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Director of Managed Care Payer Contracting (Hybrid - Acton, MA)

$158.2k - $237.25k

Insulet Corporation - OmniPod

Job SummaryJoin Insulet as Director, Managed Care Payer Contracting, where you'll shape the market access and contracting strategy behind one of the most innovative diabetes care portfolios in healthcare. This highly visible leadership role offers the opportunity to influence payer access, reimbursement, and contracting decisions that directly impact patient access to life-changing technology. You'll lead a high-performing team, collaborate with senior leaders across Market Access, Finance, Legal, and Commercial Operations, and drive innovative contracting solutions including value-based agreements, PBM negotiations, and launch readiness strategies for future products. For leaders who thrive at the intersection of strategy, analytics, negotiation, and people leadership, this is a unique opportunity to make a measurable impact on both business growth and patient outcomes. The Director, Managed Care Payer Contracting will drive Insulet’s contracting, strategy setting, governance, insights, and operationalization across Insulet’s in‑market and pipeline assets. They will report to the Sr. Dir of Payer Contracts and will lead a team of contract authoring professionals while collaborating with cross-functional stakeholders across Account Management, Legal, Finance, Accounting, Compliance, and Operations.ResponsibilitiesReview complex contractual matters and serve as the department's primary escalation point.Provide leadership, direction, and oversight of the contracts department.Manage workloads, establish priorities, monitor performance, and ensure timely completion of department responsibilities.Coach and develop department personnel and promote consistent, efficient, and accountable practices.Support proposals, negotiations, contract modifications, and auditsIdentify contractual risks and ensure issues are appropriately documented and escalated.Innovative Contract Development: Lead the ideation, design, and implementation of novel contract models, including:Value-Based Agreements (VBAs) and Outcomes-Based PricingNew offerings and approaches to support product access and competitiveness in marketDirects the team thatworks with Account Directors to develop and execute a strategic approach to negotiations with pharmacy benefit managers to achieve best-in-class rates, terms and conditions for key accounts. Develops brand and market access strategies by payer channel to support patient access through the creation and delivery of impactful market access resourcessets the strategic vision and governance for all commercial rebate and PBM contract structures, language libraries, and template standardization.partners with National and Regional Account Directors, Payer Analytics, Finance, and Legal to structure customized, high-yield contracting solutions for complex market access environments.Supports the Market Access launch readiness teams to ensure all US Market Access functional areas are aligned to the strategy, and all tactical elements are finalized in preparation for FDA clearance of next generation products.Identify and address key product barriers to access and performance by applying advanced understanding of contracting and rebating strategies, payer analytics, and payer market trendsManages a multimillion-dollar budget.Drive contract lifecycle management (CLM) optimizations, standard operating procedures (SOPs), quality controls, and compliance audit frameworks.Recruit, mentor, and develop a high-performing team responsible for contract authoring, workflow oversight, and customer negotiation support.Overseeing a team of 4-5 direct reportsSecure and oversee external vendors to deliver resources and strategic insights on time and within budgetDevelop key performance indicators (KPIs) and metrics to assess impact of key initiativesAct as the subject matter expert on contractual risk mitigation, financial implications, and the translation of complex commercial terms into compliant, executable agreements.Proactively analyze shifts in managed care, reimbursement policies, Medicare Part D, Medicaid, and PBM dynamics to update contracting strategy accordingly.Knowledge And SkillsStrategic Thinking: Demonstrated ability to think strategically and develop innovative business models in a complex, regulated environment.The role requires a leader who understands the complexities of specialty product commercialization and the evolving evidence expectations of US payers.Deep experience in product commercialization and access strategy for launching products and maintaining accessPrevious contract strategy leadership experience in the pharmaceutical/biotech or healthcare industry, with a focus on pharmacy benefit spaceStrong understanding of specialty pharmacy and distribution strategyExperience developing and articulating compelling payer value propositionsProven track record of meeting or exceeding access objectives and goals, both as an individual and as part of a teamExpert knowledge of US healthcare system, including gov’t and commercial payers, policy, and regulatory environmentExcellent attention to detail and communication skills with experience presenting to internal leadershipExperience leading and managing a team, including oversight and accountability for all team outputs, deliverables and management of deadlinesDemonstrated ability to successfully lead cross-functional teams, influence without direct authority, foster collaboration, and succeed in a highly matrixed environmentAbility to perform in a fast-paced environment, manage multiple priorities simultaneously, and work effectively across cross-functional teamsExperience leading and collaborating in a matrix environment.Education and ExperienceMinimum QualificationsBachelor’s degree (Preferred field of study Business, Finance, Healthcare Administration)10+ years of progressive experience in pharmaceutical, medical device, managed care, pricing, or market access contracting 7+ years of direct people management experiencePreferred Advanced Degree: MS, MBA or JDWork Environment & TravelOccasional travel required for executive alignment, business meetings, and customer engagements.NOTE: This position is eligible for hybrid working arrangements and requires on-site work from an Insulet office. #LI-HybridAdditional Information: Compensation & Benefits: For U.S.-based positions only, the annual base salary range for this role is $158,200.00 - $237,250.00 This position may also be eligible for incentive compensation. We offer a comprehensive benefits package, including:

  • Medical, dental, and vision insurance
  • 401(k) with company match
  • Paid time off (PTO)
  • And additional employee wellness programs
Application Details: This job posting will remain open until the position is filled. To apply, please visit the Insulet Careers site and submit your application online. Actual pay depends on skills, experience, and education.Insulet Corporation (NASDAQ: PODD), headquartered in Massachusetts, is an innovative medical device company dedicated to simplifying life for people with diabetes and other conditions through its Omnipod product platform. The Omnipod Insulin Management System provides a unique alternative to traditional insulin delivery methods. With its simple, wearable design, the tubeless disposable Pod provides up to three days of non-stop insulin delivery, without the need to see or handle a needle. Insulet’s flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. Insulet also leverages the unique design of its Pod by tailoring its Omnipod technology platform for the delivery of non-insulin subcutaneous drugs across other therapeutic areas. For more information, please visit insulet.com and omnipod.com.We are looking for highly motivated, performance-driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who exceed customer expectations. Our continued success depends on it!At Insulet Corporation all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.(Know Your Rights)SummaryLocation: Acton, MassachusettsType: Full time
Vacancy posted 3 days ago
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