Compass Pathways is a biotechnology company focused on providing better treatment options for individuals facing mental health challenges, with the primary goal
Director, Strategic Payer Accounts
Location
United States
Posted
10 days ago
Salary
$220K - $270K / year
Seniority
Lead
No structured requirement data.
Job Description
Director, Strategic Payer Accounts
Compass Pathways
Role Description Our Director, Strategic Payer Accounts is responsible for driving and securing formulary access and coverage for COMP360 across Medicaid payers, as well as key Regional (Commercial and Medicare) payers ahead of and through launch. Reporting to the Senior Director, Strategic Payer Accounts, this individual is responsible for establishing and maintaining strategic and productive customer relationships, developing strategic account plans that support their efforts in translating the COMP360 value proposition into sustainable coverage wins, while partnering internally with Health Economics and Outcomes Research (HEOR), Medical Affairs, Government Affairs, and Commercial Operations to ensure payer strategies are fully executed with precision. Roles and Responsibilities - Strategic Payer Account Strategy and Execution: - Work closely with the Senior Director to develop and execute account strategies across Medicaid and key Regional (Commercial and Medicare) payers to drive optimal formulary positioning for COMP360 at launch and beyond. - Stay current with dynamic market forces, customer organizational changes, and policy changes at the state and federal level that impact Compass and/or payer customers, and incorporate those variables into proposed account strategies and tactics as necessary and appropriate. - Own strategic and tactical planning and prioritization for assigned payer accounts, profiling key decision-makers including Pharmacy Directors, Medical Directors, Clinical Pharmacy and Finance leads, and P&T committee members. - Own strategic relationships with payer customers and serve as the primary interface and negotiator for coverage and access discussions. - Identify and proactively address barriers to formulary inclusion, developing tailored strategies to support timely P&T reviews and coverage policy development. - Value Communication and Pull-Through: - Articulate the clinical and economic value proposition of COMP360 to payer audiences, integrating HEOR evidence, budget impact models, and real-world data to support coverage and access decisions. - Partner with the Senior Director and Finance on contracting recommendations to ensure proposals are commercially sound, aligned with government pricing compliance requirements, and GTN impacts are aligned with financial goals. - Collaborate closely with Directors of National Payer Accounts to develop and execute Regional pull-through initiatives following National formulary wins, and develop responsive strategies to address coverage challenges in complex or restricted downstream payer accounts. - Cross-Functional Collaboration: - Partner closely with HEOR, Medical Affairs, Government Affairs, Sales, Patient Engagement, and Patient Experience cross-functional partners to align payer specific push-or-pull-through strategies and tactics. - For Medicaid public P&T and DUR meetings, lead and execute a multi-prong strategy: - Collaborate with Sales and Patient Engagement to obtain HCP testimony, in person, virtually, or in writing. - Collaborate with HEOR and Medical to secure impactful manufacturer testimony at the meeting. - Collaborate with Government Affairs around any relevant legislative-related tactics. - Collaborate with Patient Experience regarding appropriate patient advocacy organization (i.e. NAMI, AfPA, etc.) support. - Collaborate with Sales, Patient Engagement, and Commercial Operations leadership on HCP-facing formulary and access update communications that enable effective Sales execution and pull through. - Represent the payer perspective internally, providing strategic guidance to leadership on coverage risks, opportunities, and competitive landscape dynamics. Qualifications - 7+ years in pharma/biotech market access, with significant direct experience in Medicaid and Regional payer account management. - Proven track record negotiating, securing, and maintaining formulary access for launch-stage (and beyond) specialty or breakthrough products; CNS/psychiatry or novel treatment modality experience is a plus. - Payer contracting experience, including Innovative contracting (e.g. value-based, outcome-based, volume-based, cap models) is a plus. - Deep knowledge of US payer landscape, formulary decision-making processes, utilization management, and prior authorization design. - Ability to translate HEOR and health economic data into compelling value narratives for payer audiences. - Hands-on launch experience at a growth-stage biotech; comfortable working in ambiguous situations and building tools and capabilities from scratch. - Exceptional stakeholder management skills; equally credible with external payer accounts and internal cross-functional partners. - Bachelor's degree required; advanced degree in Business, Public Health, Health Economics, or Pharmacy preferred. - Mission and values-aligned team player and cross-functional leader, passionate about expanding access to mental health innovation; demonstrates Compass' values: Compassion, Boldness, Inclusion, Rigour. Benefits - Base salary range: $220,000 — $270,000 USD. - Additional discretionary bonuses and equity eligibility for all roles. Equal Opportunities - Reasonable accommodation: We are committed to building a workplace where everyone’s wellbeing matters. If you need reasonable accommodation during the interview process to be at your best, please let our recruiting team know. - We do not discriminate based upon race, religion or belief, colour, nationality, ethnic or national origin, gender, pregnancy or maternity, marital or civil partner status, sexual orientation, gender reassignment, age or disability.
