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Director, Market Access Oncology
4 months ago
Job Description
Job Description
Lantheus is headquartered in Bedford, Massachusetts with offices in New Jersey, Canada, and Sweden. For more than 60 years, Lantheus has been instrumental in pioneering the field of medical imaging and has helped physicians enhance patient care with its broad product portfolio.
Lantheus is an entrepreneurial, agile, growing organization that provides innovative diagnostics, targeted therapeutics, and artificial intelligence (AI) solutions that empower clinicians to find, fight and follow disease. At Lantheus our purpose and values guide our behaviors in all interactions and play a vital role in creating a dynamic environment that contributes to our success. Every employee is crucial to our success; we respect one another and act as one knowing that someone’s health is in our hands. We believe in helping people be their best and are seeking to bring together a diverse group of individuals with different viewpoints and skill sets to be a part of a productive and inclusive team.
Summary of Role:
The Director, Market Access Oncology & Urology will be responsible for providing US coverage, coding, and payment expertise to customers in support of the Lantheus product portfolio. The individual in this role will have responsibility for the implementation of brand reimbursement strategies, educating referring physicians and key support staff on payer coverage, coding, and payment policies, and maintaining positive prior authorization pull-through for key products. The primary customer segments for this position include large urology group practices (LUGPAs), large community-based oncology practices, referring physicians, stand-alone imaging centers, and regionally assigned payers. The Director, Market Access Oncology & Urology will also be an integral part of the site setup process for office-based customers adopting radioligand therapy. This position will serve as the face of Market Access and Patient Services for office-based providers and staff and will be proactive in customer approach to problem-solving. The successful candidate will have a proven track record of educating and pulling through prior authorizations in large accounts, advocating for medical policy, developing customer relationships, and working cross-functionally to facilitate appropriate patient access.
Key
Responsibilities/Essential
functions:
This position will report to the Director, Market Access Field Team - West
Market Access member responsible for large urology group practices (LUGPAs) and large community-based oncology providers.
Manage and coordinate resolution of reimbursement issues by collaborating with internal teams and prescribing offices and LUGPAs.
Assists key accounts to help overcome access barriers for key client stakeholders.
Reviews patient-specific information in cases where the site has specifically requested assistance in resolving issues or coverage challenges.
Ensures all actions taken create a positive impact on the patient journey and the brand experience.
Educate office-based customers on proper billing and coding and ensure claims documentation is in alignment with national guidelines and payer coverage policies.
Serves as the lead for Market Access and Patient Services for office-based providers and staff and will be proactive in customer approach to problem-solving.
Provide first-in-class pull-through service in support of Lantheus’ portfolio of products.
Build in-office physician advocacy in support of Lantheus grassroots initiatives.
Execute Market Access educational programs in respective region.
Build advocacy support to achieve positive medical coverage policies for key products across payer types.
Clearly possess and articulate a strong clinical acumen to ensure optimal access to Lantheus’ portfolio of products.
Provide expertise on coding, coverage, and
reimbursement/payment
mechanisms to Sales, Marketing, and other functional areas to ensure key reimbursement information is incorporated into business strategy.
Collaborate and coordinate across functions (Sales, Marketing, and Medical Affairs) to achieve business goals.
Minimum Skills, Experience & Education:
BS/BA degree in Business, Marketing, Economics, or related field; advance degree strongly preferred.
10+ years of coverage, coding, payment, and prior authorization pull-through experience across all payer types.
Experience in urology and/or oncology is required.
Background in
radiopharmaceutical
imaging and diagnostics is strongly preferred.
Demonstrates a broad understanding of the US payer market, has experience with both commercial and public payers, and understands the decision-making process for new therapeutics and imaging agents within the payer community.
Track record of strategic impact in defining and executing complex customer experience roadmaps while driving for innovative results.
Demonstrated ability to develop credible relationships at high levels within accounts.
Possesses strong business acumen negotiation and presentation skills.
Ability to thrive in a cross-functional working environment.
Successful decision-making, strategic planning, and problem-solving skills
Superb written and verbal communication skills
Field-based role; must be a self-starter with ability to work independently and organize own work without continuous direct supervision.
Field-based, ability to travel (60% +)
Core Values:
The ideal candidate will embody Lantheus core values:
Let people be their best
Respect one another and act as one
Learn, adapt, and win
Know someone’s health is in our hands
Own the solution and make it happen
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