Payer Account Associate Director

About the role

The Payer Accounts, Associate Director (PAAD) will serve as the lead point of contact for all account management activities within assigned accounts in a defined geography including regional commercial Managed Care Organizations (MCOs) and state Medicaid agencies. The PAAD will play an integral role in securing reimbursement for Vertex’s entire portfolio of commercialized products.

Key accounts

• Regional MCOs
• Medicare health plans
• State Medicaid

Responsibilities

• Deliver clinical and economic value proposition for Vertex products to key individuals within assigned regional accounts
• Educate essential formulary decision makers on disease state, burden of illness, prevalence, and unmet need for near term potential product launches through use of approved Preapproval Information Exchange (PIE) materials
• Conduct financial analyses, develop business plans and contracting proposals, secure contract terms approval and negotiate contractual terms with customers across Vertex portfolio (where applicable)
• Secure appropriate pharmacy and medical benefit criteria for entire Vertex marketed products for all assigned regional MCO’s and state Medicaid
• Actively engage with payers to educate about Vertex’s growing pipeline through PIE approved resources
• Collaborate with many internal Vertex partners across multiple business units to address access related opportunities and challenges within defined geography
• Monitor state Medicaid policy and legislation such as drug transparency legislation and impact to Vertex
• Monitor state P&T and DURB product and class reviews and ensure Vertex cross-functional teams are aware of status
• Work closely with the public policy team to develop, update, and communicate comprehensive plans of action for state Medicaid for entire Vertex portfolio and pipeline ensuring broad and equitable access for future drug launches
• Actively share customer insights and educate Vertex partners across the market access organization and across Vertex business units and pull through strategy and contracts with regional accounts
• Exercise sound judgment and oversight to ensure integrity and compliance with company policies in all activities and communications

Knowledge and skills

• Prior field account role experience required, preferably with increasing responsibility
• 3 years of field market access experience preferred with variety of healthcare providers/organizations
• In-depth knowledge of managed care and specialty pharmacy payer landscape
• Working knowledge of assigned account with established relationships preferred
• Ability to think strategically, analytically, and collaboratively
• Outstanding oral and written communication skills
• Candidate must thrive working in a fast-paced, innovative environment while remaining flexible
• Experience in negotiating direct contracts with payers
• Proven record of success with strong results orientation and excellent customer relationship skills

Qualifications

• Position requires significant travel
• Preferred: Candidate lives within designated geography (IL, MI, WI, MN, IA, MO)

Benefits

• At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
• From medical, dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter), educational assistance programs including student loan repayment, a generous commuting subsidy, matching charitable donations, 401(k) and so much more.

Pay

Pay Range: $168,000 - $252,000

Some roles may also be eligible for overtime pay, in accordance with federal and state requirements.

Actual base salary pay will be based on a number of factors, including skills, competencies, experience, and other job-related factors permitted by law.