Related Guides
Related Categories
Related Job Pages
More Director Jobs
Director, National Payer Accounts
Compass PathwaysCompass Pathways is a biotechnology company focused on providing better treatment options for individuals facing mental health challenges, with the primary goal
Role Description Our Director, National Payer Accounts is responsible for driving and securing formulary access and coverage for COMP360 across national Commercial and Medicare payers and PBMs, ahead of and through launch. Reporting to the Senior Director, National Payer Accounts, this individual is responsible for establishing and maintaining strategic and productive customer relationships, developing strategic account plans that support their efforts in translating the COMP360 value proposition into sustainable coverage wins, while partnering internally with Health Economics and Outcomes Research (HEOR), Medical Affairs, Government Affairs, and Commercial Operations to ensure payer strategies are fully executed with precision. Roles and Responsibilities - National Payer Account Strategy and Execution - Work closely with the Senior Director to develop and execute account strategies across national Commercial and Medicare payer segments to drive optimal formulary positioning for COMP360 at launch and beyond. - Stay current with dynamic market forces, customer organizational changes, and policy changes at the state and federal level, that impact Compass and/or payer customers, and incorporate those variables into proposed account strategies and tactics as necessary and appropriate. - Own strategic and tactical planning and prioritization for assigned payer accounts, profiling key decision-makers including Pharmacy Directors, Medical Directors, Clinical Pharmacy and Finance leads, and P&T committee members. - Own strategic relationships with payer customers and serve as the primary interface and negotiator for coverage, contracting, and access discussions. - Identify and proactively address barriers to formulary inclusion, developing tailored strategies to support timely P&T reviews and coverage policy development. - Value Communication and Pull-Through - Articulate the clinical and economic value proposition of COMP360 to payer audiences, integrating HEOR evidence, budget impact models, and real-world data to support coverage and access decisions. - Partner with the Senior Director and Finance on contracting recommendations to ensure proposals are commercially sound, aligned with government pricing compliance requirements, and GTN impacts are aligned with financial goals. - Collaborate with Directors of Strategic Payer Accounts to develop downstream pull-through initiatives following national formulary wins. - Cross-Functional Collaboration - Partner closely with HEOR, Medical Affairs, Government Affairs, Sales, Patient Engagement, and Patient Experience cross-functional partners to align payer specific push-or-pull-through strategies and tactics. - Collaborate with Sales, Patient Engagement, and Commercial Operations leadership on HCP-facing formulary and access update communications that enable effective Sales execution and pull through. - Collaborate with Patient Experience regarding appropriate patient advocacy organization (i.e. NAMI, AfPA, etc.) support when needed. - Represent the payer perspective internally, providing strategic guidance to leadership on coverage risks, opportunities, and competitive landscape dynamics. Qualifications - 7+ years in pharma/biotech market access, with significant direct experience in National payer account management within the Commercial and Medicare payer segments. - Proven track record negotiating, securing, and maintaining formulary access for launch-stage (and beyond) specialty or breakthrough products; CNS/psychiatry or novel treatment modality experience is a plus. - Payer contracting experience, including innovative contracting (e.g. value-based, outcome-based, volume-based, cap models, etc.). - Deep knowledge of US payer landscape, formulary decision-making processes, utilization management, and prior authorization design. - Ability to translate HEOR and health economic data into compelling value narratives for payer audiences. - Hands-on launch experience at a growth-stage biotech; comfortable working in ambiguous situations and building tools and capabilities from scratch. - Exceptional stakeholder management skills; equally credible with external payer accounts and internal cross-functional partners. - Bachelor's degree required; advanced degree in Business, Public Health, Health Economics, or Pharmacy preferred. - Mission and values-aligned team player and cross-functional leader, passionate about expanding access to mental health innovation; demonstrates Compass' values: Compassion, Boldness, Inclusion, Rigour. Benefits - Base salary range: $220,000 — $270,000 USD. - Additional discretionary bonuses and equity eligibility for all roles. Equal Opportunities - We are committed to building a workplace where everyone’s wellbeing matters. If you need reasonable accommodation during the interview process to be at your best, please let our recruiting team know. - We are proud of our commitment to diversity and equality (pursuant to the Equality Act 2010). We do not discriminate based upon race, religion or belief, colour, nationality, ethnic or national origin, gender, pregnancy or maternity, marital or civil partner status, sexual orientation, gender reassignment, age or disability. - Compass Pathways is proud to be an equal opportunity employer. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, and related medical conditions), ethnicity, age, disability, sexual orientation, gender identity, gender expression, military service, genetic information, familial or marital status, or any other status, category, or characteristic protected by applicable law.
