Clay Ross Email and Phone Number
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Highly accomplished global pricing and market access leader with 17 years of significant expertise in developing and executing coding, coverage and payment strategies to secure and maintain profitable market access for Orphan/Rare Disease, Advanced Therapy Medicinal Products (ATMP), Medical Device, Biologic, and Pharmaceutical products in highly competitive markets. Proven track record of leadership and launch success delivering revenue and market share growth.Comprehensive, deep expertise in the CMS/Medicare coverage determination process (A/B, DME MACs, State Medicaid), AMA CPT coding process, global payer contracting, US commercial payer account management to gain formulary/policy access, Specialty Pharmacy Providers.Possess innate ability to develop relationships and interface with advocacy groups and key opinion leaders to shape government and commercial policy development of medical benefit products and increase formulary positioning of retail and specialty products.Ability to influence across matrixed organizations, and attract, hire, train, manage, develop, evaluate, and retain teams of achievement-oriented, top-performing direct and indirect reports with full accountability to the organization’s goals.Proven track record of successful commercial planning. Experienced in devising strategic plans to identify target markets, and creating / implementing business/market access plans, pull-through, and product launch training / marketing materials and tools in collaboration with cross-organizational teams to drive results.Therapeutic expertise: Oncology, Hematology, Cystic Fibrosis, Sickle Cell, Beta-Thalassemia, Pain, Neurology, Urology, Ophthalmology, and Plastic & Reconstructive Surgery, Alpha1 Antitrypsin Deficiency (AATD), Diabetes, Duchenne Muscular Dystrophy (DMD), APOL1-Mediated Kidney Disease
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National Director, Field Reimbursement, UsVertex Pharmaceuticals Nov 2021 - PresentBoston, Ma, UsHead of Field Reimbursement leading a national team of field reimbursement personnel to drive appropriate access and reimbursement of Vertex cellular and genetic therapies in close collaboration with other US Market Access functions, US Public Affairs, State Government Affairs, Health Economics Outcomes Research and Marketing. -
Senior Director, Pipeline Market Access Strategy, North AmericaVertex Pharmaceuticals Apr 2020 - Nov 2021Boston, Ma, UsDevelop deep regional-level insights and strategic payer planning in support of value and access optimization for all pipeline assets in development. Develop early payer engagement strategies, and coding, coverage and payment strategies by product or therapeutic area. Build and define market access related capabilities and structure for North America market access, US Managed Markets, New Product Planningo Pipeline programs access strategy lead for: Alpha1 Antitrypsin Deficiency (AATD), Hemoglobinopathies gene editing/CRISPR, APOL1-Mediated Kidney Disease (AMKD), Duchenne Muscular Dystrophy (DMD) Type 1 Diabetes, Pain -
Global Director Market Access & ValueVertex Pharmaceuticals Jun 2018 - Apr 2020Boston, Ma, UsDevelop, lead and direct global pricing and market access strategies for orphan/rare disease and gene editing products (ATMPs). Lead the international operational pricing and analytics team based in London, UK. -
Senior Director, Value & AccessAries Pharmaceuticals Inc. Apr 2018 - Jun 2018
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Director, Market Access & Payer MarketingAllergan Dec 2011 - Apr 2018Dublin, Coolock, IeLead and direct cross-functional development and execution of market access strategies for pipeline, in-line, and launch products across the entire portfolio, including medical devices, biologics and pharmaceuticals. Provide strategic coding and reimbursement evaluations on business development and commercial assessment opportunities. Conduct upstream market and operational planning, devise reimbursement strategies, and develop evidence generation strategy for early to late stage pipeline products. Develop HEOR deliverables: global value dossiers, budget impact models, cost effectiveness models and FDAMA 114 presentations. Collaborate with U.S. and International teams on clinical development, pricing, contracting, legal, regulatory, publications planning, medical affairs, compliance, and finance teams on development and execution of market access launch strategies (value propositions, tools, and resources) by channel, including Medicare A/B MACs, DME MACs, Commercial Payers, and State Medicaid. -
Senior Manager, New Product PlanningAllergan Jan 2013 - Mar 2014Dublin, Coolock, IeResponsible for the direction of cross-functional teams in the development of commercialization strategies for pipeline products in the Allergan portfolio including medical devices, injectibles, and pharmaceuticals. Concurrent project management and direction across all areas of the organization as well as external agencies.Responsibilites included:*National device reimbursement for plastic surgery division*USP Monograph Development*Reimbursement training -
