[Hiring] Director, Payer Access Cell Therapy @Iovance Biotherapeutics

Role Description

As we continue our strategic execution with the launch of Amtagvi and for future indication preparation, we are seeking experienced Payor & Access Cell Therapy leaders who will formulate and execute strategic account plans engaging Regional and National payors and targeted hospitals / health systems / large group practices. This person will be responsible for ensuring positive payor medical policies, Authorized Treatment Center (ATC), reimbursement preparation and continued support, and close partnership with field sales team members pertaining to their specific customer needs. Strong collaboration skills is a must as this role will require you to engage in several cross-functional engagements with Medical Affairs, Legal, Field Sales, External Affairs and Marketing as required.

Essential Functions and Responsibilities

• Responsible for assigned regional and national payor engagement including informing strategy and execution to support product value proposition, quality coverage, coding and reimbursement.
• Develop business champions to instill confidence in a financially viable TIL service line within the targeted hospitals / health systems / large group practices.
• Ensure appropriate payer policies aligned to label, NCCN Guidelines, and/or clinical trial criteria to optimize patient access to Iovance products.
• Preparation of the payer marketplace for future product indications with updated clinical data and support payer adjudication process needs to support an evolving provider access landscape for Amtagvi.
• Pull through with the providers and the payers on identified clinical needs per corporate initiatives with Amtagvi.
• Accountable for partnerships with targeted hospitals / health systems / large group practices to plan for their financial processes needs and ensure timely patient access for Iovance products.
• Responsible for C-Suite Relationships through FDAMA 114 at the Provider Accounts including hospital ATCs & Community Oncology Groups and their associated individual community oncology treating centers.
• Collaborate with IovanceCares Case Management and Field Sales team to address and resolve access issues to assure quick pull through of patients.
• Track key metrics to ensure accuracy of executive dashboards to measure account market access results.
• Prioritize, build and maintain relationships with key regional and national commercial and government plans in the assigned geography.
• Present analysis of scientific data, clinical practice goals, guidelines, and anticipated economic program outcomes to support product value proposition.
• Develop and execute periodic strategic action plans for all key accounts as identified.
• Utilize advocacy needs as needed and coordinate those with other Iovance teams who work with the appropriate advocates.
• Attend relevant key customer conferences to maintain current knowledge and relationships.

Qualifications

• 12+ years of related payor or hospital reimbursement account experience in the healthcare industry.
• Proven relationships with Commercial Payor Medical Directors, Medicare Advantage plans, Medicare MACs, FFS State Medicaid, and Managed Medicaid stakeholders.
• Strong analytical skills with experience in payor CRM, payor policy development, and using data tracking tools.
• Problem solving skills and multi-tasking experience are critical.
• Inpatient hospital pull through experience is a plus.
• Experience in cell or gene therapy products is highly desirable.
• Proactive, results-oriented, collaborative, self-starter with demonstrated strong leadership skills and experience in a complex reimbursement environment.
• Excellent presentation skills, both written and verbal.
• Knowledge of regulations and laws governing the protection of patient identifying information, OIG, FDA, and CMS policies pertaining to access.
• Team player who can work collaboratively with key internal stakeholders and mine for conflict to ensure all ideas are vetted.
• Mindset of trust, sharing, representing, and flexibility as needed.
• High level of proficiency in Microsoft Excel, Word and Power Point is required.
• May require up to 75% travel based on business need.
• Must adhere to Iovance Biotherapeutics core values, policies, procedures, and business ethics.
• Bachelor’s Degree Required / Master’s Degree Preferred.

Physical Demands and Activities Required

• Ability to remain in a stationary position for extended periods.
• Ability to move about within an office or remote workspace and exert up to 10 pounds of force occasionally.
• Visual acuity sufficient for preparing and analyzing data, viewing computer screens, and extensive reading.
• Repetitive motion involving wrists, hands, and/or fingers.
• Ability to communicate effectively to exchange information.
• Ability to engage in analytical, conceptual, and problem-solving activities in a dynamic business environment.

Mental

• Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem-solving, analysis, and discretion.
• Ability to handle work-related stress; ability to handle multiple priorities simultaneously with a sense of urgency; and ability to meet deadlines.

Work Environment

This job operates in a professional or remote office environment and requires operating standard office equipment and keyboards.

Pay Transparency

$250,000 — $275,000 USD

Company Description

Iovance is committed to cultivating and offering a diverse and inclusive work environment. As an equal-opportunity employer, our employees and applicants will be considered without regard to an individual’s race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law.