Senior Director, Payer Access & Reimbursement

Senior Director, Payer Access & Reimbursement

• Company Gamida Cell, Inc.
• Posting Title: Senior Director, Payer Access & Reimbursement
• Function: Commercial
• Location: Remote

Gamida Cell is a leader in advanced cellular therapies and hematopoietic stem cell transplantation, with two FDA approved therapies, Omisirge® (omidubicel-onlv) and APHEXDA® (motixafortide). Omisirge® is a nicotinamide (NAM) modified allogeneic hematopoietic progenitor cell therapy that is potentially curative for patients with hematologic malignancies. APHEXDA® is a CXCR4 antagonist with long receptor occupancy indicated in combination with filgrastim to mobilize hematopoietic stem cells to the peripheral blood for collection and subsequent autologous transplantation in patients with multiple myeloma.

General Scope and Summary

The Sr Director, Payer Access & Reimbursement plays an important role in securing timely access to therapies for patients and will collaborate cross functionally with the medical affairs, account management, and cell therapy operations teams to support transplant centers. The core function of the role is developing the overall payer and hospital administrators’ customer facing strategy for Gamida Cell and ensure tactical execution during market development, launch and post-launch phases.

The Sr Director, Payer Access & Reimbursement will report to the Senior Vice President, Market Access and will manage the field-based Payer Access & Reimbursement team.

Roles and Responsibilities

• Design and implement reimbursement strategies that optimize coverage and payment for Gamida Cell’s products
• Secure favorable coverage decisions with Commercial payors, Medicare Administrative Contractors, and Medicaid
• Develop strategy for educating hospital administrators (C- suite level, billing and reimbursement personnel, chargemaster personnel) on appropriate formulary, access, coverage and coding requirements for Gamida Cell products to build reimbursement confidence
• Mapping the U.S. Payer landscape, developing and executing on the plan for payer meetings

• Coordinating the payer education discussions with Medical Affairs

• Leading the creation of the business plans for payers
• Identifying and meeting with potential advocates for payer discussions
• Collaborate  with Account Management team, Marketing, Analytics, Medical Affairs, and Legal to ensure that the Payer Access & Reimbursement team compliantly reinforce value proposition through the development of approved materials
• Partner with the SVP, Market Access and Medical Affairs to develop the HEOR plan
• Work  with the Gamida Cell Assist team to address reimbursement obstacles
• Assist in training internal field team on payer processes for reimbursement
• Hire, coach, train and mentor team members, sourcing key talent internally and externally to maintain a bench of strong leaders; proven track record of recruiting top talent

Experience, Education and Specialized Knowledge and Skills

• Excellent strategic thinking skills, with demonstrated ability to successfully partner with payers and with internal cross-functional teams
• Possess a willingness and ability to work hands-on and with a sense of urgency, in a fast-paced, entrepreneurial environment
• Outstanding written and verbal communication skills with the ability to effectively present to and engage with a wide range of audiences
• Sustained track record of achievement in Oncology/ Hematology payer relations

• Proven ability to think strategically and prioritize
• Exceptional problem-solving skills
• Exhibits initiative, flexibility, and dependability
• Knowledge of Cell and Gene Therapy or Transplant preferred
• A/B.S degree required; Master’s Degree a plus but not required

Travel: 50% travel

Reports to: Senior Vice President, Market Access

Gamida Cell considers a range of factors when determining base compensation and therefore the final compensation will vary depending on experience level.