Regional Medical Director, Value and Access - East

Position Purpose

The Regional Medical Director, Value and Access is a senior, field-based Medical Affairs leader who develops and executes the regional medical value strategy and serves as a scientific and strategic partner to payers, pharmacy benefit managers (PBMs), integrated delivery networks (IDNs), accountable care organizations (ACOs), Medicaid stakeholders, health technology assessment (HTA) bodies, and other population-health decision-makers. The role leads unbiased scientific exchange, translates clinical, health-economic, and real-world evidence into decision-relevant value narratives, and shapes regional priorities that support formulary evaluation, coverage, reimbursement readiness, and patient access.

Key Responsibilities

Scientific Engagement

• Develop and execute a regional stakeholder engagement plan aligned with medical, evidence, and corporate priorities.
• Build peer-to-peer scientific relationships with senior clinical and population-health leaders across national and regional health plans, PBMs, Medicaid organizations, IDNs, ACOs, employer coalitions, and HTA bodies.
• Serve as the senior scientific contact for complex payer and reimbursement questions, including pre-launch and launch engagements.
• Lead balanced, non-promotional exchange on disease state, clinical data, guidelines, safety and efficacy, comparative evidence, HEOR, RWE, and pipeline information where appropriate.
• Plan and run payer advisory boards and scientific forums, and ensure insights are captured and acted on.
• Represent Medical Affairs at regional and national payer meetings and external forums.

Evidence Communication

• Lead regional communication of the totality of evidence: efficacy, safety, comparative data, HEOR, quality of life, budget impact, epidemiology, and RWE.
• Develop and maintain payer-facing scientific materials, and evidence summaries through appropriate review processes.
• Translate complex evidence into clear, decision-relevant scientific narratives for sophisticated payer audiences.
• Keep resources current, rigorous, and aligned with stakeholder needs.

Medical Strategy & Insights

• Own the regional medical value plan and contribute to annual and lifecycle planning, prioritization, and resource allocation.
• Gather and synthesize actionable insights on unmet needs, evidence expectations, coverage and policy changes, treatment paradigms, and competitive dynamics.
• Escalate regional trends and strategic implications to Medical Affairs leadership and cross-functional governance.
• Translate insights into recommendations for medical strategy, evidence generation, clinical development, publications, market access, and education.
• Define and monitor regional Medical objectives, KPIs, and impact; adjust plans as needed.
• Contribute senior scientific judgment to portfolio, indication, and lifecycle decisions while preserving Medical Affairs independence.

Cross-Functional Leadership & Capability Building

• Provide regional leadership and strategic counsel across Medical Affairs, Field Market Access, HEOR/RWE, Clinical Development, Commercial (within compliance guidelines), Government Affairs, Patient Services, Regulatory, Policy, and Medical Information.
• Lead cross-functional workstreams for launch planning, payer evidence planning, advisory boards, congress strategy, and medical education.
• Influence priorities and resolve competing needs without direct authority.
• Coach and mentor colleagues; Senior Director incumbents may also lead teams, vendors, budgets, or enterprise initiatives.
• Inform regional resource allocation, manage assigned project budgets and external partners, and represent the regional perspective in US and global planning forums.

Evidence Generation

• Identify and prioritize payer-relevant evidence gaps.
• Partner with HEOR/RWE, Epidemiology, Clinical Development, and Market Access on evidence plans, research questions, endpoints, and dissemination.
• Initiate or lead rigorous payer research collaborations, pragmatic pilots, data partnerships, investigator-sponsored research, and RWE projects.
• Provide senior field input into protocol concepts, publication strategy, congress communications, and medical information resources.
• Evaluate emerging evidence and recommend changes to regional strategy and engagement.

Governance, Compliance & Operational Excellence

• Operate in accordance with all applicable laws, industry codes, company policies, and SOPs.
• Maintain clear separation between scientific exchange and promotion, and apply sound judgment in novel situations.
• Document and manage insights, engagements, research collaborations, materials, and transfers of value appropriately.
• Identify operational risks, drive continuous improvement, and contribute to scalable field medical value processes.
• Complete required training and reporting accurately and on time.