s degree required; advanced degree (MBA, MPH, MHA, or related field) strongly preferred.
- 15+ years of progressive experience in managed markets/market access within the pharmaceutical or biotech industry.
- 10+ years in a leadership role of people or function.
- Demonstrated expertise in U.S. payer, reimbursement, and pricing landscapes across both pharmacy and medical benefit channels.
- Proven success in payer contracting, account management, and policy engagement with Commercial, Medicare, and Medicaid plans.
- Leadership experience managing account directors and/or market access teams.
- Cross-functional exposure to HEOR, Sales, Marketing, Regulatory, Finance, and Business Development.
- Prior experience in vendor selection and management.
- Strong strategic thinking with the ability to translate corporate vision into tactical execution.
- Excellent communication and negotiation skills with proven ability to influence senior payer executives and internal leadership.
- Deep understanding of payer value frameworks, patient access programs, and reimbursement pathways.
- Strategic, data-driven, and collaborative leader who can balance innovation with compliance rigor.
- Proficiency in Microsoft Office and ability to quickly adopt new tools and technologies.
- Position can be based in San Diego, CA or remote.
- Domestic and occasional international travel required.
Gossamer Bio is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants and complies with all applicable national, state and local laws governing nondiscrimination in employment.
The expected salary range for this position is listed below. Actual pay will be determined based on experience, qualifications, and other job-related factors permitted by law. This position is eligible for an annual performance bonus in accordance with the terms of the applicable plan. This position also qualifies for the benefits as listed below.
Gossamer Bio offers highly competitive benefit plans and programs, including medical, dental and vision insurance, 401(k) and 401(k) matching , long-term incentive plan, disability plan, vacation pay, sick time, holiday pay, and work, personal and family time off in accordance with the terms of the applicable plans. For additional general information on Company benefits, please visit https://www.gossamerbio.com/work-at-gossamerbio/
California Consumer Privacy Act (CCPA) Notice for California Residents:
This notice is to notify you that personal data about you has been collected by Gossamer Bio (“Controller”), which is located at 3115 Merryfield Row, Suite 120, San Diego CA 92121 and can be contacted by emailing [email protected], because Controller wishes to evaluate your candidacy for employment at Controller.
Your personal data was either obtained from publicly available sources (e.g. LinkedIn) or provided to Controller by someone who referred you for potential employment. Controller’s Privacy team can be contacted at [email protected].
Your personal data will be processed for the purposes of managing Controller’s recruitment related activities, which include setting up and conducting interviews and tests for applicants, evaluating and assessing the results thereto, and as is otherwise needed in the recruitment and hiring processes. Such processing is legally permissible under Art. 6(1)(f) of Regulation (EU) 2016/679 (General Data Protection Regulation) and the California Consumer Privacy Act (CCPA) as necessary for the purposes of the legitimate interests pursued by the Controller, which are the solicitation, evaluation, and selection of applicants for employment.
Your personal data has been shared with Greenhouse Software, Inc., a cloud services provider located in the United States of America and engaged by Controller to help manage its recruitment and hiring process on Controller’s behalf.
Your personal data will be retained by Controller as long as Controller determines it is necessary to evaluate your application for employment. Under the GDPR and CCPA, you have the right to request access to your personal data, to request that your personal data be rectified or erased, and to request that processing of your personal data be restricted. You also have to right to data portability. In addition, you may lodge a complaint with a supervisory authority.
Top Skills
What We Do
Gossamer Bio is a San Diego-based company focused on the discovery and development of novel and differentiated therapeutic products, to address high unmet needs amongst various targeted patient populations. Founded by the former Receptos executive team, Gossamer Bio’s strategy will be to leverage an asset-rich in-licensing environment, with a focus on areas of high unmet need, utilizing a team with a strong track record of execution in immunology, inflammation, fibrosis and oncology.
