National Access Director

We are looking for creative, highly motivated individuals to help prepare for the successful launch of tabelecleucel (Tab-cel), an investigational cell therapy for the treatment of Epstein Barr positive post-transplant lymphoproliferative disease.  

The National Access Director will play a critical role in preparing for launch and facilitating urgent access to Tab-cel once approved. In the pre-approval phase, they will work closely with Pierre Fabre’s Cell Therapy Account Directors and Field Medical Directors to support site operational onboarding and readiness leading up to and after the anticipated approval of the Tab-Cel. They will be responsible for pre- and post-approval information exchanges with payers to ensure payers have the appropriate data and information required to enable coverage decisions and provide a pathway to coverage for patients who may be prescribed the Tab-cel post approval. Critically, they will ensure that financial stakeholders at treating facilities and payers have timely access to information needed to navigate the preparation for the relevant prior authorization process and potential single case agreements.  

This is an exciting opportunity to be part of an organization that is preparing to launch a new class of advanced therapeutics while making a meaningful impact on the lives of patients with a life-threatening disease. Pierre Fabre Pharmaceuticals offers unique development opportunities, and we are looking for candidates that have a growth mindset and thrive in a start-up environment that will be scaling up the Pierre Fabre presence in the US pharmaceuticals market. We value individuals who exhibit behaviors such as team collaboration, humility, innovative thinking, and patient centric approach to the business.   

ESSENTIAL FUNCTIONS: 

• Operate in compliance with all laws, regulations and policies that govern the conduct of Pierre Fabre activities 

• Facilitate urgent access to Tab-cel post approval by educating payer customer segment and treatment center financial stakeholders of value proposition of product 

• Contributes to the US Value and Access Team by monitoring trends, policy changes, and implications and taking ownership of this expertise  

• Seek out opportunities for synergy and partnership to achieve both Pierre Fabre and customer goals through active and transparent planning and customer engagement with cross functional Team. 

Tab-Cel Support 

• Enable payer coverage assessment for Tab-Cel through pre-approval information exchange and post-approval with national and regional payers in the Commercial, Medicare, and VA sectors 

• Support overall access strategy with engagement of Federal Payers and Medicare FFS 

• Contribute to market access strategic imperatives  

• Educate payers on the urgent unmet need and provide resources to ensure a pathway to coverage in the pre and post approval regulatory setting 

• Identify appropriate payer stakeholders for the therapy and partner with payer colleagues to establish path for expedited review of cases 

• Provide approved product education and health economic information to key customers in payer and provider segment to communicate the value proposition of the product.  

• Ensure financial and reimbursement confidence and communicate payer coverage with providers post approval 

• Partner with treatment sites and key stakeholders to educate on reimbursement process, coverage and coding details relevant for the Therapy post approval, ensuring stakeholder comfort and confidence in their reimbursement process 

• Liaise with external specialty distributor counterpart(s) to meet objectives while providing a best-in-class experience for sites of care 

• Proactively communicate payer coverage criteria to internal field teams and external site of care stakeholders 

• Prepare potential treatment centers to be reimbursement ready before and after anticipated approval 

• Ensure that providers and payers have timely access to information needed to navigate prior authorizations and the negotiation of single-case agreements (e.g. coding, relevant policy, setting of care considerations) 

• The National Access Director will be the primary field team member responsible for education regarding patient assistance programs at sites of care 

• The National Access Director is the field expert in market access related issues related to Trade Policy 

• National Access Director is responsible for partnering with payer relations teams at sites of care to resolve any issues regarding coverage and reimbursement 

REQUIRED EDUCATION AND EXPERIENCE  

• Bachelor’s degree required, healthcare degrees or credentials desirable 

• Strong, pre-existing working experience with national and regional payers that manage medical and pharmacy benefit policy 

• Deep knowledge of and experience with inpatient and outpatient reimbursement methodology and dynamics and impacts to hospital access economics 

• 10+ years of biotech/pharma required with at least five years of direct experience in coverage and reimbursement dynamics of complex advanced therapies (E.g. cell therapy, gene therapy, radio ligand)  

Strongly Preferred 

• Experience with cell and gene therapy networks and Medical Director teams at payers that manage Cell Therapy products 

• Strong presentation skills and executive presence 

• Exceptional business acumen and hospital administrative expertise  

• Cell, Gene, Stem Cell Transplant service line experience and established relationships with financial KOLs at institutions 

• Ability to work in fast-paced and dynamic environment while maintaining cross functional internal relationships and contribute to site of care account planning 

• Experience with pharmacy/ therapeutics committee and high impact drug review processes at institutions 

LOCATION: 

US, remote, domestic travel up to 30%