Reimbursement Business ManagerAllergan Dec 2011 - Jan 2013Dublin, Coolock, IeResponsible for leading a team of 14 sales professionals in different therapeutic areas on the coordination and execution of reimbursement support for healthcare providers. Delivered consultations with physicians and institutional customers through specialized services to assist with reimbursement barriers. Worked effectively and appropriately with key stakeholders across various business units in a heavily-matrixed environment to achieve the targeted results. The stakeholders include the sales and marketing teams for Neurosciences, Retina, Urology, the Regional Scientific Services Managers (RSSs), Managed Markets, Botox® Reimbursement Solutions and other Allergan divisions as necessitated by market environment. Responsible for working closely with the Managed Markets account managers in identifying customer advocates and government and/or commercial payer issues while executing provider reimbursement initiatives in support of Managed Markets-developed payer action plans. -
Oncology Payer Access And Reimbursement ManagerSanofi-Aventis Mar 2006 - Jan 2012Paris, France, FrCreated strategic payer plans to secured favorable payer access with all payers within California, Nevada, Hawaii including Commercial, Public/Government Accounts, and Specialty Pharmacy Providers (SPP) while managing large provider group reimbursement for the sanofi-aventis oncology portfolio (Previous nation-wide geography from Hawaii to New Jersey including Alaska) Maintained high level of collaboration, integration and pull-through partnerships with regional sales directors, district sales managers, sales professionals, medical liaisons, payer and brand marketing, market access, market research, health economics and outcomes research (HEOR), medical, legal, and regulatory for key oncology and hematology drugs for to exceed organizational objectives Additional Roles and Responsibilities:*Kaiser Permanente: Corporate Account Manager (CAM) as a parallel/concurrent role.*Advocacy: Managed MAC guidelines and policy through developing and expanding relationships with Carrier Medical Directors, policy analysts, Carrier Advisory Committee members (CACs), State Societies, and specialty thought leaders*Launch Strategy: Development of launch brand strategies for oncology and hematology brands*Practice Consulting: Responsible for appropriately consulting strategic oncology and urology provider accounts to increase practice efficiencies and pull through of sanofi portfolio including the creation and implementation of education/training programs on national and regional reimbursement issues impacting local market performance, coding and reimbursement expertise, payer policy, infusion center patient flow, sanofi personnel interfacing *Market Access: conducted payer market research and develop strategies to inform corporate planning on pricing/reimbursement and market access for new and existing products.*Training: Developed training and practice education tools: Miscellaneous J-Codes and 340b Program -
Oncology Customer Account ManagerSanofi-Aventis Mar 2006 - Dec 2011Paris, France, FrNew commercial payer account management role responsible for developing access programs for commercial payers for the oncology portfolioResponsibilities included: o Anthem/WellPoint Corporate Account Managero Kaiser Corporate Account Managero Regional Plans: HMSA, Premera, Regence, Blue Shield of CA, Health Net -
Oncology Regional Account ManagerSanofi-Aventis Mar 2006 - Nov 2011Paris, France, FrDevelopment of Payer & GPO contracts for Oncology products via analytics and contract strategy teams in Bridgewater, NJGPO contracting and consulting focus: ION/AmerisourceBergen, McKesson, USO and continued pull-through with all USO accounts in addition to other strategic membership -
Oncology Senior Sales ProfessionalSanofi-Aventis Mar 2006 - Oct 2011Paris, France, Fr -
Ophthalmic Sales RepresentativeMedtronic Mar 2005 - Mar 2006Minneapolis, Mn, UsStrategic development and contract pull-through on opthalmic surgical and diagnostic products for many major health systems including: Kaiser, Veterans Affairs System, Scripps, Sharp, and University of California System -
Neuroscience Sales SpecialistEli Lilly And Company Apr 2003 - Mar 2005Indianapolis, Indiana, Us -
Account ManagerNational Legal Jun 2001 - Apr 2003Responsible for sales of software technology and litigation services to global and local law firms including management and supervision of three Customer Service Reps (CSR)
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Commercial PilotContinenal Express, Aloha Dec 1998 - Oct 2001Commercial Airline Pilot
Clay Ross Skills
Clay Ross Education Details
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Northern Arizona UniversityBusiness Management -
Comair Aviation AcademyGeneral
Frequently Asked Questions about Clay Ross
What company does Clay Ross work for?
Clay Ross works for Vertex Pharmaceuticals
What is Clay Ross's role at the current company?
Clay Ross's current role is Market Access & Value at Vertex Pharmaceuticals.
What is Clay Ross's email address?
Clay Ross's email address is clay.ross@me.com
What is Clay Ross's direct phone number?
Clay Ross's direct phone number is +171424*****
What schools did Clay Ross attend?
Clay Ross attended Northern Arizona University, Comair Aviation Academy.
What skills is Clay Ross known for?
Clay Ross has skills like Oncology, Pharmaceutical Industry, Managed Care, Urology, Pharmaceutical Sales, Market Access, Cardiology, Hematology, Neurology, Diabetes, Healthcare Reimbursement, Ophthalmology.
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