Director, Federal Payer Accounts
Compass PathwaysCompass Pathways is a biotechnology company focused on providing better treatment options for individuals facing mental health challenges, with the primary goal
Role Description Our Director, Federal Payer Accounts is responsible for driving and securing formulary access and coverage for COMP360 across U.S. Federal healthcare systems, including Veteran's Administration (VA), Department of Defense (DoD), TriCare, and Indian Health Services (IHS) ahead of and through launch. Reporting to the Senior Director, Strategic Payer Accounts, this individual is responsible for establishing and maintaining strategic and productive customer relationships, developing strategic account plans that support their efforts in translating the COMP360 value proposition into sustainable coverage wins, while partnering internally with Health Economics and Outcomes Research (HEOR), Medical Affairs, Government Affairs, and Commercial Operations to ensure payer strategies are fully executed with precision. Roles and Responsibilities - Federal Payer Account Strategy and Execution: - Work closely with the Senior Director to develop and execute account strategies across VA, DoD, TriCare, and IHS payer segments to drive optimal formulary positioning for COMP360 at launch and beyond. - Stay current with dynamic market forces, customer organizational changes, and policy changes at the federal and state level that impact Compass and/or payer customers, and incorporate those variables into proposed account strategies and tactics as necessary and appropriate. - Own strategic and tactical planning and prioritization for assigned payer accounts, profiling key decision-makers including Pharmacy Directors, Medical Directors, Clinical Pharmacy and Finance leads, and P&T committee members. - Own strategic relationships with payer customers and serve as the primary interface and negotiator for coverage, contracting, and access discussions. - Identify and proactively address barriers to formulary inclusion, developing tailored strategies to support timely P&T reviews and coverage policy development. - Value Communication and Pull-Through: - Articulate the clinical and economic value proposition of COMP360 to payer audiences, integrating HEOR evidence, budget impact models, and real-world data to support coverage and access decisions. - Partner with the Senior Director and Finance on contracting recommendations to ensure proposals are commercially sound, aligned with government pricing compliance requirements, and GTN impacts are aligned with financial goals. - Collaborate with Sales and Patient Engagement on pull through initiatives in local VA/VISN and Military Treatment Facilities following national formulary wins. - Cross-Functional Collaboration: - Partner closely with HEOR, Medical Affairs, Government Affairs, Sales, and Patient Engagement to align payer specific push-or-pull-through strategies and tactics. - Where applicable and possible for P&T meetings, lead and execute a multi-prong strategy: - Collaborate with Sales and Patient Engagement to obtain HCP support. - Collaborate with Government Affairs around any relevant legislative-related tactics. - Collaborate with patient advocacy organizations (i.e. NAMI, AfPA, etc.) regarding appropriate support. - Collaborate with Sales, Patient Engagement, and Commercial Operations leadership on HCP-facing formulary and access update communications that enable effective Sales execution and pull through. - Represent the payer perspective internally, providing strategic guidance to leadership on coverage risks, opportunities, and competitive landscape dynamics. Qualifications - 7+ years in pharma/biotech market access, with significant direct experience in payer account management within the VA, DoD, TriCare, and IHS segments. - Proven track record negotiating, securing, and maintaining formulary access for launch-stage (and beyond) specialty or breakthrough products; CNS/psychiatry or novel treatment modality experience is a plus. - Experience executing contracts specific to the Federal payer market (i.e. Temporary Drug Pricing contracts, VA National Contracts, Provisional/Temporary pricing, etc.), as well as other innovative, outcome, and/or value based contracts. - Deep knowledge of US Federal payer landscape, formulary decision-making processes, utilization management, and prior authorization design. - Ability to translate HEOR and health economic data into compelling value narratives for payer audiences. - Hands-on launch experience at a growth-stage biotech; comfortable working in ambiguous situations and building tools and capabilities from scratch. - Exceptional stakeholder management skills; equally credible with external payer accounts and internal cross-functional partners. - Bachelor's degree required; advanced degree in Business, Public Health, Health Economics, or Pharmacy preferred. - Mission and values-aligned team player and cross-functional leader, passionate about expanding access to mental health innovation; demonstrates Compass' values: Compassion, Boldness, Inclusion, Rigour. Benefits - Base salary range: $220,000 — $270,000 USD. - Additional discretionary bonuses and equity eligibility. Equal Opportunities We are committed to building a workplace where everyone’s wellbeing matters. If you need reasonable accommodation during the interview process to be at your best, please let our recruiting team know. Compass Pathways is proud to be an equal opportunity employer. