National Payer Manager

Summary

Join Telix Pharmaceuticals, a fast-growing radiopharmaceutical company, and contribute to the achievement of the Group’s strategic goals by ensuring successful payor adoption of commercial products. This key position focuses on obtaining positive coverage guidelines for Telix products with government and commercial payers. You will build relationships with key stakeholders, understand and deliver the Value Proposition, manage relationships with State Societies, and work with CMS, National, Regional and RBMs. The role also involves presenting payer updates to internal and external stakeholders, analyzing the payer landscape, reporting current trends, training Market Access teams, and leading cross-functional discussions. Telix offers a supportive and engaged work environment with competitive salaries, bonuses, equity incentives, generous vacation, paid wellness days, and support for learning and development.

Requirements

• Bachelor’s degree in business or healthcare administration or relevant work experience
• 5+ years of payer interaction to obtain coverage for new products
• Experience with CMS regarding radiopharmaceutical diagnostic and therapeutic products
• Proven experience in communicating with government and commercial payers
• Experience in analyzing healthcare data
• Proven experience demonstrating an understanding of the US reimbursement structure

Responsibilities

• Obtain positive coverage guidelines for Telix products with government and commercial payers by building relationships with key stakeholders in these accounts
• Understand and deliver the Value Proposition to grow product portfolio and indication access
• Manage relationships with State Societies
• Work with CMS, National, Regional and RBMs and develop strategies to build collaboration
• Present payer updates to the internal stakeholder team
• Present updated payer updates to external partners
• Analyze retrospective payer landscape and advise strategies regarding payors. Modeling these impacts through life-cycle management
• Report current payer trends that impact Telix current and future products
• Training of Market Access teams regarding payer groups and impact to customers
• Lead cross functional payer discussions

Preferred Qualifications

• Inclusive mindset: Demonstrate an understanding and appreciation for diversity, and actively work to create an inclusive environment where everyone feels valued and respected
• Creativity and innovation: Possess a willingness to think outside the box and come up with unique and creative solutions to challenges
• Commitment to excellence: Take pride in your work and consistently strive for excellence in everything you do
• Results-oriented: Driven to achieve goals and objectives, with a strong focus on delivering measurable results
• Ethical behavior: Act with integrity and demonstrate a commitment to ethical behavior in all interactions with colleagues and stakeholders
• Adaptability: Comfortable working in a dynamic environment, able to adjust to changing priorities, and willing to take on new challenges
• Strong communication skills: Able to communicate effectively with colleagues and stakeholders at all levels, using clear and concise language
• Collaboration: Work effectively as part of a team, actively sharing knowledge and expertise to achieve common goals
• Resilience: Demonstrate the ability to bounce back from setbacks and persevere in the face of challenges

Benefits

• Competitive salaries
• Annual performance-based bonuses
• An equity-based incentive program
• Generous vacation
• Paid wellness days
• Support for learning and development