Senior Director, Market Access

Onsite in Foster City, CA

Our client seeks a Senior Director of U.S. Market Access to lead pricing, payer strategy, and execution for rare disease therapies. The role will define and advance market access strategies across commercial and government payers, convert payer insights into actions, and guide cross-functional planning. The leader will influence brand strategy and commercialization while ensuring access readiness and compliance.

This is a full-time, permanent opportunity, offering a competitive salary and comprehensive benefits package. Qualified applicants must be willing and able to work on a w2 basis.

Salary: $280,000 - $315,000/ yr. w2

• Lead the development of market access strategies that drive coverage expansion, policy optimization, and quality of access improvements across commercial and government payers for inline and pipeline assets.
• Identify key differentiators critical to payers for rare disease products in competitive environments and translate into actionable strategy.
• Anticipate and shape payer dynamics in rare disease to craft clear, differentiated value narratives that resonate in competitive markets for both in-line and pipeline assets.
• Translate clinical and economic evidence into practical, payer-ready tools that influence coverage and reimbursement decisions.
• Lead pre-launch payer engagement, value evidence planning, and access readiness to ensure optimal coverage pathways, especially in competitive markets.
• Partner cross-functionally with medical and marketing to ensure evidence generation is targeted, efficient, and aligned to access impact.
• Engage directly with payer stakeholders to uncover actionable insights and convert them into strategic access decisions.
• Align with the US Head of Payer Accounts on strategic account planning and escalation for high-impact access challenges.
• Act as the enterprise voice of access, influencing decisions across brand strategy, pricing, and commercialization planning workstreams.
• Collaborate with Government Pricing on policy implications including Medicaid best price, 340B, and IRA/GUARD considerations.
• Ensure compliance with all regulatory and legal requirements.

• 10+ years of experience in market access, payer marketing, or reimbursement, with rare disease experience strongly preferred.
• Proven success in launching and optimizing access for specialty or rare disease therapies, including pricing strategy.
• Deep understanding of commercial and government payer dynamics.
• Deep understanding of prior authorization, appeals, and reimbursement pathways.
• Successful experience in leading and developing a team within the market access function.
• Demonstrated ability to lead cross-functional teams and influence senior leadership in agile, small biotech or rare disease environments.
• Strong analytical, strategic, and communication skills.
• Resilient and adaptable with experience navigating complex payer dynamics with confidence.
• Hybrid schedule expected at 2 to 3 days per week onsite in Foster City, CA.

• Bachelor’s degree required.
• MBA or advanced degree preferred.

Recruitment Transparency Notice

Eliassen Group values transparency in our recruitment practices. Please be advised that Eliassen Group utilizes artificial intelligence (AI) tools as part of its initial application screening and hiring process. You may receive email and SMS notifications from the Eliassen Virtual Recruiting Team ( [email protected] , 781-808-2924) inviting you to complete a brief voice screening as part of your application process. These tools assist our hiring teams in different ways, including but not limited to, assistance in reviewing application materials to help identify candidates whose qualifications most closely match the requirements of the position. All AI-assisted evaluations and responses are reviewed by human recruiters before any hiring decisions are made. The use of AI in our process is intended to support fairness, efficiency, and consistency, and Eliassen Group takes measures to prevent bias or discrimination in connection with its hiring practices. By proceeding, you acknowledge, agree, and consent to Eliassen Group’s use of these tools, including AI tools, as part of the application and hiring process.

Skills, experience, and other compensable factors will be considered when determining pay rate. The pay range provided in this posting reflects a W2 hourly rate; other employment options may be available that may result in pay outside of the provided range.

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About Eliassen Group:

Eliassen Group is a strategic consulting firm that helps organizations reach further and achieve more through our technology, business advisory, and life sciences solutions. For nearly 40 years, we have combined exceptional people, deep domain expertise, and intelligent capabilities to expand our clients’ capacity and accelerate meaningful outcomes. We are driven by a purpose to positively impact the lives of our employees, clients, consultants, and the communities we serve.

Eliassen is committed to building a diverse and inclusive team from a variety of backgrounds, perspectives, and skills. We are an Equal Opportunity and Affirmative Action Employer and all employment decisions are based on merit, performance, and business needs. Eliassen does not discriminate on the basis of race, color, gender identity or expression, sexual preference or orientation, sex (including pregnancy, childbirth, and related medical conditions), marital status, creed, religion, physical or mental disability, genetic information, military or veteran status, age, ancestry, national origin, citizenship status, prohibited criminal record inquiries of applicants and employees, or any other category protected by federal, state, or local laws.

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