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, and related medical conditions), ethnicity, age, disability, sexual orientation, gender identity, gender expression, military service, genetic information, familial or marital status, or any other status, category, or characteristic protected by applicable law.
Director, Fraud and Financial Crimes
Inspira FinancialInspira Financial provides health, wealth, retirement, and benefits solutions that strengthen and simplify the health and wealth journey. With more than 7 million clients, representing over $62 billion in assets, Inspira works with thousands of employers, plan sponsors, recordkeepers, TPAs, and other institutional partners — helping the people they care about plan, save, and invest for a brighter future. Inspira relentlessly pursues better outcomes for all with our automatic rollover services, health savings accounts, emergency savings funds, custody services, and more. Learn more at inspirafinancial.com.
Role Description The Director, Fraud and Financial Crimes will report to the Senior Director, Risk Management and Financial Crimes, in the Compliance and Risk Management Department. This role is responsible for the oversight of the enterprise fraud investigations program and will serve as the fraud lead for risk considerations during product review and new product development. - Work with the Fraud Investigation Manager to delegate investigations into individual occurrences of fraud. - Communicate with auditors, vendors, product representatives, law enforcement, channel partners, clients, accountholders, and internal stakeholders at all levels. - Act as a strategic partner to Product, Data Science, Legal, Security, Marketing, and Operations. - Conduct fraud impact assessments and risk assessments. - Define loss-prevention strategies and recommend safeguards and controls. - Provide clear guidance on industry-standard approaches to user identification and transaction verification. - Serve as the main point of contact for high-touch fraud incident response. - Work closely with Security to mitigate incidents. - Design, implement, and continuously improve the fraud investigations program to reduce fraud losses and mitigate accountholder exposure. - Manage the fraud risk tolerance and remediation framework. - Evaluate emerging fraud schemes, industry best practices, and vendor capabilities. - Embed fraud risk requirements into product development. - Conduct periodic fraud risk analysis and present recommendations to senior leaders. - Provide guidance on emerging fraud trends, regulatory expectations, and enforcement priorities. - Lead a team of a Fraud Investigations Manager and several Fraud Investigators. - Oversee investigation intake, prioritization, and case management. - Promote a culture of fraud awareness and prevention-first mentality. - Partner with Security, Product, Engineering, and Client Service to define fraud risk tolerance and controls. - Establish and monitor fraud KPIs; test and tune fraud controls and workflows. - Mentor team members and co-workers. - Develop and maintain fraud investigation policies, procedures, and training materials. - Assist with completion of risk assessments as needed. - Other duties as assigned. Qualifications - 7-10 years of experience in fraud investigations, cybersecurity, or a related field, preferably within the financial services industry. - 5-7 years of leadership experience. - Bachelor’s Degree in Accounting, Finance, Cybersecurity, or a relevant field. - Relevant certifications (such as CFE) preferred. Requirements - Executive-level communication and presence, with proven ability to influence decisions at all levels. - Strong analytical and problem-solving skills, with the ability to make risk-based decisions. - Ability to translate observed fraud patterns and industry trends into actionable guidance. - Demonstrated cross-functional leadership, including managing escalations and coordinating fraud incident response. - Experience evaluating and onboarding fraud vendors/tools. - Proficiency with MS Suite and current industry technology. Benefits - Infrequent travel - ability to provide personal transportation from time to time. - Occasionally lifts up to 25 pounds. - Prolonged periods of sitting at a desk and working on a computer.
