Vice President, Head of National Payer Accounts

Location: Remote, United States

Salary: $300,760–$380,413 USD per year

Company

hirify.global develops and commercializes innovative ophthalmology therapeutics focused on preventing blindness and improving outcomes for patients with serious retinal diseases.

What you will do

• Own national payer strategy across commercial, Medicare, including MACs, and Medicaid channels for a Medicare Part B buy-and-bill retina product.
• Lead senior relationships and direct negotiations with national and regional payers and PBMs on coverage, contracting, reimbursement, and value-based arrangements.
• Build and lead the national accounts team and trade and distribution function, using a player-coach approach during the initial build-out.
• Lead payer-facing launch readiness, including coverage policies, prior authorization criteria, claims and billing pathways, and the transition from miscellaneous to permanent J-code coding.
• Coordinate launch execution with Trade & Distribution, Reimbursement/HUB, Medical Affairs, Sales, and patient support functions.
• Represent payer strategy to executive leadership and the Board, while providing payer intelligence for pricing, contracting, and gross-to-net decisions.

Requirements

• 15+ years of experience in pharmaceutical or biotech market access, national accounts, or payer strategy, including 3+ years at VP or senior leadership level with direct payer negotiation ownership.
• Direct experience launching a Medicare Part B buy-and-bill product and managing the miscellaneous J-code period through permanent coding.
• Expert knowledge of Part B reimbursement mechanics, ASP methodology, buy-and-bill economics, site-of-care dynamics, and specialty pharmacy or distribution models.
• Working knowledge of Inflation Reduction Act provisions and their impact on pricing, access, and contracting strategy.
• Proven success negotiating with national payers and PBMs and building national accounts teams.
• Bachelor’s degree required; an advanced degree in business or healthcare is advantageous.

Nice to have

• Retina or broader ophthalmology therapeutic area experience.
• Experience at a small or mid-cap biotech during a first-in-class or category launch.
• Existing relationships with major national payers and specialty distributors relevant to retina or buy-and-bill products.
• Familiarity with the evolving MFN and Part B pricing policy landscape.

Culture & Benefits

• Work in a culture centered on transformational innovation, integrity, compassionate excellence, and inclusive collaboration.
• Contribute to therapies designed to improve patient vision and prevent blindness.
• Operate in a fast-paced ophthalmology company focused on learning, problem-solving, and scientific innovation.
• Employment is offered as a full-time position with compensation determined by experience, education, market conditions, and internal equity.