Summary:
The role of payer organizations is increasing as the complexity of decision-making moves further from the physician. In addition, vertical integration has completely changed the market, while benefit decision-making authority continues to shift from payers to employers and the government channel grows in strategic importance. In response to these market trends, BMS leadership recognizes the need to fundamentally change how the organization engages with regional payers, government payers, and the employer benefit decision networks that increasingly control access. The position is responsible for being the single point of accountability for the execution of our market access strategies for the U.S.
BMS portfolio, specific to regional payer accounts, federal accounts (VA, DoD/TRICARE, IHS), state government and Medicaid accounts, and emerging employer channels, including all downstream accounts, aligned to current ways of working. The executive director orchestrates engagement with assigned accounts and serves as the primary interface between the account and BMS. The position reports directly to the VP, Market Access Strategic Accounts with responsibilities for managing a cross-functional team to ensure the whole of BMS's capabilities are brought to bear in the service of creating a more competitive customer partnership.
Responsibilities:- Serve as the primary interface with all payers, plans, and benefit decision-makers within assigned regional, federal, state government, and employer accounts.
- Lead all aspects of partnership and exchange between account and BMS senior-level interactions
- Supervise profitable negotiations across assigned accounts for the U.S. BMS portfolio and strategic positioning to ensure contract optimization
- Oversee federal account strategy and access across the VA, DoD/TRICARE, and IHS, including Federal Supply Schedule pricing and national formulary positioning for the BMS portfolio
- Direct state government and Medicaid account strategy, including fee-for-service, Medicaid managed care, and supplemental rebate negotiations
- Lead upstream engagement with employer benefit decision networks - large self-insured employers, national and regional benefits consultants, TPAs, and specialty benefit managers - to influence benefit design decisions for the full BMS portfolio before coverage parameters are finalized
- Influence employer benefit philosophy on formulary placement, utilization management, site-of-care frameworks, and carve-out strategies, engaging stakeholders ahead of annual benefit design cycles
- Supervise the development of stakeholder maps that identify key influencers and decision makers at the assigned account, specifying targets to be engaged and who at BMS is responsible for building the relationship
- Ensure development of account goals/objectives and tactical execution plans in alignment with BMS strategy
- Contribute to the design and development of processes to facilitate cross-account and cross-functional best-practice sharing
- Oversee the delivery of all value, access, HEOR, population health messages, and tools
Qualifications:- Bachelors required; advanced degree preferred (MBA, PharmD, etc.)
- Recent payer account management across regional, government, or national accounts (4+ years)
- Pricing/contracting, with a particular focus on contract optimization (3+ years)
- Possess executive presence and the ability to close profitable deals with managed care and government payers
- Demonstrated ability to develop customer centric approaches, leverage multi-disciplinary capabilities and resources in order to realize coverage objectives
- Proven leadership, analytic, influence, and negotiation skills
- Experience in medical and pharmacy benefit products
- Deep understanding of self-insured employer benefit design, specialty drug economics, and payer vs. employer decision authority
- Proven ability to engage senior, non-clinical stakeholders (HR, Finance, Benefits) and the consultants and TPAs that advise them
- Demonstrated written and oral communication skills
#LI-Field
Compensation Overview:$253,670 - $307,383
The starting compensation range(s) for this role are listed above for a full-time employee (FTE) basis. Additional incentive cash and stock opportunities (based on eligibility) may be available. The starting pay rate takes into account characteristics of the job, such as required skills, where the job is performed, the employee's work schedule, job-related knowledge, and experience. Final, individual compensation will be decided based on demonstrated experience.
Eligibility for specific benefits listed on our careers site may vary based on the job and location. For more on benefits, please visit https://careers.bms.com/life-at-bms/.
Benefit offerings are subject to the terms and conditions of the applicable plans in effect at the time and may require enrollment. Our benefits include:
- Health Coverage: Medical, pharmacy, dental, and vision care.
- Wellbeing Support: Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP).
- Financial Well-being and Protection: 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support.
Work-life benefits include:Paid Time Off
- US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees)
- Phoenix, AZ, Puerto Rico and Rayzebio Exempt, Non-Exempt, Hourly Employees: 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays
Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
All global employees full and part-time who are actively employed at and paid directly by BMS at the end of the calendar year are eligible to take advantage of the Global Shutdown.
*Eligibility Disclosure: The summer hours program is for United States (U.S.) office-based employees due to the unique nature of their work. Summer hours are generally not available for field sales and manufacturing operations and may also be limited for the capability centers. Employees in remote-by-design or lab-based roles may be eligible for summer hours, depending on the nature of their work, and should discuss eligibility with their manager. Employees covered under a collective bargaining agreement should consult that document to determine if they are eligible. Contractors, leased workers and other service providers are not eligible to participate in the program.
On-site ProtocolBMS has an occupancy structure that determines where an employee is required to conduct their work. This structure includes site-essential, site-by-design, field-based and remote-by-design jobs. The occupancy type that you are assigned is determined by the nature and responsibilities of your role:
Site-essential roles require 100% of shifts onsite at your assigned facility. Site-by-design roles may be eligible for a hybrid work model with at least 50% onsite at your assigned facility. For these roles, onsite presence is considered an essential job function and is critical to collaboration, innovation, productivity, and a positive Company culture. For field-based and remote-by-design roles the ability to physically travel to visit customers, patients or business partners and to attend meetings on behalf of BMS as directed is an essential job function.
