Payer Account Director

Orca

. Serve as the single point of contact for Authorized Treatment Centers regarding field-related payer-access engagements, including onboarding .

Posted 9/24/2026full-timeRemote • United StatesLead💰 $250,000 - $285,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in payer access strategies and reimbursement processes within the healthcare industry, with a strong focus on building relationships with key stakeholders and ensuring patient access. Proficient in analyzing payer policies and tracking data to support product value propositions and favorable medical policies.

Highest-signal resume keywords

Payer Access Strategy DevelopmentHealthcare Reimbursement ExperienceAnalytical Skills in Payer PolicyStrong Leadership SkillsExcellent Presentation Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payer Case RatesPayer Policy DevelopmentData Tracking ToolsKPI TrackingPortfolio Life-Cycle Management

Soft Skills

Problem SolvingMulti-TaskingCollaborationProactive AttitudeResults-Oriented

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft PowerPoint

Industry Keywords

MedicareMedicaidCommercial PayerOIGFDACMSPatient AccessHealthcare Industry

About the role

Key responsibilities & impact

Serve as the single point of contact for Authorized Treatment Centers regarding field-related payer-access engagements, including onboarding
Develop and execute payer strategies for assigned regional and national payer accounts, state Medicaid agencies, and Medicare Administrative Contractors
Secure access to Orca products and execute ongoing payer segmentation and business strategy tactics
Present scientific data, clinical practice goals, guidelines, and anticipated economic program outcomes to support the product value proposition
Utilize Medical Science Liaison or medical-provider clinical expertise for product and disease-state presentations to key decision-makers
Deliver and maintain favorable access, advantageous payer medical policy, and appropriate reimbursement for Orca products throughout portfolio life-cycle management
Partner with targeted Academic Hospitals and Health Systems to ensure patient access on a case-by-case basis
Interact frequently with the Case Management team to resolve patient access issues
Track KPIs and ensure dashboard accuracy to measure account market-access results
Adhere to Orca Bioscience’s core values, policies, procedures, and business ethics
Perform miscellaneous duties as assigned

Requirements

What you’ll need

Bachelor’s Degree
12+ years related Payer/Hospital reimbursement experience in the healthcare industry
Proven relationships with Commercial Payer Medical Directors, Medicare Part A, State Medicaid, and Managed Medicaid stakeholders
Strong analytical skills with experience in Payer Case rates, Payer policy development, and Payer Policy data tracking tools
Problem solving skills and multi-tasking experience
Proactive, results-oriented, collaborative self-starter with demonstrated strong leadership skills and experience in a complex reimbursement environment
Excellent written and verbal presentation skills
Knowledge of regulations and laws governing protection of patient identifying information, OIG, FDA, and CMS policies pertaining to access
Ability to work collaboratively with key internal stakeholders
High proficiency in Microsoft Excel, Word, and PowerPoint
Open to frequent travel during site onboarding and ad hoc meetings (~40%)

Benefits

Comp & perks

Pre-IPO equity
Annual bonus
Competitive medical benefits
Dental benefits
Vision benefits
PTO
401(k) plan
Life and accidental death and disability coverage
Parental leave benefits
Subsidized daily lunches and snacks at on-site locations