Executive Director of Payer Access

Summary

Join Ocular Therapeutix, a biopharmaceutical company, as an Executive/Senior Director - Payer Access. Lead the creation and execution of retina pipeline access strategies, building upon existing Dextenza coverage. Serve as a liaison between the company and national/regional payers. This critical role elevates Ocular Therapeutix's market presence in retina and prepares for future product launches. The position involves strategic planning, market analysis, relationship building, and collaboration with internal teams. It starts as a single contributor role but is expected to become supervisory by the second half of 2025.

Requirements

• BS/BA required (science/business/finance)
• 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)
• 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

Responsibilities

• 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..)

Preferred Qualifications

• MS or MBA optional but preferred
• Experience in launching products in the Retina market is preferred
• OUS Payer/HTA experience is a plus