Executive Director - Payer Access

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Ocular Therapeutix, Inc.

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ocular drug delivery • surgical sealants • sustained delivery • ophthalmic therapies • ophthalmology

51 - 200 employees

Founded 2014

🧬 Biotechnology

💊 Pharmaceuticals

⚕️ Healthcare Insurance

Description

• Ocular Therapeutix, Inc. (NASDAQ: OCUL) is a biopharmaceutical company focused on the formulation, development, and commercialization of innovative therapies for diseases and conditions of the eye using its proprietary bioresorbable hydrogel-based formulation technology, ELUTYX™. • Ocular Therapeutix is seeking an Executive/Senior Director - Payer Access who is highly motivated to lead the creation and execution of our Retina pipeline access strategies and continue building on the excellent coverage that currently exists with Dextenza. • Reporting to the Vice President, Market Access, this individual will have primary responsibility to serve as the liaison between the company and national/regional Payer customers across commercial, Medicare, Medicaid, PBM medical benefit management and other segments including VA/DoD. • This role plays a critical part in elevating Ocular Therapeutix’s emerging market presence in Retina while preparing to advance patient and physician access to Ocular Therapeutix’s lead product candidate. • Lead the creation of pre and post launch strategic and tactical market access business plans that deliver on clear goals and objectives for customer engagement within Market Access. • Create and evolve the pre-approval information exchange (PIE) strategy and materials. • Enable payer coverage pathway through pre-approval information exchange and post-approval value engagement with customers. • Seek out opportunities for synergy and partnership to achieve both Ocular Therapeutix and customer goals through active and transparent planning. • Analyze the market landscape in terms of coverage and reimbursement, existing and emerging payer policies, competitive landscape, trends, pricing, contracting strategies / trade-offs, potential barriers to provider, patient access, and opportunities to influence improved outcomes. • Leverages existing account relationships and builds new relationship to both maintain access for Ocular Therapeutix’s current commercial brand, Dextenza, while preparing for the future Retina product launch. • Contribute critical thinking to payer value proposition planning. • Compliantly collaborate with all internal teams, including but not limited to sales, marketing, medical/HEOR, and legal to craft and refine accurate and compliant messaging to use with healthcare decision-makers. • Actively participate at major market access conferences (i.e. PCMA, AMCP, Asembia, etc.) as well as Ophthalmology industry conferences (AAO, ASRS, etc..). • The role begins as a single contributor role however it is anticipated to migrate to a supervisory role by the second half of 2025.

Requirements

• BS/BA required (science/business/finance), MS or MBA optional but preferred. • 15+ years in the pharmaceutical industry. • 10+ year with some combination of payer account management, payer reimbursement, payer marketing, and/or having experience on the customer side of the business. • Strong understanding of the evolving US healthcare system, payer dynamics, access, and reimbursement. • Possess a strong network of EXISTING relationships across top US payers • Therapeutic experience in Retina • Demonstrated leadership of market access strategy of medical benefit/Buy and Bill • Experience in product commercialization (end to end pre-launch through launch). Experience in launching products in the Retina market is preferred. • Demonstrated market access/customer segment knowledge across commercial, Medicare, and Medicaid. • Demonstrated business acumen, analytical prowess, and strategic thinking abilities. • Strong collaborator and demonstrated experience in influencing stakeholders to support strategic decisions. • Excellent communication (written and oral) and presentation skills. • Understanding of the applicable legal and regulatory environment. • OUS Payer/HTA experience is a plus • Travel expected to be 30-50% mostly in the US however some travel could be outside of the US.