• Own the accountability for the development and maintenance of clinical and reimbursement policies, ensuring perfect alignment with CMS regulations. • Design and oversee a robust, multi-layered audit program that monitors adjudication system output against clinical policies, pricing, benefit rules, and provider contract terms. Ensure that all findings are fed into a continuous improvement loop to enhance systemic accuracy. • Lead the implementation of AI initiatives to automate the monitoring of reimbursement policies and contract validation. You will independently utilize advanced LLMs (such as Claude, Gemini, and ChatGPT) to analyze oversight trends and develop data-driven criteria for judgmental sampling and targeted audits. • Serve as the lead for global payment accuracy oversight regarding our external BPaaS partner, holding the vendor to world-class standards through global accuracy reviews and data-driven performance monitoring. • Act as the strategic bridge between Clinical, Claims, A&G, UM, Compliance, Quality, and the Configuration team, ensuring that clinical intent, benefit design, and contractual terms are perfectly synchronized in the final payment adjudication.

• Set the vision and strategy for applying ML to Trust & Safety, ensuring scalable, proactive protection against evolving abuse patterns. • Lead and grow a high-performing Safety ML organization, including applied research, model development, productionization, and continuous improvement. • Develop and deploy cutting-edge Safety ML systems (including fine-tuned LLMs and transformer models) that outperform state-of-the-art solutions in quality, latency, and efficiency. • Partner with Trust & Safety, Product, Moderation, and AI/ML Platform teams to identify safety risks, emerging harm vectors, and ML opportunities that improve detection, enforcement, and user experience. • Drive successful experimentation, evaluation, and model lifecycle management, ensuring high precision, recall, explainability, and policy alignment. • Champion ethical and responsible AI practices in all Safety ML solutions. • Track performance through metrics, research-based iteration, and alignment with Reddit’s safety policies and regulatory standards. • Represent Safety ML leadership internally and externally — including conferences, publications, industry groups, and cross-company collaboration initiatives.

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.

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.