[Hiring] Director, Federal Payer Accounts @Compass Pathways

Role Description

Our Director, Federal Payer Accounts is responsible for driving and securing formulary access and coverage for COMP360 across U.S. Federal healthcare systems, including Veteran's Administration (VA), Department of Defense (DoD), TriCare, and Indian Health Services (IHS) ahead of and through launch.

Reporting to the Senior Director, Strategic Payer Accounts, this individual is responsible for establishing and maintaining strategic and productive customer relationships, developing strategic account plans that support their efforts in translating the COMP360 value proposition into sustainable coverage wins, while partnering internally with Health Economics and Outcomes Research (HEOR), Medical Affairs, Government Affairs, and Commercial Operations to ensure payer strategies are fully executed with precision.

Roles and Responsibilities

• Federal Payer Account Strategy and Execution:
  • Work closely with the Senior Director to develop and execute account strategies across VA, DoD, TriCare, and IHS payer segments to drive optimal formulary positioning for COMP360 at launch and beyond.
  • Stay current with dynamic market forces, customer organizational changes, and policy changes at the federal and state level that impact Compass and/or payer customers, and incorporate those variables into proposed account strategies and tactics as necessary and appropriate.
  • Own strategic and tactical planning and prioritization for assigned payer accounts, profiling key decision-makers including Pharmacy Directors, Medical Directors, Clinical Pharmacy and Finance leads, and P&T committee members.
  • Own strategic relationships with payer customers and serve as the primary interface and negotiator for coverage, contracting, and access discussions.
  • Identify and proactively address barriers to formulary inclusion, developing tailored strategies to support timely P&T reviews and coverage policy development.
• Value Communication and Pull-Through:
  • Articulate the clinical and economic value proposition of COMP360 to payer audiences, integrating HEOR evidence, budget impact models, and real-world data to support coverage and access decisions.
  • Partner with the Senior Director and Finance on contracting recommendations to ensure proposals are commercially sound, aligned with government pricing compliance requirements, and GTN impacts are aligned with financial goals.
  • Collaborate with Sales and Patient Engagement on pull through initiatives in local VA/VISN and Military Treatment Facilities following national formulary wins.
• Cross-Functional Collaboration:
  • Partner closely with HEOR, Medical Affairs, Government Affairs, Sales, and Patient Engagement to align payer specific push-or-pull-through strategies and tactics.
  • Where applicable and possible for P&T meetings, lead and execute a multi-prong strategy:
    • Collaborate with Sales and Patient Engagement to obtain HCP support.
    • Collaborate with Government Affairs around any relevant legislative-related tactics.
    • Collaborate with patient advocacy organizations (i.e. NAMI, AfPA, etc.) regarding appropriate support.
    • Collaborate with Sales, Patient Engagement, and Commercial Operations leadership on HCP-facing formulary and access update communications that enable effective Sales execution and pull through.
  • Represent the payer perspective internally, providing strategic guidance to leadership on coverage risks, opportunities, and competitive landscape dynamics.

Qualifications

• 7+ years in pharma/biotech market access, with significant direct experience in payer account management within the VA, DoD, TriCare, and IHS segments.
• Proven track record negotiating, securing, and maintaining formulary access for launch-stage (and beyond) specialty or breakthrough products; CNS/psychiatry or novel treatment modality experience is a plus.
• Experience executing contracts specific to the Federal payer market (i.e. Temporary Drug Pricing contracts, VA National Contracts, Provisional/Temporary pricing, etc.), as well as other innovative, outcome, and/or value based contracts.
• Deep knowledge of US Federal payer landscape, formulary decision-making processes, utilization management, and prior authorization design.
• Ability to translate HEOR and health economic data into compelling value narratives for payer audiences.
• Hands-on launch experience at a growth-stage biotech; comfortable working in ambiguous situations and building tools and capabilities from scratch.
• Exceptional stakeholder management skills; equally credible with external payer accounts and internal cross-functional partners.
• Bachelor's degree required; advanced degree in Business, Public Health, Health Economics, or Pharmacy preferred.
• Mission and values-aligned team player and cross-functional leader, passionate about expanding access to mental health innovation; demonstrates Compass' values: Compassion, Boldness, Inclusion, Rigour.

Benefits

• Base salary range: $220,000 — $270,000 USD.
• Additional discretionary bonuses and equity eligibility.

Equal Opportunities

We are committed to building a workplace where everyone’s wellbeing matters. If you need reasonable accommodation during the interview process to be at your best, please let our recruiting team know.

Compass Pathways is proud to be an equal opportunity employer. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, and related medical conditions), ethnicity, age, disability, sexual orientation, gender identity, gender expression, military service, genetic information, familial or marital status, or any other status, category, or characteristic protected by applicable law.