National Account Director
Company Name
**
Remote
Basic
Posted 11 days ago
Capricor Therapeutics (NASDAQ: CAPR) is a biotechnology company dedicated to advancing transformative cell and exosome-based therapies for rare diseases. At the forefront of our innovation is Deramiocel (CAP-1002), our lead cell therapy in late-stage development for Duchenne muscular dystrophy. We are also harnessing our proprietary StealthX™ exosome platform to unlock new possibilities in targeted delivery and vaccinology. Every program reflects our commitment to pushing the boundaries of science and delivering life-changing treatments to patients and families who need them most.
The Senior Director, Patient Services will build out the patient support capabilities behind Capricor's U.S. launch. You will work with Commercial, Market Access, Finance, Medical, and IT, plus external hub and specialty pharmacy partners, to develop patient services infrastructure and affordability programs across the portfolio.
This is a hands-on role owning the patient services foundation and growing the function as the business scales. The right candidate has pharmaceutical patient services operations experience, works well in a growth-stage environment, and is comfortable moving between planning and execution.
Why Capricor?
Capricor Therapeutics is advancing cell and exosome-based therapies with a focus on serious diseases where patients and families need new treatment options. Our work is grounded in scientific rigor, collaboration, and a shared commitment to moving meaningful therapies forward. Joining Capricor means being part of a mission-driven team working at the intersection of innovation, execution, and patient impact.
Come Work With Us
At Capricor, you’ll join a collaborative environment where employees are encouraged to contribute, grow, and help build the systems, science, and operations needed to support our next stage of growth. We value people who are thoughtful, accountable, hands-on, and motivated by work that can make a real difference.
Recruiting Fraud Notice
Capricor does not use Skype for interviews or recruiting activities. Candidates will only be contacted by someone using an official Capricor email address ending in @capricor.com. Capricor will never ask candidates to send money, deposit a check, purchase equipment, or provide payment for any reason as part of the recruiting or onboarding process.
Notice to Recruiting Agencies
Capricor Therapeutics does not accept candidate submissions or referrals from recruiting agencies, staffing firms, or third-party recruiters without express written approval from Talent Acquisition and a fully executed agreement with Capricor. Agencies that contact hiring managers directly, solicit business, or submit candidates without prior approval will not be considered for engagement. Any unsolicited submissions will become the property of Capricor Therapeutics, and no fees will be paid for candidates hired as a result of such submissions. We appreciate your cooperation and respect for this policy.
Responsibilities
Own the access and coverage strategy for an assigned set of national and regional payers, PBMs, and IDN accounts; develop and execute account-specific business plans aligned with Capricor's launch and access objectives.
Lead value-based clinical, HEOR, and budget-impact discussions with medical directors, pharmacy directors, P&T committees, and policy teams to drive timely and appropriate medical policy positions.
Navigate the buy-and-bill, medical-benefit, and specialty-pharmacy access pathways unique to infused cell therapies.
Partner with the Market Access Leadership team on Pricing & Contracting appropriate to a rare-disease, cell therapy economics profile.
Lead account-level negotiations on coverage, coding, utilization management, and contracting in coordination with Market Access leadership.
Build and maintain trusted senior-level relationships with payer leadership across assigned accounts.
Deliver compelling, compliant clinical, economic, and patient-centered presentations using AMCP dossiers, value decks, and approved access materials.
Monitor coverage decisions, medical policy changes, and utilization management positions across assigned accounts; flag risks and opportunities in real time.
Payer account (government & commercial) profiling, business plan creation, and strategic execution with top payer / customer accounts.
Establish access goals, productivity measures, and ensure account plans are created and executed annually.
Internal Coordination & Intelligence
Partner with Trade & Patient Services to ensure smooth coverage navigation, prior authorization, and case management for patients in the assigned geography.
Partner with Sales, Medical Affairs, and MSLs to align account-level engagement with broader commercial and scientific activities, in full compliance with channel and engagement rules.
Provide structured payer intelligence and account insights back to Market Access leadership to inform pricing, contracting, and strategic positioning.
Maintain accurate account plans, CRM activity, and reporting cadence; participate in business reviews and launch readiness forums.
Perform other duties as may be assigned from time to time.
Requirements
Bachelor's degree required; advanced degree (MBA, PharmD, MPH, or related) preferred.
10+ years of biotech / pharma U.S. Market Access experience, including 5+ years in a National Account Director or equivalent senior payer-facing role.
Demonstrated success securing coverage for high-cost specialty, rare disease, or cell / gene therapy products in the medical-benefit channel.
Established senior-level relationships across national and regional commercial payers, PBMs, Medicaid plans, Medicare / MACs and IDNs.
Working knowledge of buy-and-bill economics, specialty pharmacy distribution, J-code / HCPCS coding, prior authorization workflows, and medical policy development.
Strong analytical skills, including the ability to interpret HEOR, budget impact, and value-based contracting models.
Executive presence and the ability to operate independently across senior external stakeholders.
