OVERVIEW:
Responsible for strategic partnership and market access strategy implementation at the assigned MA authorities or regional/ hospital formulary listing committees
Plays an essential role in developing, communicating, and executing on the value strategies that address questions and influence the key decision makers
JOB DESCRIPTION:
Visit and engage assigned MA authorities and customers on a regular basis
MOH committees relevant for market access decision-making
Pricing and/or Reimbursement authorities
Experts and advisors to MA authorities
Public market formulary listing agencies (e.g. public health insurance, gov’t funded health programs, gov’t tenders, public hospital drug formulary committees)
Private market formulary listing agencies (e.g. private health plans, private insurance drug formularies, private hospital drug formulary committees)
HTA (Health Technology Assessment) Agencies
Strategic account planning to build distinguished quality access and sustainable win-win partnership
Monitor competitors’ strategies and prepare appropriate Market access responses
Lay out short- and long-term account access vision, goals, key strategies and tactics
Proper integration of key risks & opportunities, strategies & tactics into country MAP
Map decision-making process and criteria, regular monitor and update
Lead the execution of strategic partnership at the assigned MA authorities/ committees
Perform systematic stakeholder mapping, gain thorough understanding of formal and informal decision-making
Understand the account needs at organizational and decision-makers levels
Improve access policies and conditions
Identify areas to move from low(est) price-based to value-based decision-making, leverage global policy concepts, tools and international experts to improve or preserve access policies and conditions
Monitor closely changing dynamics in terms of access policies & conditions, such as pricing, reimbursement, formulary listing, other relevant payer polices & guidelines, and, where applicable, tender specifications
Obtain, maintain and optimize formulary listing (with or without tenders)
Specify formulary listing and/ or tender dossier or documentation requirements
Analyze opportunities and risks across EPD portfolio
Negotiate with MA authorities and formulary listing agencies
Formulate formulary listing (or sometime de-listing) strategy
Maximize formulary listing results, measured by products listed in accounts
Monitor country pricing policy & manage pricing submissions
Map pricing regulations (e.g. IRP (Int’l Reference Pricing), TRP (Therapeutic Reference Pricing) etc.), gain thorough understanding of pricing setting and adjustment mechanism for new and in[1]market products
Develop pricing submission strategy to maximize pricing opportunities and minimize risk
Liaise with global pricing to ensure strategy alignment and minimize cross-country impact
Ensure quality and timely submission
Support country market access head in pricing negotiation
Identify and execute payer value-added programs
Payer engagement programs: design the program and materials; build in outcome measurement to demonstrate value for payers
Based on strategic account planning, identify account-specific payer value-added programs which provide short- or/ and long-term success for EPD portfolio. This may be payer engagement programs, or local health economics studies
Local health economics studies: design local study to demonstrate better value for money or positive budget impact, or local dissemination of global studies
