Clinical Director, Market Access
This position can be based remotely (working from home) or at our headquarters in Stamford, CT.
About Lockwood: Lockwood collaborates with clients in the pharmaceutical, biotech, and medical device industries to identify effective, holistic, science-based strategies to address their objectives through market access communications. Our clients count on us to challenge their assumptions and help them creatively navigate around obstacles. From strategy through execution, we focus on accuracy, transparency, and scientific value to create programs that are evidence-based, clinically relevant, and contribute to the development of our clients’ brands. Over a third of our staff hold advanced scientific, pharmacy, or medical degrees, and most work from where they live. Because our flexible structure provides better work-life balance, we attract the best talent, facilitate their best work, and as a result, are more responsive to our clients, wherever and whenever they do business.
Summary: The Clinical Director will be a critical member of the market access team with day-to-day responsibilities for supporting the team and clients with drug information and pharmacotherapy expertise across a broad range of orphan, ultra-orphan, specialty and traditional drugs and conditions. The position will require expert level drug information skills combined with a comprehensive understanding of the PBM and health plan payer landscape, payer behaviors and practice around formulary management and coverage management in the Commercial and Medicare marketplaces, as well as a good working knowledge of drug distribution channels and the different players and entities in this space.
Responsibilities
- Support the team and its clients with broad-based drug information expertise in all therapeutic areas, including ultra-orphan, orphan, and non-orphan disease states
- Prepare Word documents or PowerPoint slides describing the commercial viability, Pros and Cons, relevant competition and likely payer coverage management practices for new business development assets being considered by clients
- Plan, conduct and concisely summarize payer research involving products being pursued by clients
- Help to plan, develop and moderate virtual and in-person payer advisory boards involving assets and issues of interest to clients
- Conduct drug information research and other research activities needed to gain an understanding of how various payer lines of business will perceive and manage new drugs and new indications being pursued by APS’ clients
- Provide expert opinions regarding the clinical value of drugs and how they will be perceived and managed by payers
- Serve as a resource regarding the rationales and approaches that payers use when developing Prior Authorizations, step-therapy edits and other coverage rules
- Review and improve client value proposition presentations to better address payer needs and perspectives
- Interact with current and prospective clients and demonstrate a deep understanding and knowledge of drugs and drug therapy
- Assist in the preparation and augmenting of statements of work (SOW) for new business and participate in client presentations to win new business
- Keeping current with marketplace trends related to clinical use of drugs and payer formulary and coverage management practices
Education:
- PharmD degree or equivalent e.g., BS pharmacy with advanced degree
Qualifications:
- At least 5 to 10-years of experience in a managerial/supervisory position with a payer, i.e., health plan or PBM, in the areas of formulary development, coverage management, and benefit design
- Comprehensive understanding of current payer organizations and payer regulatory landscape in Commercial and Medicare
- Drug information experience with payers in developing drug monographs, class reviews, drug formularies, coverage criteria, appeals criteria, etc.
- Experience with the Commercial and Medicare lines of business, experience in Medicaid is also desirable, but not required
- Experience in benefit design, coverage determination, benefit allocation, coverage review and appeal processes, etc.
- Experience in P&T committee processes
- Excellent written and verbal skills
- Dedication to life-long learning and development
- Ability to facilitate/moderate virtual or in person payer advisory boards and payer advisory panels
- Excellent ability to collaborate and support other clinical and financial experts to jointly achieve company and client objectives.
- Excellent time management skills and ability to meet agreed upon deadlines
This position can be performed remotely in all but the following locations: Colorado, New York City, San Francisco County, CA.
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