Preferred Qualifications
Experience supporting a U.S. product launch in rare disease or advanced therapy.
Experience working with State and Managed Medicaid plans.
Prior cell or gene therapy payer engagement experience.
Experience operating in a pre-commercial or early commercial company with limited infrastructure.
Core Competencies
Strong problem-solving and decision-making ability.
Vendor management and negotiation skills.
Ability to work in a fast-paced, rapidly scaling environment.
Exceptional attention to detail and documentation discipline.
Ability to influence without authority across cross-functional teams.
Work Environment & Physical Demands
Field-based (remote) position based in or near the assigned territory; territory geography determined at time of hire.
Domestic travel approximately 50 to 75% for payer engagement, internal meetings, and industry conferences (AMCP, Asembia, PCMA).
Periodic presence at Capricor's San Diego HQ (approximately 2 to 3 times per quarter) or as required by business need.
Director / Senior Director, Head of Patient Access & Reimbursement
Company Name
**
Remote
Basic
Posted 11 days ago
Capricor Therapeutics (NASDAQ: CAPR) is a biotechnology company dedicated to advancing transformative cell and exosome-based therapies for rare diseases. At the forefront of our innovation is Deramiocel (CAP-1002), our lead cell therapy in late-stage development for Duchenne muscular dystrophy. We are also harnessing our proprietary StealthX™ exosome platform to unlock new possibilities in targeted delivery and vaccinology. Every program reflects our commitment to pushing the boundaries of science and delivering life-changing treatments to patients and families who need them most.
The Senior Director, Patient Services will build out the patient support capabilities behind Capricor's U.S. launch. You will work with Commercial, Market Access, Finance, Medical, and IT, plus external hub and specialty pharmacy partners, to develop patient services infrastructure and affordability programs across the portfolio.
This is a hands-on role owning the patient services foundation and growing the function as the business scales. The right candidate has pharmaceutical patient services operations experience, works well in a growth-stage environment, and is comfortable moving between planning and execution.
Why Capricor?
Capricor Therapeutics is advancing cell and exosome-based therapies with a focus on serious diseases where patients and families need new treatment options. Our work is grounded in scientific rigor, collaboration, and a shared commitment to moving meaningful therapies forward. Joining Capricor means being part of a mission-driven team working at the intersection of innovation, execution, and patient impact.
Come Work With Us
At Capricor, you’ll join a collaborative environment where employees are encouraged to contribute, grow, and help build the systems, science, and operations needed to support our next stage of growth. We value people who are thoughtful, accountable, hands-on, and motivated by work that can make a real difference.
Recruiting Fraud Notice
Capricor does not use Skype for interviews or recruiting activities. Candidates will only be contacted by someone using an official Capricor email address ending in @capricor.com. Capricor will never ask candidates to send money, deposit a check, purchase equipment, or provide payment for any reason as part of the recruiting or onboarding process.
Notice to Recruiting Agencies
Capricor Therapeutics does not accept candidate submissions or referrals from recruiting agencies, staffing firms, or third-party recruiters without express written approval from Talent Acquisition and a fully executed agreement with Capricor. Agencies that contact hiring managers directly, solicit business, or submit candidates without prior approval will not be considered for engagement. Any unsolicited submissions will become the property of Capricor Therapeutics, and no fees will be paid for candidates hired as a result of such submissions. We appreciate your cooperation and respect for this policy.
Responsibilities
Serve as a strategic leader to build and lead a regionally aligned Patient Access & Reimbursement field team
Hire, onboard, and facilitate the training of the field - team .
Develop the field-based role and ways of working in partnership with the cross-functional Commercial leadership team.
Develop a field-based patient access team that serves as the strategic partner to HCPs and sites of care, by delivering billing and coding reimbursement education to support the patient access journey for their DMD families
Establish access goals, productivity measures, and ensure account plans are created and executed quarterly / annually.
Work collaboratively with cross functional teams , including Commercial Operations to monitor patient scripts through the fulfillment process.
Partner with the Patient Services lead to ensure timely identification of access issues and resolution.
Create an environment of ongoing learning and development for the field-based team.
Work collaboratively with Trade and Patient Services functi onal leaders to identify process efficiencies with all third-party service providers.
Support the creation of stakeholder analytics and Key Performance Indicators (KPIs) to the business that helps improve forecasting, contracting and pricing decisions, timing and general business planning.
S ITE READINESS / ENGAGEMENT:
Gain a deep understanding of site capabilities, operational gaps and develop gap resolution plans in partnership with HCPs and sites of care.
Engage with institutional leadership, administration, revenue cycle management, finance, managed care team, contracting, pharmacy, prior authorization depa rtments, and care team s
Support HCP champion through formulary inclusion/decision process and monitor Pharmacy and Therapeutic Committee timelines to confirm site readiness.
Responsible for eliminating and/or significantly reducing barriers to patient access and reimbursement for Capricor’s product portfolio across all payer segments.
Support a high -touch patient and caregiver support programs, including site of care referral management , travel logistics , and patient affordability .
