Manager, Market Access – Private Payer

Type:

Permanent Position

Location:

Field Based – Customer Facing

Department:

Access, Policy & Patient Experience

Details:

Summary of Purpose:

The Market Access Manager, Private Payer is responsible for the creation and execution of the Private Payer national reimbursement strategy for the Otsuka portfolio of products through all stages of the product life cycle. This professional will work closely with the Otsuka cross-functional Team to secure optimal Private access for Canadian patients to Otsuka medicines.

Responsibilities:

  • Works with the Canadian cross-functional team and, as necessary, Global Market Access and Health Economics and Outcomes Research (HEOR) team leaders to create and refine Canadian Private Payer reimbursement strategy and plans over the course of the product life cycle.
  • Manages complete reimbursement process from submission preparation, meeting with key payors, negotiations, initial listing and on-going maintenance, improvement and/or protection of product listing status on all major Private payer formularies.
  • Develop strong customer relationships with key Private Payer, Benefits Advisors, and other stakeholders in the Private Payer environment in Canada. A combination of virtual and in-person meetings with Private Payer and related stakeholders is required. Travel within Canada of approximately 30% would be expected.
  • Works closely with PSP team to understand and help address patient coverage gaps.
  • Demonstrates a strong and current working knowledge of key Private drug reimbursement review processes in Canada.
  • Leverages an established network of relationships with key decision makers in various Private payer organizations and shape private payer policies.
  • Coordinates input from internal and external partners to ensure reimbursement objectives are achieved
  • Works with IMC and other organizations (e.g. BIOTECanada) to proactively identify emerging health policy changes and cost containment initiatives in the marketplace which may impact the Private Payer market. Advises and recommends course corrections as required to Otsuka Management Team
  • Reporting Safety Information, Product Quality Complaint and Customer Feedback as per training on current procedures

Qualifications and Key Competencies:

  • Bachelor’s Degree in Science, Pharmacy, Business or related discipline
  • 5-10 years of experience within the Private Payer market
  • Previous experience preparing Private Payer drug reimbursement submissions
  • Experience working with global/US teams to adapt evidence and data to the Canadian market
  • Demonstrated success negotiating Private Payer listing agreements
  • Working knowledge of fundamental Health Economic principles and cost effectiveness analyses
  • Experience and success with stakeholder advocacy campaigns
  • Strong business analytics skills, understanding of commercial objectives and processes
  • Analysis of competitive intelligence and adapting plans accordingly
  • Current relationships with key external stakeholders across Canada
  • Experienced in the review of consultant proposals, agency selection and coordination of multiple workstreams
  • Awareness of current political leadership and government health policy trends
  • Past service on related IMC committees would be a valued asset
  • CNS-Mental Health, Nephrology, rare disease experience would be valued
  • Results driven while modeling Otsuka values of professionalism, integrity, quality and respect in the work environment
  • MBA is an asset
  • Must balance independence and being a dedicated team player
  • Can budget and manage expenses to planned targets
  • Strong written, verbal and presentation skills
  • Embraces leadership opportunities and takes great pride in delivering and exceeding planned objectives
  • Is creative and flexible

Supervision of Others:

None

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