Director, Payer Contracts
Compass Pathways · United States · 2 wk ago
RemoteRemoteAnalystFull-time
Key Responsibilities
- Establish formal policies/procedures for the entire contracting process, including touchpoints with all stakeholders
- Incorporate approved pricing/contracting strategies into formal Contract Guidelines
- Pressure test the rationale for each contract, and ensure that economic terms and conditions align with Compass’ overall strategic direction
- Provide input on pricing and non-price terms, including awareness of downstream and Government Pricing considerations, including potential implications on ASP and “buy and bill” model
- Finalize business cases to support the contract review and approval processes
- Adhere to payer requirements regarding portal management, bid processes/timelines, etc. needed to establish formal contracts
- Support negotiations and implementation of contracts in partnership with cross-functional teams
- Manage vendors that assist Compass with contract, rebate, and claims administration
- Maintain oversight of each contract appropriately for ongoing compliance
Contracting Strategy Support
- Contribute to pricing and contracting strategies at overall Payer level and individual payer-specific level scenario
- Understand how federal/state legislative changes and payer policy changes may impact contracts/strategy, customers, and other stakeholders
- Lead the design and refinement of contracting programs and pricing approaches responsive to market dynamics and customer needs
Cross-Functional Collaboration
- Partner closely with Market Access, Legal, Finance, Brand, Field Sales, Data Management, and Government Affairs
- Demonstrate and align to Compass Pathways ways of working
Professional Experience/Qualifications
- Strong Market Access business and financial acumen, with an emphasis on Biopharmaceutical experience in commercial and government payer contracts and pricing
- Robust understanding of pharmacy channel stakeholder economics, including Payers, Pharmacy benefit managers (PBMs), Group Purchasing Organizations (GPOs)
- Working knowledge of Medical benefit products economics such as ASP pricing, physician reimbursement and interplay between Pharmacy and Medical contracting
- Ability to develop insights and communicate effectively to influence executive level decisions
Education
- Bachelor’s degree required in Business, Finance, Economics, or related field
- Master’s degree preferred in one of the above listed programs