Support the development of training material, SOP’s, and work instructions as needed to educate around Capricor channel and patient support offerings.
Onboard to educate that all sites of care are operationally confident in Capricor’s buy-and-bill and Specialty Pharmacy procurement process, reimbursement support services and tools, including, prior authorization/reauthorization patient enrollment process best practices, and navigation of the denial/appeal process.
CROSS-FUNCTIONAL SUPPORT:
Work collaboratively with Sales leadership to identify access challenges and solutions.
Responsible for understanding and upholding Capricor’s Legal and Compliance guidance at a customer and field leadership level related to access, cost and reimbursement issues.
Attend regional sales meetings to represent the Patient Access & Reimbursement team .
Routinely provide updates to Capricor S r. Leadership on health of the launch, key access concerns, and collaborative solutions in place to address known access issues.
Support distribution provider and vendor quarterly and annual business reviews, and analytic insights to support company quarterly and annual reporting.
Monitor the competition to understand how the evolving market will impact current and future market and patient access strategies.
Identify and develop Provider Access and Patient Advocacy Groups, Physician Key Advocate Leaders (KALs), and Societal advocates to support disease / product awareness and patient access to Capricor ’s product portfolio.
Provide subject matter expertise to the broader organization, including HCP access and reimbursement, d istribution , and Payer coverage access intelligence . This includes cross-functional support of corp. training initiatives, content, tools and presentation development in partnership with Training and Cross-Departmental leaders.
Work with the Capricor Commercial Ops / analytics team and Sales to map and report on updates in HCP / Patient access , Patient referral , SPP distribution , trend monitoring, and patient out-of-pocket information.
Represent Capricor at Key Industry Conferences ( e.g. Asembia , Physician Society, Patient Advocacy, etc.).
Ensure that all activities and interactions are carried out with the highest ethical and professional standards, and that all work is accomplished with quality and in accordance with Capricor values.
The Director will report to the SVP, Market Access, and will be integral to supporting key business decisions across the organization.
Requirements
Minimum Bachelor’s degree required ; sciences or business preferred, MBA or advanced degree a plus.
Minimum of 10 + years of overall industry experience in BioPharma, Healthcare services ( i.e. hospital Patient case-management, patient support, provider reimbursement, market access, sales, sales management, or training).
Minimum 5 years of progressive Patient support, Payer (Gov. and Commercial) and PBM , and Specialty Pharmacy engagement, and patient case-management responsibility.
Strong leadership experience, and has led high functioning, self-directed teams.
Experience with rare/orphan drugs is required . Therapeutic area and pediatric infused drug experience is a plus.
Product launch experience is required , and company start-up experience is preferred.
Demonstrated expertise in reimbursement, coding, claims adjudication, prior authorization processes, appeals management, and provider education
Deep understanding of specialty pharmacy, buy-and-bill distribution models, payer policies, government and commercial reimbursement, and the evolving healthcare access landscape.
Strong knowledge of provider economics, hospital finance, revenue cycle management, and infusion site operations.
Knowledge and understanding of compliance with HIPPA and OIG guidance in the rare disease space
Hospital finance, claims processing, and/or billing/coding experience preferred
Excellent working knowledge of patient support programs, including reimbursement support, financial assistance adherence programs, etc.
Strong understanding of the PA process, denial management, product acquisition via the specialty pharmacy, buy-and-bill, IV infusion J-code, and reimbursement within multiple sites of care
Understands both the buy-and-bill process and specialty pharmacy networks, managed care, benefit design, government payers and their impact on product access with excellent working knowledge of evolving market access and reimbursement landscape
Demonstrated flexibility to adapt to a changing environment, implement creative solutions to complex problems, and ability to function in a project leadership role.
Ability to develop and maintain strong internal and external relationships, including direct collaboration with vendors and other third parties.
Demonstrated flexibility to adapt to a changing environment, implement creative solutions to complex problems, and ability to function in a project leadership role.
Superior interpersonal, communication, analytical and presentation skills, with great attention to detail.
Development and management of a functional budget and ensuring efficient allocation of resources to achieve strategic patient support objectives .
Leads with strong business acumen and a compliance mindset.
Passionate about patients and building a new commercial organization.
Advanced Virtual / Zoom, Microsoft Excel, Word, and PowerPoint skills.
SUPERVISORY RESPONSIBILITIES:
Recruits, interviews, hires, and trains new staff .
Provides constructive and timely performance feedback and evaluations.
Other related supervisory responsibilities as assigned.
Core Competencies
Strong problem-solving and decision-making ability.
Vendor management and negotiation skills.
Works to improve tools and processes within functional area.
Ability to work in a fast-paced, rapidly scaling environment.
Exceptional attention to detail and documentation discipline.
Ability to influence without authority across cross-functional teams.
Work Environment & Physical Demands
This position a field-based (remote) position, but is expected to be in the San Diego, CA office approximately 2 – 3 times per quarter, or other frequency as required by business necessity or as reasonably required by the position’s manager.
Domestic travel will be required up to 50%, based upon business needs.