Doctorate-level degree required (PharmD, PhD, MD, or DO).
5+ years of experience in pharma, biotech, or Medical Affairs with a focus on health-system engagement.
Proven experience engaging with payers and health-system stakeholders, including formulary decision-makers.
Deep knowledge of U.S. payer dynamics, including utilization management and value-based care.
Ability to clearly communicate complex scientific and clinical information to healthcare leaders.
Responsibilities
Engage with healthcare stakeholders as the Medical Affairs scientific expert.
Develop strategic engagement plans in alignment with Medical Affairs objectives.
Facilitate balanced medical exchanges on disease states and clinical outcomes.
Respond to medical inquiries from payer and health-system stakeholders.
Gather and communicate insights on payer evidence needs and access barriers.
Support the development of payer-focused medical resources and evidence generation initiatives.
Ensure compliance in documenting stakeholder engagements and follow-up activities.
Benefits
Flexible work environment with field-based opportunities.
Ongoing professional development and training resources.
Collaborative culture focused on innovation and scientific integrity.
Access to a comprehensive health and wellness benefits program.
Opportunities for leadership and career advancement.
Full Job Description
Description
Key Responsibilities
Health Systems, Payer, and Executive Stakeholder Engagement
Serve as the Medical Affairs scientific expert for payer, health-system, IDN, PBM, specialty pharmacy, medical director, pharmacy leadership, formulary, and population health stakeholders.
Develop and execute strategic payer and health-system engagement plans aligned to Medical Affairs objectives and compliant scientific exchange.
Conduct balanced medical-to-medical exchange on disease state, clinical evidence, real-world evidence, health economics, outcomes, treatment pathways, guidelines, unmet needs, and access-related considerations.
Respond to unsolicited medical/scientific inquiries from payer and health-system stakeholders in accordance with Cosette Medical Affairs policies.
Insights, Evidence, and Value Communication
Capture and communicate actionable insights on payer evidence needs, formulary considerations, utilization management, treatment pathways, access barriers, patient journey challenges, and policy or market trends.
Support payer-focused medical resources, value-based scientific materials, advisory boards, population health discussions, congress activities, and evidence-generation initiatives as appropriate.
Internal Partnership and Compliance
Maintain current expertise in assigned disease areas, Cosette products, competitor products, clinical data, real-world evidence, health economics, guidelines, payer dynamics, health-system structures, and relevant compliance requirements.
Maintain timely and complete documentation of stakeholder engagements, insights, follow-up activities, training, expenses, and other required records.
Qualifications
Education
Terminal scientific or clinical degree required (PharmD, PhD, MD, or DO).
Required Experience
Minimum of 5 years of pharmaceutical, biotechnology, Medical Affairs, field medical, HEOR, payer strategy, market access, or health-system engagement experience required.
Experience engaging payer, health-system, IDN, PBM, medical director, pharmacy leadership, formulary, specialty pharmacy, or population health stakeholders required.
Strong understanding of U.S. payer dynamics, formulary decision-making, utilization management, medical and pharmacy benefit management, specialty pharmacy, patient access, population health, value-based care, evidence interpretation, and compliant scientific communication.
Demonstrated ability to communicate complex scientific, clinical, health economics, and outcomes information clearly, accurately, credibly, and compliantly to senior healthcare decision-makers.
Preferred Experience
Experience supporting payer evidence planning, value dossier development, launch readiness, field medical planning, advisory boards, scientific communications, real-world evidence discussions, or medical insight generation preferred.
Familiarity with oncology or specialty pharmaceutical access channels, including buy-and-bill, specialty pharmacy, IDNs, regional oncology networks, Medicare, Medicaid, commercial payers, PBMs, and value-based arrangements preferred.
Required Capabilities
Strong scientific, clinical, health economics, and strategic acumen with the ability to interpret and communicate complex evidence to senior healthcare decision-makers.
Executive presence, strong presentation skills, excellent written and verbal communication, strategic account planning, relationship-building, and virtual/in-person engagement capabilities.
Self-motivated, organized, analytical, accountable, and able to manage complex external stakeholder relationships with scientific judgment, business awareness, and integrity.
Travel Requirements
Field-based, home-office role supporting assigned national or regional payer and health-system stakeholders; candidate should reside near a major airport.
Ability to travel approximately 40-60%, including overnight travel for payer and health-system engagements, internal meetings, congresses, advisory boards, and other business needs.
Valid driver's license with a clean driving record and ability to meet healthcare-industry-representative credentialing requirements for facility access.
