Best suited to candidates with deep payer contracting expertise working in the pharmaceutical or biotech industry, with a demonstrated ability to manage complex cross-functional projects in a hybrid work arrangement.
Derived from job-description analysis by Serendipath's career intelligence engine.
Original posting from Genetix Biotherapeutics via Greenhouse
About Genetix Biotherapeutics
At Genetix Biotherapeutics every role has meaning, every team member is respected, and every day is a chance to make a difference. When you join Genetix, you're not just landing a new role, you become part of a company that's pursuing curative gene therapies to give patients and their families more days. We are doers, thinkers and collaborators who embrace and live by our values:
Our innovation is rooted in the diversity of our teams and results are achieved through cooperation and the integration of multiple viewpoints. This is personal and we approach every challenge with radical care.
This is a full-time hybrid position based in our Somerville, Massachusetts (Assembly Row) office, with an onsite presence required three days per week. Candidates must reside within a commutable distance of the office to be considered.
Summary
Genetix Biotherapeutics Market Access, Advocacy & Policy team (MAAP) is focused on helping patients access our therapies to deliver on our mission to transform lives through curative therapies for patients with rare, genetic diseases. This committed group is looking for our newest team member to enable authentic, collaborative engagement with the stakeholders and communities that we serve and to support operations across Market Access. Come work with a dedicated, expert group of employees and contribute to a purpose-driven organization that is shaping the future of gene therapy.
RESPONSIBLITIES
The Director of Pricing, Payer Contracting & Analytics is an individual contributor role within Market Access, with broad ownership across payer contracting, including outcomes-based agreements, government pricing, and analytics. This person is the operational and strategic lead for the company's payer contract portfolio and is accountable for a set of functions that are compliance-sensitive, deadline-driven, and both strategically and operationally complex. This role requires detailed management and execution, while thinking strategically about contracting and access in a competitive and evolving market. A highly cross-functional position that interfaces regularly with Finance, Legal, Field Payer Team, Patient Services & Channel Operations, payers, external vendor partners and leadership.
Pricing and Payer Contracting
Manage payer contracts for gene therapy portfolio for both commercial and government payers and across all stages of the contract lifecycle, including collaboration with cross-functional partners, external stakeholders and legal counsel
Serve as the internal subject matter expert on contract terms, payer-specific dynamics, and therapy-specific outcomes to support collaboration with Field Payer Team, Legal, Finance, external vendor partners and leadership
Develop contracting strategies and pricing scenario analysis in response to changes in the treatment and payer landscape
Oversee compliance of contracts across payer types, including monitoring performance, addressing disputes, and ensuring terms are met
Government Price Reporting
Own regular government price reporting obligations in collaboration with third-party vendors and Finance
Manage pricing events and ensure timely, accurate submissions in compliance with federal and state regulations
Maintain internal documentation to support compliance and audit readiness
Analytics
Own payer coverage policy landscape analyses for internal teams and external partners
Lead payer rebate validation and adjudication, across vendors and internal teams, with accountability for accuracy and support on rebate liabilities and exposure
Develop and execute gross-to-net modeling, and ad-hoc analytical requests from Finance and leadership
Vendor Management
Manage vendor relationships, holding vendors accountable to timelines and deliverables, and escalating issues as needed
Oversee current vendor workstreams spanning market access strategy and operations
Coordinate vendor activities with cross-functional internal teams to support ongoing business needs
Qualifications
Experience:
8+ years of experience in pricing, market access, and payer contracting strategy within the pharmaceutical or biotech industry, including strategy consulting experience
Expertise in coverage, access and reimbursement for specialty pharmaceuticals; rare disease, cell and gene therapy and/or hospital-based product experience a plus
Demonstrated experience managing a payer contract portfolio, including contract negotiation, compliance monitoring, and cross-functional support; value-based contracting experience a plus.
Working knowledge of pricing mechanics, including AMP, Best Price, ASP, and government price reporting requirements; hands-on experience preferred
Strong business acumen with experience in financial modeling, rebate adjudication and/or pricing analysis
Experience managing external vendors and coordinating across multiple workstreams simultaneously
Skills & Competencies:
Strong sense of urgency, accountability, and patient-centric focus.
Excellent verbal and written communication with high emotional intelligence and active listening.
Strong quantitative and qualitative analytical, investigative, and critical thinking skills with ability to translate insights into action.
Ability to work independently and manage a high volume of complex, ongoing responsibilities
Ability to navigate sensitive information with discretion and strict adherence to compliance standards.
Proficiency in Microsoft Excel, Word, PowerPoint, and data entry systems.
Education:
Bachelor’s degree required (preferred fields: Business, Finance, Healthcare Administration, Life Sciences). Relevant advanced degree a plus.
Other Requirements:
Ability to work effectively in a fast-paced, evolving environment with competing priorities.
Willingness to travel as needed.
Additional Information
The pay transparency range provided below is based on what we believe is a reasonable estimate for the base salary pay range for this job at the time of posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. This role is eligible for an annual bonus and long-term incentive. Actual base salary pay will be based on several factors, including but not limited to experience, skills, relevant education/qualifications, external market, internal equity, and other job-related factors permitted by law.
Genetix’s total rewards package also provides employees with a comprehensive and competitive benefits suite to support a variety of employee needs. These benefits include comprehensive health, life and disability insurance, employer-matched 401(k) plan, lifestyle spending account, flexible time-off + paid holidays and winter holiday period, tuition reimbursement & loan repayment assistance, paid parental leave, paid onsite parking, commuter subsidy, and much more.
Pay Transparency$216,000—$265,000 USDGenetix is proud to be an equal opportunity employer, seeking to create a welcoming and diverse environment. All applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status or any other applicable legally protected characteristics.