Payer Account Director (East or Mid West)

Company: Lantheus
Location: Washington
Posted on: February 18, 2025

Job Description:

Payer Account Director (East or Mid West)Lantheus is headquartered in Bedford, Massachusetts with offices in Canada, and Sweden. For more than 60 years, Lantheus has been instrumental in pioneering the field of medical imaging and has helped physicians enhance patient care with its broad product portfolio.Lantheus is an entrepreneurial, agile, growing organization that provides innovative diagnostics, targeted therapeutics, and artificial intelligence (AI) solutions that empower clinicians to find, fight and follow disease. At Lantheus our purpose and values guide our behaviors in all interactions and play a vital role in creating a dynamic environment that contributes to our success. Every employee is crucial to our success; we respect one another and act as one knowing that someone's health is in our hands. We believe in helping people be their best and are seeking to bring together a diverse group of individuals with different viewpoints and skill sets to be a part of a productive and inclusive team.Summary of Role:The Payer Account Director will be a strategic partner responsible for leveraging customer relationships to deliver broad access, reimbursement, and appropriate policy for Lantheus brands. The successful candidate will be the lead for payer organizations to include Commercial plans, Medicare Advantage, Medicare Administrative Contractors (MACs), and state Medicaid, to ensure coverage of Lantheus products by driving medical policy and coverage initiatives. The individual in this role will mobilize the support of large customers and physician organizations treating prostate cancer, neuroendocrine tumors, and Alzheimer's disease states to impact and shape medical policy. The Payer Account Director will be responsible for assisting in creating key communication strategies for approved diagnostics and therapies and executing preapproval information exchange for Lantheus products post NDA filings. The person in this role must work collaboratively with the broader Lantheus Commercial organization including Market Access field teams, Market Access Strategy, National Accounts, Government Affairs, and Medical Affairs among others to shape positive patient access for Lantheus products. This position will report to the Head of Payer Advocacy & Strategy.Key Responsibilities/Essential Functions:

• Establish strong relationships with Pharmacy Directors, Medical Directors, and other strategic personnel within key assigned accounts.
• Serve as the lead for traditional Medicare, Medicare Advantage, Medicaid, and Commercial payers on matters related to payer policy and the claims adjudication process.
• In coordination with Market Access Leadership, executes a market access strategy aligned with Lantheus' commercial goals and ensures a comprehensive tactical and strategic plan is deployed to achieve commercial strategic objectives.
• Create, implement, and maintain detailed account plans for targeted accounts, including pre-launch, launch, and post-launch activities to maximize access and while protecting Lantheus' current assets.
• Ensure rapid and optimal access for all Lantheus products.
• Provide appropriate insight and input into the development of payer prior authorization criteria and, or medical policy.
• Work in partnership with Market Access field teams to identify and mitigate access barriers.
• Provide periodic market updates to Commercial Leadership that link important provider, payer, and health care reform trends and issues as well as document initiatives and their outcomes.
• Deliver value proposition and Health Economic Information (HEI) to educate payers on product(s) clinical and economic benefit.
• Ensures all activities are consistent with all US Healthcare regulations, laws, and company compliance policies.Minimum Skill, Experience & Education:
  • BS/BA degree in Business, Marketing, Economics, or related field; advanced degree strongly preferred.
  • Candidate should have 10+ years of proven success in biotech/pharmaceutical industry (large account management experience is preferred)
  • Minimum of 5 years of recent experience executing market access strategies for payer accounts.
  • Recent existing relationships with individuals at commercial and group payer organizations.
  • Proven credibility in gaining accelerated access to key decision-makers and influencers with time efficiency.
  • Expertise in the medical benefit services of payer organizations.
  • Impeccable interpersonal and networking skills that drive successful relationship building. Strong collaboration skills with a demonstrated ability to work effectively with a variety of internal and external stakeholders, and cross-functionally across teams and divisions.
  • Experience delivering value propositions and using health economic models.
  • Demonstrated experience in gaining payor coverage decisions and developing payor coverage.
  • Expert knowledge of US healthcare system, including government and commercial payer policy.
  • Strong written and verbal communication skills, including strong presentation skills. Ability to articulate, and present complex information in a distilled, concise, persuasive manner to a variety of audience levels.
  • Strong analytic and strategic thinking skills. Moves beyond the traditional ways of doing things and pushes the status quo.
  • Continually assesses the market potential of innovative ideas and solutions and builds strong business cases for the customer and Lantheus to support the initiative.
  • Able to work independently with little direction and self-initiation, capacity to research and stay current on healthcare industry trends.
  • Oncology and neurology experience preferred. Radiopharmaceutical experience is a plus.
  • Knowledge of legal, compliance, and regulatory guidelines related to reimbursement activities within the healthcare industry.
  • May Perform other duties as required.
  • Must be willing to travel at least 50% with some weekend travel required.Core Values:The ideal candidate will embody Lantheus core values:
    • Let people be their best
    • Respect one another and act as one
    • Learn, adapt, and win
    • Know someone's health is in our hands
    • Own the solution and make it happenLantheus is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Lantheus is an E-Verify Employer in the United States. Lantheus will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law.Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the Lantheus Talent Acquisition team at talentacquisition@lantheus.com .
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Keywords: Lantheus, Washington DC , Payer Account Director (East or Mid West), Executive , Washington, DC