Director, Market Access Strategy (Heme)

Job Description

Vertex currently operates at the forefront of rare disease scientific innovation and has successfully developed and commercialized multiple breakthrough medicines for Cystic Fibrosis (CF) Sickle Cell Disease Transfusion-Dependent Beta Thalassemia and addition to clinical development programs in these commercialized areas Vertex has more than a dozen ongoing research programs focused on the underlying mechanisms of other serious diseases including programs in Type 1 diabetes IgA Nephropathy (IgAN) APOL-1 Mediated Kidney Disease and Duchenne Muscular Dystrophy among others.

The Director Market Access Strategy (Heme) is accountable for leading overseeing and project managing the development of Market Access (MA) strategies primarily the payer value proposition (PVP) resources and associated materials and trainings tactical support programs and overall execution of access resources across all channels for the commercialization of CASGEVY. This role requires a significant degree of collaboration leadership influencing and driving strategic alignment across multiple functions (Account Management Trade Pricing & Contracting US Public Affairs HEOR Global Value & Access Strategy (GVAS) and Marketing). This role will report into the Sr Director Market Access Strategy Heme.

• Provide critical leadership and project management in developing and implementing brand and market access strategies by channel to support patient access and customer reimbursement for CASGEVY via the creation and delivery of impactful market access resources to identified and prioritized accounts. This includes leadership with CRC submissions reviews and responses.
• Strong ability to wholistically evaluate Market Access Landscape continue to generate insights to inform strategy and execution
• Drive payer strategy including understanding of pricing contracting payer landscape access & reimbursement to ensure all strategies and tactics are well thought through and aligned to overarching brand strategy
• Refinement and execution of the market access strategy across Payer and Trade
• Lead initiatives to understand analyze and demonstrate clinical economic and societal value to payers decision-makers and influencers based on FDAMA114 guidelines (aka Pre-approval Information Exchanges) as well as payer value proposition
• Develop train and implement the necessary promotional resources and reimbursement pull-through that support field account teams efforts with key customers
• Plan and execute payer Advisory Boards
• Customize strategies based on Commercial Medicaid & Medicare demographics legislation & trends
• Maintain a strong understanding of the CASGEVY patient journey billing and coding requirements and be a strong partner to the Market Access Strategy lead for the Access and Reimbursement field team.
• Maintain a strong understanding of CASGEVY Trade policy and decisions and work hand in hand with the trade strategy partners and trade account team to support our trade partners for an efficient and effective patient journey
• Identify and address key product barriers to payer access and performance by applying advanced payer analytics and market trends
• Primary point of contact overseeing agency and external vendors to deliver resources and strategic insights on time and within budget
• Developing KPIs and metrics to assess impact of key initiatives
• Act as trusted subject matter expert on US market access landscape to internal colleagues and external customers

Knowledge and Skills:

• Expert knowledge of US healthcare system including govt & commercial payers (Medicaid experience preferred) policy and regulatory environment
• Strong experience working with National and Regional payer account teams aligning on policy language and operationalization of payer processes
• Strong understanding of the hospital setting billing and coding requirements for therapies as well as the flow of funds coupled with cell & gene experience
• Previous contract strategy leadership experience in the pharmaceutical/biotech or healthcare industry
• Experience in developing and articulating a clear and pragmatic value proposition
• Proven track record of meeting or exceeding objectives & goals both as an individual and as part of a team
• Excellent communication skills with experience presenting to customers and internal leadership
• Demonstrated ability to successfully lead cross-functional teams influencing without direct authority with the interpersonal skills to foster collaboration and succeed in a highly matrixed environment
• Ability to perform in a fast-paced environment manage multiple priorities simultaneously and work effectively across cross-functional teams

Education and Experience:

• Bachelors degree in relevant field. MBA or Advanced degree preferred
• Typically requires 10 years of MA experience or the equivalent combination of education and experience

Location: HQ on a hybrid schedule (3 days a week)

Pay Range:

Disclosure Statement:

Flex Designation:

Flex Eligibility Status:

In this Hybrid-Eligible role you can choose to be designated as:
1. Hybrid: work remotely up to two days per week; or select
2. On-Site: work five days per week on-site with ad hoc flexibility.

Note: The Flex status for this position is subject to Vertexs Policy on Flex @ Vertex Program and may be changed at any time.

#LI-Hybrid

Company Information

Vertex is a global biotechnology company that invests in scientific innovation.

Vertex is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a persons race color sex gender identity or expression age religion national origin ancestry ethnicity disability veteran status genetic information sexual orientation marital status or any characteristic protected under applicable law. Vertex is an E-Verify Employer in the United States. Vertex will make reasonable accommodations for qualified individuals with known disabilities in accordance with applicable law.

Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the recruiter or hiring manager or contact Talent Acquisition at