National Payer Manager

Posted Yesterday
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Hiring Remotely in USA
Remote
Mid level
Healthtech • Pharmaceutical • Manufacturing
The Role
Drive payer coverage and reimbursement for Telix products by engaging commercial and government payers, developing payer strategies with CMS and regional payers, analyzing payer landscapes and performance, advising cross-functional teams on access risk/opportunity, and building partnerships with societies and advocacy groups to expand product access.
Summary Generated by Built In

Telix Pharmaceuticals is a dynamic, fast-growing radiopharmaceutical company with offices in Australia (HQ), Belgium, Japan, Switzerland, and the United States. Our mission is to deliver on the promise of precision medicine through targeted radiation. At our core, we exist to create products that seek to improve the quality of life for people living with cancer and rare diseases. You will be supporting the international roll-out of our approved prostate cancer imaging agent and helping us to advance our portfolio of late clinical-stage products that address significant unmet need in oncology and rare diseases. 




See Yourself at Telix

The National Payer Manager role is responsible for securing commercial and government payer coverage for Telix's portfolio of commercial products, directly supporting the company's strategic growth objectives. By driving payer adoption and ensuring broad reimbursement access, this position plays a critical role in enabling successful commercialization, expanding patient reach, and advancing Telix's overall market impact. 

Key Accountabilities:

• Secure positive coverage and reimbursement for Telix products across commercial and government payer segments by building and maintaining strong relationships with key decision-makers, including medical directors, policy analysts, case managers, and payer influencers. 
• Communicate and demonstrate Telix's value proposition to expand product and indication access, ensuring alignment with evolving payer expectations, clinical evidence, and health-economic justification. 
• Develop and strengthen partnerships with State Societies, professional organizations, and regional advocacy groups to advance Telix reimbursement objectives and influence policy development. 
• Collaborate with CMS, national accounts, regional payers, and RBMs to develop coordinated payer engagement strategies and proactively address coverage, coding, and reimbursement opportunities or barriers. 
• Deliver timely payer landscape updates to internal stakeholders including Market Access, Commercial, Medical Affairs, and Executive Leadership to support strategic decision-making and pull-through planning. 
• Provide clear, data-driven payer insights to external partners, ensuring consistent communication around policy developments, coverage trends, and access implications. 
• Analyze retrospective payer performance and competitive policy landscapes, advising on access strategies, forecasting reimbursement risk/opportunity, and informing life-cycle management planning. 
• Monitor and report emerging payer trends impacting current and future Telix products, ensuring internal teams remain informed and prepared for shifts in coverage, pricing, and reimbursement frameworks. 
• Educate and equip Market Access teams on payer structures, policy considerations, and reimbursement impacts to enhance customer discussions and regional strategy execution. 
• Lead cross-functional payer strategy discussions, collaborating closely with Commercial, Medical Affairs, Finance, HEOR, and other internal partners to align on market access priorities and execution pathways.

Education and Experience: 

  • Bachelor’s degree in business or healthcare administration or relevant work experience. 
  • 3+ years of payer interaction experience to obtain coverage for new products preferred.
  • Experience with CMS regarding specialty medical benefits drugs, preferably radiopharmaceutical diagnostic and therapeutic products.
  • Proven experience in communicating with government and commercial payers.  
  • Experience in analyzing healthcare data.
  • Proven experience demonstrating and understanding of the U.S. reimbursement structure..

Key Capabilities:

  • Commitment to excellence: Take pride in your work and consistently strive for excellence in everything you do
  • Results-oriented: Driven to achieve goals and objectives, with a strong focus on delivering measurable results
  • Creativity and innovation: Possess a willingness to think outside the box and come up with unique and creative solutions to challenges
  • Strong communication skills: Able to communicate effectively with colleagues and stakeholders at all levels, using clear and concise language
  • Collaboration: Work effectively as part of a team, actively sharing knowledge and expertise to achieve common goals
  • Resilience: Demonstrate the ability to bounce back from setbacks and persevere in the face of challenges
  • Inclusive mindset: Demonstrate an understanding and appreciation for diversity, and actively work to create an inclusive environment where everyone feels valued and respected
  • Adaptability: Comfortable working in a dynamic environment, able to adjust to changing priorities, and willing to take on new challenges
  • Ethical behavior: Act with integrity and demonstrate a commitment to ethical behavior in all interactions with colleagues and stakeholders
  • Continuous learning: Show a commitment to ongoing learning and professional development, continually seeking out opportunities to expand your knowledge and skills


At Telix, we believe everyone counts, we strive to be extraordinary, and we pursue our goals with determination and integrity. You will be part of an engaged and supportive group of colleagues who all have a shared purpose: to help people with cancer and rare diseases live longer, better quality lives. Being a Telix employee means being a part of a unique, global, interdisciplinary team working to deliver what's next in precision medicine. We have hybrid and remote employees located all around the world.  We offer competitive salaries, annual performance-based bonuses, an equity-based incentive program, generous vacation, paid wellness days and support for learning and development. 

Telix Pharmaceuticals is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. 

VIEW OUR PRIVACY POLICY HERE

 

Skills Required

  • Bachelor's degree in business or healthcare administration or equivalent work experience
  • 3+ years of payer interaction to obtain coverage for new products
  • Experience with CMS regarding specialty medical benefits drugs
  • Experience with radiopharmaceutical diagnostic and therapeutic products
  • Proven experience communicating with government and commercial payers
  • Experience analyzing healthcare data
  • Demonstrated understanding of the U.S. reimbursement structure
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The Company
HQ: North Melbourne, Victoria
362 Employees
Year Founded: 2015

What We Do

Telix is a biopharmaceutical company focused on the development and commercialisation of diagnostic and therapeutic ('theranostic') radiopharmaceuticals. Telix is headquartered in Melbourne, Australia with commercial operations in the United States, Europe (Belgium and Switzerland) and Japan. Telix is developing a portfolio of radiopharmaceutical products that aims to address significant unmet medical need in oncology and rare diseases. Telix is listed on the Australian Securities Exchange (ASX: TLX)

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