Clay Ross
Market Access & Value at Vertex Pharmaceuticals
- Role
- National Director, Field Reimbursement, Us at Vertex Pharmaceuticals
- Location
- Boston, MA, US
- LinkedIn followers
- 500 followers
About Clay Ross
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
Experience
National Director, Field Reimbursement, Us
Nov 2021 — Present · US
Head 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.
Education
Comair Aviation Academy
Commercial Pilot: Airplane Multiengine Land, Instrument Airplane, Aeronautics/Aviation/Aerospace Science and Technology, General
1998 — 1998
Northern Arizona University
Bachelor of Science, Business Management
1992 — 1997
Skills
- Managed Care
- Ipas
- Hospital Contracting
- Fee Schedules
- Capitation
- Ophthalmology
- Oncology
- Neuroscience
- Chemotherapy
- Healthcare Reimbursement
- Medicare/Medicaid Reimbursement
- Medical Devices
- Pharmacueticals
- Public Policy
- Retina
- Urology
- Salesforce.com
- Medical Groups
- Contract Management
- Corporate Training
- Pharmaceutical Sales
- Hematology
- Cardiology
- Neurology
- Pharmaceutical Industry
- Market Access
- Diabetes
- Product Launch
- Cross-Functional Team Leadership
- Payer Marketing
- Cpt Coding
- Health Technology Assessment (Hta)
- Payer Relations
- Pricing Strategy
- Health Economics
- Patient Advocacy
- Governmental Affairs
Find verified contacts for anyone on LinkedIn
Unifers gives sales teams verified emails and direct dials, enriched profiles, and outreach that lands in the inbox.
Free plan included · No credit card required
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.