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VP, Access Strategy, Payer Engagement
Ocular Therapeutix, Inc.. Own end-to-end market access strategy across the portfolio from early lifecycle development through commercial execution .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in market access strategy, payer dynamics, and health economics, with a strong ability to lead teams and integrate access strategies into broader financial and brand planning. Proven track record in negotiating with national payers and developing economic models to support value-based contracts.
Highest-signal resume keywords
Market Access StrategyHealth Economics And Outcomes Research (HEOR)Payer Strategy And NegotiationEconomic ModelingLeadership And Team Development
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Budget Impact AnalysisCost-Effectiveness ModelingValue-Based Contract FrameworksReal-World Evidence (RWE) StrategiesFormulary MechanicsMedicare Part B Buy-And-BillCost-Utility AnalysisIndirect Treatment ComparisonsPayer Value Proposition DevelopmentAccess Performance Metrics Monitoring
Soft Skills
Influence And Alignment SkillsConsensus BuildingTrust BuildingNavigating AmbiguityPeople Management
Certifications & Qualifications
Bachelor's DegreeMBA Or Equivalent Advanced Degree
Industry Keywords
PharmaceuticalBiotechPayer DynamicsMedicareMedicaidHealth Policy EngagementInflation Reduction ActOphthalmologyRetinaCommercial Strategy
About the role
Key responsibilities & impact- Own end-to-end market access strategy across the portfolio from early lifecycle development through commercial execution
- Define payer value propositions, messaging, and positioning for each product and indication
- Build and refine market access playbooks and monitor access performance metrics
- Own the HEOR strategic agenda and define the evidence generation roadmap
- Partner with Medical Affairs and Clinical teams to integrate HEOR priorities into trial design and data collection
- Develop economic models, including budget impact analyses, cost-effectiveness models, and value-based contract frameworks
- Translate HEOR outputs into value narratives for payer, provider, and HCP audiences
- Oversee AMCP dossiers, value dossiers, and other payer-facing evidence packages
- Engage external health economics thought leaders, advisory boards, and payer medical directors
- Inform pricing and contracting strategy and balance access investment against gross-to-net discipline
- Own national payer account strategy across commercial, Medicare, and Medicaid channels
- Lead negotiations with national and regional payers and PBMs
- Represent the company in health policy engagement, including regulatory comment letters and coverage determination processes
- Build market-shaping strategies and lead payer-facing launch readiness
- Identify and close access readiness gaps for pipeline assets
- Track policy developments and competitive payer coverage and contracting positions
- Partner with executive leadership, Legal, Commercial, Medical, Patient Services, and Patient & Provider Services
- Represent payer strategy and account status to the executive team and Board as needed
- Lead and develop the Market Access team, build team capability and talent pipelines, and operate as a player-coach
- Model strong leadership values and behaviors
Requirements
What you’ll need- Bachelor's degree required
- Advanced degree — MBA, or a healthcare-related or business field equivalent — strongly preferred
- 12–15+ years of progressive experience in pharmaceutical or biotech market access, payer strategy, or HEOR, including at least 3 years at the ED or VP level
- Demonstrated success building and executing multi-year market access plans and integrating access strategy into long-range financial planning and brand planning processes
- Prior experience in Retina or ophthalmology a plus
- Expert-level knowledge of US payer dynamics, formulary mechanics, and gross-to-net economics across commercial, Medicare, and Medicaid channels
- Direct experience launching a Medicare Part B buy-and-bill product, including navigating miscellaneous J-code periods through permanent coding
- Deep understanding of health economics and outcomes research methodology, including cost-effectiveness analysis, budget impact modeling, cost-utility analysis, and indirect treatment comparisons
- Experience defining and overseeing real-world evidence (RWE) strategies, including retrospective database studies, patient-reported outcomes (PRO) research, registry studies, and burden of illness analyses
- Working knowledge of Inflation Reduction Act provisions and their downstream impact on pricing, access, and contracting strategy
- Demonstrated ability to translate brand P&L dynamics into access investment and gross-to-net trade-off decisions
- Strong understanding of how payer, pricing, and contracting strategies interact with enterprise-level financial performance
- Proven track record negotiating directly with national payers and PBMs at a senior level on coverage policy, contracting, and value-based arrangements
- Strong influence and alignment skills with senior commercial and medical stakeholders
- Ability to build trust and drive consensus across a matrixed organization while navigating ambiguity and organizational change
- Previous supervisory and people management experience with a demonstrated ability to develop talent and scale team capabilities alongside portfolio growth