Ocular Therapeutix, Inc. (NASDAQ:OCUL) is a biopharmaceutical company focused on the formulation, development, and commercialization of innovative therapies for diseases and conditions of the eye using its proprietary bioresorbable hydrogel-based formulation technology, ELUTYX™. Ocular Therapeutix has built a robust product pipeline of drug delivery solutions developed to reduce the complexity and burden of the current standard of care and position itself to become a leader in the ophthalmic space.
Outside of the ophthalmic realm and behind the doors of our headquarters in Bedford, MA, we strive to build a strong culture where employees can flourish and achieve their career goals. We encourage out of the box thinking, cross-functional collaboration, and creativity.
Ocular Therapeutix is seeking an Executive/Senior Director - Payer Access who is highly motivated to lead the creation and execution of our Retina pipeline access strategies and continue building on the excellent coverage that currently exists with Dextenza. Reporting to the Vice President, Market Access, this individual will have primary responsibility to serve as the liaison between the company and national/regional Payer customers across commercial, Medicare, Medicaid, PBM medical benefit management and other segments including VA/DoD. This role plays a critical part in elevating Ocular Therapeutix’s emerging market presence in Retina while preparing to advance patient and physician access to Ocular Therapeutix’s lead product candidate.
I. Principal Duties and Responsibilities include the following:
- Lead the creation of pre and post launch strategic and tactical market access business plans that deliver on clear goals and objectives for customer engagement within Market Access.
- Create and evolve the pre-approval information exchange (PIE) strategy and materials.
- Enable payer coverage pathway through pre-approval information exchange and post-approval value engagement with customers.
- Seek out opportunities for synergy and partnership to achieve both Ocular Therapeutix and customer goals through active and transparent planning.
- Analyze the market landscape in terms of coverage and reimbursement, existing and emerging payer policies, competitive landscape, trends, pricing, contracting strategies / trade-offs, potential barriers to provider, patient access, and opportunities to influence improved outcomes.
- Leverages existing account relationships and builds new relationship to both maintain access for Ocular Therapeutix’s current commercial brand, Dextenza, while preparing for the future Retina product launch.
- Contribute critical thinking to payer value proposition planning.
- Compliantly collaborate with all internal teams, including but not limited to sales, marketing, medical/HEOR, and legal to craft and refine accurate and compliant messaging to use with healthcare decision-makers.
- Actively participate at major market access conferences (i.e. PCMA, AMCP, Asembia, etc.) as well as Ophthalmology industry conferences (AAO, ASRS, etc..).
- The role begins as a single contributor role however it is anticipated to migrate to a supervisory role by the second half of 2025.
II. Qualification Requirements:
- BS/BA required (science/business/finance), MS or MBA optional but preferred.
- 15+ years in the pharmaceutical industry.
- 10+ year with some combination of payer account management, payer reimbursement, payer marketing, and/or having experience on the customer side of the business.
- Strong understanding of the evolving US healthcare system, payer dynamics, access, and reimbursement.
- Possess a strong network of EXISTING relationships across top US payers
- Therapeutic experience in Retina
- Demonstrated leadership of market access strategy of medical benefit/Buy and Bill
- Experience in product commercialization (end to end pre-launch through launch). Experience in launching products in the Retina market is preferred.
- Demonstrated market access/customer segment knowledge across commercial, Medicare, and Medicaid.
- Demonstrated business acumen, analytical prowess, and strategic thinking abilities.
- Strong collaborator and demonstrated experience in influencing stakeholders to support strategic decisions.
- Excellent communication (written and oral) and presentation skills.
- Understanding of the applicable legal and regulatory environment.
- OUS Payer/HTA experience is a plus
- Travel expected to be 30-50% mostly in the US however some travel could be outside of the US.
Ocular Therapeutix is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws regarding nondiscrimination. Ocular Therapeutix provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, or status as a veteran. For information on how Ocular Therapeutix collects, stores, and utilizes candidate information please see our privacy policy found at https://www.ocutx.com/privacy-policy/.