Thought Leader Liaison - Hematology - West Region Location: Dallas, TX, USA Employees can work remotely Full-time Department: Sales Job Family: Medical & Regulatory Affairs Compensation: USD 200,000 - USD 220,000 - yearly Company Description At EVERSANA, we are proud to be a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 6,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to the market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA. Job Description Our employees are tasked with delivering excellent business results through the efforts of their teams. Duties may include, but are not limited to the following: The Thought Leader Liaison will be accountable to deliver in three key areas: Support Brand Strategic Initiatives, KOL Engagement and Advocacy Development, and Communications- internal and external. All TLL interactions are on-label and consistent with commercial compliance, legal and regulatory guidelines. - Support Brand Strategic Initiatives: - Participate as a member of the cross-functional brand team(s) to provide feedback on strategy, messaging, and tactical execution and novel programming ideas and concepts. - Facilitate cross-functional planning, recruitment, and execution of regional and national advisory boards, capturing feedback to inform brand decisions. - Identify, align, and recruit appropriate HCP consultants to engage to meet the need profiled by brand team leaders to meet the organizational goal for each project. - Responsible for collaborating effectively and mobilizing all appropriate resources. - KOL Engagement and Advocacy Development - Identify, profile, cultivate and maintain long-term relationships with KOLs. - Attend National/Regional hematology-oncology and all multiple myeloma congresses. - Align with cross-functional teammates to orchestrate resources with the top KOLs as determined by Brand Team through influence and centers of excellence mapping. - Create and execute, aligned with the brand team - Communications - Provide competitive intelligence and general insights gained through interactions to help shape brand strategy. - Managing execution of executive leadership engagement encounters at local, regional, and national conferences and congresses, POAs, field visits and other venues as directed in a compliant manner. - Scientific Congress Management: - Manages regional congresses serving as the primary contact to the home office for budgeting, contracting, coordination, attendance, pull through and KOL meetings. - Will also serve as a resource for field teams who are managing local conferences. - The TLL will maximize regional congress activity by ensuring that congress and customer engagements are prepared in advance, have clear meeting goals, utilize approved presentation materials, and are followed by a meeting summary. Coordinates with marketing, sales team, and vendors to ensure contacts made receive appropriate follow-up. - Travel up to 90% of the time; overnights will be required - All other duties as assigned Qualifications MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES: The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required. - Education: Bachelor’s degree in related field - 2+ years of work experience as a Thought Leader Liaison in Hematology-oncology or rare disease. - Additional product marketing, or medical/clinical experience of same or related therapeutic area within the pharmaceutical/biotech industry are also required. - Ability to partner with cross-functional teams toward a shared vision of success. - Ability to present ideas effectively to individuals or groups, targeting presentation to the needs of the audience. - Strong organizational skills. - Strong project management experience, including superior analytical and planning skills. - Ability to manage multiple projects simultaneously. - Ability to execute strategic and tactical plans under tight timelines. - Ability to travel to meetings/training/programs as necessary. - Valid driver’s license. PREFERRED QUALIFICATIONS: - Education MBA or MS degree in business/clinical/science - Marketing experience - Strong Leadership track record Additional Information OUR CULTURAL BELIEFS Patient Minded - I act with the patient’s best interest in mind. Client Delight - I own every client experience and its impact on results. Take Action - I am empowered and hold myself accountable. Grow Talent - I own my development and invest in the development of others. Win Together - I passionately connect with anyone, anywhere, anytime to achieve results. Communication Matters - I speak up to create transparent, thoughtful and timely dialogue. Embrace Diversity - I create an environment of awareness and respect. Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA. EVERSANA is committed to providing competitive salaries and benefits for all employees. If this job posting includes a base salary range, it represents the low and high end of the salary range for this position and is not applicable to locations outside of the U.S. Compensation will be determined based on relevant experience, other job-related qualifications/skills, and geographic location (to account for comparative cost of living). More information about EVERSANA’s benefits package can be found at eversana.com/careers. EVERSANA reserves the right to modify this base salary range and benefits at any time. From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at applicantsupport@eversana.com.

