VP, Market Access
Posted on Apr 5, 2021 by Pear Therapeutics
The Vice President of Market Access will be responsible for developing and leading overall market access strategy and execution, with a focus on Payer interactions. The role will be responsible for shaping and enhancing the way Pear approaches access via 3rd party reimbursement and channel customers. We will rely on you to design and implement the PDT reimbursement model for Pear and the entire industry. We will rely on you to represent best-in-class market access strategies on both government and commercial sides. Reporting to the Chief Commercial Officer, this is a critical and highly visible leadership role within Pear.
Create short-, medium- and long-term vision and organizational plan for the market access strategy including resource allocation, brand budget, priorities, and staffing.
Collaborate with key internal stakeholders to ensure alignment and translation of strategy is effectively Embedded into promotional programs and tools.
Execute the US launch of reSET®, reSET-O® and Somryst®, (and pipeline products) into the payer/provider arena to ensure access and achievement of business objectives.
Lead all payer, reimbursement activities and programs to ensure a sustainable business.
Develops relationships with managed care/insurance organizations and integrated delivery networks, leading contracting and price negotiations.
Partner cross-functional and multi-disciplinary access team (including Marketing and Sales, Product, Communications, Clinical Development, Market Access and Pricing, Business Intelligence, and Finance) for planning and executing Pear's products and pipeline launch into the payer arena within the U.S.
Lead the development and execution of the Pear Therapeutics Market Access strategies and tactics for: Payer customers (Medicare, Medicaid, Commercial, VA/DOD).
Lead/contract for payer account manager team and for field reimbursement team (eg, setting and achieving goals, providing training, providing materials, etc.).
Identify payer customer insights, determine segmentation, develop promotional positioning, create/test value messages, develop materials for payer account team, and determine promotional mix allocations.
Collaborates with Medical Affairs and Clinical Development team members to develop health economic evidence, budget impact models, AMCP dossier to support payer customer needs and overall brand value positioning. Perform other duties as assigned to support business needs.
Accountable for WAC pricing recommendation and setting contracting guidelines.
Meet/exceed product access, rebate, and net revenue desired goals.
Bachelor's degree required. MBA, MPH, or other relevant advanced degree preferred.
Minimum 15 years of experience including, but not limited to, pharmaceutical manufacturer, consulting, Pharmacy Benefit Management (PBM), and Managed Care.
Minimum 5 years of behavioral health experience, including launching behavioral health products to payer customers.
Expertise in payer markets including understanding all major payer segments required (eg, how payers make profit/manage budgets, manage formulary access, operationalize coverage decisions/utilization management).
Experience setting and executing site of care access and reimbursement strategies required.
Experience managing and leading teams required.
Experience contracting for vendor provided services required.
Experience in payer account management preferred.
Experience in designing/managing specialty reimbursement hubs, copay and patient assistance programs, and leadership of field reimbursement teams preferred.
Health outcomes/health economics experience preferred.