Vice President, U.S. Market Access & Pricing (San Carlos)

Join our Mission to Protect Humankind!Vaxcyte is a clinical-stage vaccine innovation company engineering high-fidelity vaccines to protect humankind from the consequences of bacterial diseases, which have serious and costly health consequences when left unchecked. Working to eradicate or treat bacterial infections such as invasive pneumococcal disease, Group A Strep, and Shigella is just the beginning. Our path to success is clear and well-defined, and Vaxcyte is set up to go the distance. WHAT we do is every bit as important as HOW we do it! Our work together is guided by four enduring core values:*RETHINK CONVENTION: We bring creative and intellectual diversity to every facet of the work we do in order to innovate and re-innovate the way vaccines are delivered.*AIM HIGH: We embody our collectively audacious goal to courageously make the most complex biologics ever attempted to protect humankind.*LEAD WITH HEART: Everyone leads at Vaxcyte with a kindness-first, inclusive approach to collaboration and vigorous debate that advances our business objectives.*MODEL EXCELLENCE: The magnitude of our challenge requires our shared commitment to demonstrating integrity, accountability, equality and clarity across communications and decision making.Summary:The Vice President, Market Access will lead the strategy and execution of all market access activities to support the successful launch of the company’s adult pneumococcal vaccine. Reporting to the Chief Commercial Officer, this role will be accountable for ensuring broad, timely, and sustainable access across public and private channels.As Vaxcyte prepares for its first commercial launch, the VP will operate as a hands-on leader, building foundational capabilities while directly shaping payer, provider, and policy environments. This role requires a balance of strategic leadership and execution, with a particular focus on navigating the unique access dynamics of adult vaccines, including public health recommendations, buy-and-bill reimbursement, and site-of-care considerations.Essential Functions:Lead development and execution of the U.S. market access strategy for the adult pneumococcal vaccine, including pricing, reimbursement, contracting, and channel strategyDefine and drive launch readiness plans aligned to regulatory approval and immunization guideline milestones (e.g., ACIP or other recommending bodies)Shape access strategies across commercial payers, Medicare, Medicaid, and public health channelsDevelop and execute engagement strategies for key stakeholders, including GPOs, IDNs, retail pharmacy, and public health entitiesEstablish pricing strategy and gross-to-net assumptions, ensuring alignment with vaccine-specific market dynamicsEnsure readiness for coding, coverage, reimbursement, and provider economics within buy-and-bill and pharmacy settingsPartner with Medical Affairs to define and deliver HEOR and value evidence to support payer and policy decision-makingServe as the market access lead across cross-functional teams, aligning with Commercial, Medical, Regulatory, Government Affairs, and FinanceBuild and lead a lean market access function, leveraging external partners to scale capabilities efficientlyWorking cross functionally, prepare for CDC immunization program, state immunization program, and ACIP-adjacent policy stakeholder engagements; translate ACIP recommendation language into access and coverage implications across all channelsDevelop and execute integrated PBM, commercial payer, and Medicare Part B and D contracting strategies to ensure optimal formulary positioning, coverage, and patient access across channels.Support development of national retail pharmacy and alternate vaccination site strategies, establishing partnerships that maximize vaccine availability, administration, and uptake.Develop scenario-based access, reimbursement, and customer adoption strategies aligned to potential ACIP recommendation outcomes and evolving adult immunization guidelinesRequirements: Bachelor’s degree required; advanced degree (MBA, MPH, PharmD, PhD) preferred15+ years of experience in market access, pricing, reimbursement, or related functions within biotech/pharmaDemonstrated experience supporting or leading product launches, ideally in vaccines, infectious disease, or buy-and-bill productsStrong understanding of adult vaccine access dynamics, including public health recommendations, Medicare Part B and Part D reimbursement, Medicaid, 340B program implications, CDC contract vehicles (Section 317 and VFC), and site-of-care economicsExperience operating in lean or pre-commercial biotech environments, with a demonstrated track record of building market access capabilities from the ground upProven ability to balance strategic thinking with hands-on executionStrong cross-functional leadership and stakeholder influence skillsExperience managing gross-to-net financial modelling, including rebate strategy across payersDemonstrated ability to work collaboratively with HEOR teams to translate cost-effectiveness models, budget impact analyses, and payer value dossiers into P&T committee submissions or ICER reviewsPrior engagement with CDC immunization programs, state immunization programs, or ACIP-adjacent policy processes; understanding of how ACIP recommendation language drives uptake across channelsReports to: Chief Commercial OfficerLocation: East Coast - USWork Arrangement: Hybrid (minimum of 2-3 days per week) / RemoteCompensation:The compensation package will be competitive and includes comprehensive benefits and an equity component.Salary Range: $333,000 - $388,000 (SF Bay Area). Salary ranges for non-California locations may vary.Relocation: This role is eligible for relocation assistance. We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.