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Orca Bio is a commercial-stage biotechnology company developing next-generation cell therapies for blood cancer patients, aiming to improve survival rates and reduce risks associated with traditional stem cell transplants.
You will join the US Payer Field team (Market Access) as a Payer Account Director covering the Southeast US, including Florida, Georgia, Tennessee, Kentucky, West Virginia, North Carolina, South Carolina, Alabama, Oklahoma, Mississippi, Arkansas, Louisiana, and parts of Texas. Your primary objective is to secure favorable coverage and reimbursement for Orca Bio products through regional, national, and government payers, with key target relationships including Aetna, FL Blue, and regional payers.
Key Responsibilities:
- Serve as the single point of contact for all Authorized Treatment Centers (ATCs) regarding field-related payer-access engagements and onboarding
- Develop and execute payer strategy for assigned regional and national payer accounts, state Medicaid agencies, and Medicare Administrative Contractors
- Present analysis of scientific data, clinical practice goals, guidelines, and economic program outcomes to support product value proposition
- Utilize clinical expertise of Medical Science Liaisons and medical providers in delivering comprehensive presentations to key decision makers
- Deliver and maintain favorable access, advantageous payer medical policy, and appropriate reimbursement throughout the product lifecycle
- Partner with targeted Academic Hospitals/Health Systems to ensure patient access on a case-by-case basis
- Interact frequently with the Case Management team to resolve patient access issues
- Track KPIs and maintain accuracy of dashboards to measure account market access results
- Adhere to company core values, policies, procedures, and business ethics
The role requires frequent travel (~40%) during site onboarding and ad hoc meetings. You will work collaboratively with Field Sales, Medical Affairs, Legal, Quality, and Marketing teams.
Qualifications:
- Bachelor's Degree required
- 12+ years of related Payer/Hospital reimbursement experience in healthcare
- 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 and multi-tasking capabilities
- Proactive, results-oriented, collaborative, self-starter with demonstrated strong leadership skills in complex reimbursement environments
- Excellent presentation skills (written and verbal)
- Knowledge of regulations and laws governing patient information protection, OIG, FDA, and CMS policies pertaining to access
- Team player mentality with ability to collaborate with internal stakeholders
- High proficiency in Microsoft Excel, Word, and PowerPoint
- Open to frequent travel (~40%)
