Account Director

Summary

Join Orca Bio's US Payer Field team as an Account Director and play a pivotal role in securing favorable coverage and reimbursement for our next-generation cell therapies. You will develop and execute payer strategies, engaging with regional and national payers and academic hospitals. This role requires strong analytical and presentation skills, along with experience in payer policy, pricing, and reimbursement. Collaboration with internal teams (Field Sales, Medical Affairs, Legal, Quality, and Marketing) is essential. The position involves frequent travel and requires a deep understanding of healthcare regulations. Orca Bio is committed to providing better survival rates for blood cancer patients with dramatically fewer risks.

Requirements

• Bachelor’s Degree required
• 12+ years related Payer/Hospital reimbursement experience in the healthcare industry
• 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 skills and multi-tasking experience are critical
• Proactive, results-oriented, collaborative, self-starter with demonstrated strong leadership skills and experience in a complex reimbursement environment
• Excellent presentation skills, both written and verbal
• Knowledge of regulations and laws governing the protection of patient identifying information, OIG, FDA, and CMS policies pertaining to access
• Must be a true team player and work collaboratively with key internal stakeholders
• Open to frequent travel during site onboarding process and ad hoc meetings (~75%)

Responsibilities

• Serves as single-point-of-contact for all Authorized Treatment Centers (ATCs) with respect to field-related payer-access engagements (including onboarding) as identified by Orca Pod
• Develop and execute Payer Strategy for assigned regional and national payer accounts, to secure access to ORCA-T at launch, as well as on-going payer segmentation and business strategy tactics
• Present analysis of scientific data, clinical practice goals, guidelines, and anticipated economic program outcomes to support product value proposition
• Utilize clinical expertise of Medical Science Liaisons or medical providers in delivering comprehensive product and disease state presentations to key decision makers
• Deliver and maintain favorable access, advantageous payer medical policy, and appropriate reimbursement for ORCA-T upon launch at regional & national payer accounts and throughout its commercialization and continued life cycle management of all of Orca’s portfolio
• Accountable for partnerships with targeted Academic Hospitals/Health Systems to ensure patient access for ORCA-T on a case-by-case basis, as needed
• Frequent interactions with Orca’s Case Management team to resolve patient access issues
• Assist field representatives with reimbursement challenges
• Track KPIs and ensuring accuracy of dashboards to measure account market access results
• Must adhere to Orca's core values, policies, procedures, and business ethics
• Perform miscellaneous duties as assigned