Functional Skills
Software Skills
Sector Experience
Experience
Manufacturers seek our strategic and tactical Market Access services during Pre-launch Planning and/or the post-FDA Launch Implementation Phases.
- Planning: Reimbursement and Distribution
- Market Research: Product X and competitive products
- Payer Launch: National Account Teams
Lead new business development, proposal development, bid submissions and client engagements
- Conduct and develop strategic pricing, competitive landscape analysis, product positioning, copay/coinsurance analyses, qualitative and quantitative PBM/payer research, value proposition development, contracting strategy
Leadership roles in strategic value propositions, US price analysis, research, planning and competitive positioning
Lead and provide direction to 5 – 7 staff on proposal frameworks and delivery of client commercialization projects
Serve as key point of contact for project delivery and follow-up to ensure client satisfaction
Lead, execute and deliver on client projects providing guidance to internal consultants and analysts
> Negotiated optimal specialty pharmacy and data network agreements
> Developed payer value proposition and communication tools. i.e.: AHFS DI monograph, Specialty Pharmacy and Payer decks, and Predictive Payer Modeling tool
> Launched Product X and established client corporate recognition with payers
> Tactics resulted in >70% payer formulary positioning exceeding corporate forecasts
> Created formulary access for ZENPEP in orphan disease state of Cystic Fibrosis
> Gained positive formulary positions at Aetna, CIGNA, Emblem Health NY, BCBS MA, Excellus, Highmark, Gateway, Member Health, Horizon NJ Health.
> Propelled market share growth to > 25%.
> Created cost model which resulted in increased formulary wins and saves.
> Advised C level and Sr management of payer marketing strategies including AWP & WAC pricing, Gross-To-Net analysis, and key industry legislative events.
> Launched Product X to national PBMs and national payers.
> Executed payer initiatives resulting in positive formulary positioning exceeding corporate forecasts.
> Contributed content, advice, and positioning of market information for public press communiqué.
Companies included:
- Celltech Pharmaceuticals, Inc. (Acquired by UCB in 2004)
- Medeva Pharmaceuticals, Inc. (Acquired by Celltech in 1996)
- Adams Laboratories, Inc. (Acquired by Medeva in 1993)
> Created formulary access while maximizing profitability: CVS, Express Scripts, Aetna, CIGNA, Humana, many BCBS accounts.
> Launched KEPPRA, KEPPRA XR, CIMZIA, XYZAL, VALSTAR, ZAROXOLYN, TUSSIONEX, SEMPREX-D, HUMIBID and many others.