National Payer Manager

See Yourself at Telix

The National Payer Manager role is responsible for securing commercial and government payer coverage for Telix’s portfolio of commercial products, directly supporting the company’s strategic growth objectives. By driving payer adoption and ensuring broad reimbursement access, this position plays a critical role in enabling successful commercialization, expanding patient reach, and advancing Telix’s overall market impact.

Key Accountabilities:

• Secure positive coverage and reimbursement for Telix products across commercial and government payer segments by building and maintaining strong relationships with key decision‑makers, including medical directors, policy analysts, case managers, and payer influencers.
• Communicate and demonstrate Telix’s value proposition to expand product and indication access, ensuring alignment with evolving payer expectations, clinical evidence, and health‑economic justification.
• Develop and strengthen partnerships with State Societies, professional organizations, and regional advocacy groups to advance Telix reimbursement objectives and influence policy development.
• Collaborate with CMS, national accounts, regional payers, and RBMs to develop coordinated payer engagement strategies and proactively address coverage, coding, and reimbursement opportunities or barriers.
• Deliver timely payer landscape updates to internal stakeholders—including Market Access, Commercial, Medical Affairs, and Executive Leadership—to support strategic decision‑making and pull‑through planning.
• Provide clear, data‑driven payer insights to external partners, ensuring consistent communication around policy developments, coverage trends, and access implications.
• Analyze retrospective payer performance and competitive policy landscapes, advising on access strategies, forecasting reimbursement risk/opportunity, and informing life‑cycle management planning.
• Monitor and report emerging payer trends impacting current and future Telix products, ensuring internal teams remain informed and prepared for shifts in coverage, pricing, and reimbursement frameworks.
• Educate and equip Market Access teams on payer structures, policy considerations, and reimbursement impacts to enhance customer discussions and regional strategy execution.
• Lead cross‑functional payer strategy discussions, collaborating closely with Commercial, Medical Affairs, Finance, HEOR, and other internal partners to align on market access priorities and execution pathways.

Education and Experience:

• Bachelor’s degree in business or healthcare administration or relevant work experience
• 3+ years of payer interaction to obtain coverage for new products  
• Experience with CMS regarding specialty medical benefit drugs, preferably radiopharmaceutical diagnostic and therapeutic products  
• Proven experience in communicating with government and commercial payers  
• Experience in analyzing healthcare data  
• Proven experience demonstrating an understanding of the US reimbursement structure  

Key Capabilities:

• Inclusive mindset: Demonstrate an understanding and appreciation for diversity, and actively work to create an inclusive environment where everyone feels valued and respected
• Creativity and innovation: Possess a willingness to think outside the box and come up with unique and creative solutions to challenges
• Commitment to excellence: Take pride in your work and consistently strive for excellence in everything you do
• Results-oriented: Driven to achieve goals and objectives, with a strong focus on delivering measurable results
• Ethical behavior: Act with integrity and demonstrate a commitment to ethical behavior in all interactions with colleagues and stakeholders
• Adaptability: Comfortable working in a dynamic environment, able to adjust to changing priorities, and willing to take on new challenges
• Strong communication skills: Able to communicate effectively with colleagues and stakeholders at all levels, using clear and concise language
• Collaboration: Work effectively as part of a team, actively sharing knowledge and expertise to achieve common goals
• Resilience: Demonstrate the ability to bounce back from setbacks and persevere in the face of challenges
• Continuous learning: Show a commitment to ongoing learning and professional development, continually seeking out opportunities to expand your knowledge and skills