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Vice President, Market Access - Payer and Specialty Pharmacy
Location
United States
Posted
6 days ago
Salary
$280.5K - $342.5K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Vice President, Market Access - Payer and Specialty Pharmacy
Sun Pharmaceutical Industries Ltd
Role Description The Vice President, Market Access – Payer & Specialty Pharmacy is a senior leader accountable for influencing and executing market access strategies that enable sustainable patient access to Sun Pharma’s portfolio across pharmacy and medical benefit pathways (including Part D and buy-and-bill), encompassing payers, PBMs, specialty pharmacies, and government channels. This role translates payer, reimbursement, specialty pharmacy, and policy dynamics into portfolio-specific access strategies, determining the optimal mix of commercial, federal, state, specialty, or hybrid pathways based on product needs. The VP provides executive leadership for specialty pharmacy strategy, including network design, product access, and programs aligned with Sun Pharma’s access and commercial objectives, while serving as a trusted partner to senior payer, PBM, and specialty pharmacy stakeholders to drive durable access and successful commercialization. Although Sun Pharma's corporate offices are located in Princeton, NJ, this is a field-based role. Key Responsibilities - Payer & PBM Market Access Leadership - Develop and execute comprehensive payer and PBM access strategies that maximize formulary placement, reimbursement, and utilization across national and regional health plans. - Lead engagement and negotiations with national and regional payers, PBMs, and managed care organizations, driving access decisions that support launch excellence and lifecycle management. - Establish and oversee payer contracting and pricing strategies that balance access, affordability, competitiveness, and long-term portfolio value. - Develop customer-specific value propositions that address payer priorities related to clinical value, economics, population management, and outcomes. - Partner closely with HEOR and Medical Affairs to communicate differentiated clinical, economic, and real-world evidence to payer and PBM decision-makers. - Monitor payer trends including utilization management, coverage policy evolution, specialty benefit management, biosimilar strategies, and value-based arrangements to proactively inform access strategy. - Strengthen long-term payer and PBM partnerships through executive-level engagement and consistent delivery against customer commitments. - Specialty Pharmacy & Operations - Influence specialty pharmacy strategy, distribution network design, and channel optimization to support access, speed to therapy, and patient experience. - Oversee negotiations and contracting with specialty pharmacies to drive utilization and operational performance. - Develop and implement innovative specialty pharmacy access strategies that reduce friction across referral, onboarding, reimbursement, and fulfillment, with the goal of improving patient initiation, continuation, and overall access to Sun Pharma products. - Establish performance frameworks and KPIs focused on access rate, HUB utilization, affordability support, adherence, and operational efficiency. - Ensure alignment between specialty pharmacy operations, patient services, HUB, and brand strategies to minimize access friction for patients and providers. - Strategic Market Access Planning & Portfolio Positioning - Lead short- and long-term market access planning across commercial, Medicare, Medicaid, and government channels. - Integrate payer, PBM, and specialty pharmacy insights into launch readiness, indication expansion, and lifecycle planning. - Anticipate shifts in the access landscape and adapt strategies to ensure Sun Pharma’s portfolio is optimally positioned for sustainable growth. - Government Markets & Federal Accounts Leadership - Provide executive oversight for Sun Pharma’s federal and state government market access strategy, including Veterans Administration (VA), Department of Defense (DoD), Indian Health Services (IHS), Medicare, State Medicaid programs, and TRICARE. - Lead and support a team which is responsible for calling on senior-level personnel within federal and state entities to secure formulary access for the Sun Pharma product line. - Support contract negotiations that result in executed agreements enabling access, utilization, and growth within assigned government sectors. - Healthcare Policy & Access Implications - Partner closely with the Government Policy team to understand, anticipate, and engage on federal and state policy developments (e.g., MFN, pricing and reimbursement reforms) that may impact market access and portfolio economics. - Assess the access and commercial implications of policy changes and recommend strategic options to optimize portfolio positioning across commercial, federal, and state channels. - Collaborate with Legal, Compliance, Trade, and other stakeholders to ensure recommended strategies are compliant, executable, and aligned with enterprise priorities. - Cross-Functional & Organizational Leadership - Build, lead, and develop high-performing payer, specialty pharmacy, and government account teams. - Foster a culture of strong payer acumen, customer centricity, and disciplined execution across the Market Access organization. - Partner closely with Sales, Medical Affairs, Commercial Operations, Patient Services, Trade, Legal, Compliance, and Finance to deliver seamless access strategies. - Provide executive leadership with insights on payer trends, access risks, competitive dynamics, and policy-driven implications. Qualifications - Bachelor’s degree required; advanced degree (MBA, MPH, PharmD, JD, or related field) preferred. - 12+ years of progressive experience in pharmaceutical or biotech market access, payer strategy, or managed markets leadership. - Deep expertise in payer and PBM contracting, reimbursement, and specialty pharmacy models. - Demonstrated success negotiating complex payer, PBM, specialty pharmacy, and government contracts. - Demonstrated ability to lead and develop high-performing, complex organizations, with a proven track record of building talent, managing competing priorities, fostering accountability, and inspiring innovation and future leaders within matrixed environments. - Strong executive presence with a track record of influencing senior external stakeholders. - Experience supporting specialty, complex, or chronic disease portfolios preferred. Core Competencies - Payer & PBM Strategy and Negotiation - Specialty Pharmacy Channel Leadership - Market Access & Reimbursement Expertise - Executive Customer Engagement - Contract Strategy & Governance - Healthcare Policy Impact Assessment - Cross-Functional Leadership - Commercial & Financial Acumen - Talent Development & Team Leadership Benefits - The presently-anticipated base compensation pay range for this position is $280,500 to $342,500. - Actual base compensation may vary based on a number of factors, including but not limited to geographical location and experience. - This position is part of the Annual Performance Bonus Plan. - Employees are eligible to participate in Company employee benefit programs which include: - Medical, dental and vision coverage - Life insurance - Disability insurance - 401(k) savings plan - Flexible spending accounts - Employee assistance program - Employees also receive various paid time off benefits, including vacation time and sick time.
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