Director, National Payer Accounts

Company introduction: Compass Pathways plc (Nasdaq: CMPS) is a biotechnology company dedicated to accelerating patient access to evidence-based innovation in mental health. The Company is headquartered in London, UK, with offices in New York City in the US. We focus on developing novel treatments that have the potential to improve the lives of those who are suffering with mental health conditions and who are not helped by current treatments.   We are pioneering a new paradigm for treating mental health conditions focused on rapid and durable responses through the development of our investigational COMP360 synthetic psilocybin treatment, potentially a first in class treatment. COMP360 has Breakthrough Therapy designation from the US Food and Drug Administration (FDA) and has received Innovative Licensing and Access Pathway (ILAP) designation in the UK for treatment-resistant depression (TRD) due to the pressing unmet need in this area. We are currently in phase 3 for TRD, have completed phase 2 studies for both post-traumatic stress disorder (PTSD) and anorexia nervosa and are planning a further late-stage study in PTSD. We envision a world where mental health means not just the absence of illness but the ability to thrive. - Compass Pathways. Job overview:   Our Director, Medicaid Government Accounts is responsible for driving and securing formulary access and coverage for COMP360 across Medicaid payers, as well as key Regional (Commercial and Medicare) payers ahead of and through launch. Reporting to the Senior Director, Strategic Payer Accounts, this individual is responsible for establishing and maintaining strategic and productive customer relationships, developing strategic account plans that support their efforts in translating the COMP360 value proposition into sustainable coverage wins, while partnering internally with Health Economics and Outcomes Research (HEOR), Medical Affairs, Government Affairs, and Commercial Operations to ensure payer strategies are fully executed with precision. Location: Remote in the United States.  Regions considering for are West (CA to CO)  Reports to: Senior Director, Strategic Payer Accounts. Roles and responsibilities  (Include but are not limited to):  Strategic Payer Account Strategy and Execution * Work closely with the Senior Director to develop and execute account strategies across Medicaid and key Regional (Commercial and Medicare) payers to drive optimal formulary positioning for COMP360 at launch and beyond * Stay current with dynamic market forces, customer organizational changes, and policy changes at the state and federal level, that impact Compass and/or payer customers, and incorporate those variables into proposed account strategies and tactics as necessary and appropriate * Own strategic and tactical planning and prioritization for assigned payer accounts, profiling key decision-makers including Pharmacy Directors, Medical Directors, Clinical Pharmacy and Finance leads, and P&T committee members * Own strategic relationships with payer customers and serve as the primary interface and negotiator for coverage and access discussions * Identify and proactively address barriers to formulary inclusion, developing tailored strategies to support timely P&T reviews and coverage policy development Value Communication and Pull-Through * Articulate the clinical and economic value proposition of COMP360 to payer audiences, integrating HEOR evidence, budget impact models, and real-world data to support coverage and access decisions * Partner with the Senior Director and Finance on contracting recommendations to ensure proposals are commercially sound, aligned with government pricing compliance requirements, and GTN impacts are aligned with financial goals * Collaborate closely with Directors of National Payer Accounts to develop and execute Regional pull-through initiatives following National formulary wins, and develop responsive strategies to address coverage challenges in complex or restricted downstream payer accounts Cross-Functional Collaboration * Partner closely with HEOR, Medical Affairs, Government Affairs, Sales, Patient Engagement, and Patient Experience cross-functional partners to align payer specific push-or-pull-through strategies and tactics * For Medicaid public P&T and DUR meetings, lead and execute a multi-prong strategy: * Collaborate with Sales and Patient Engagement to obtain HCP testimony, in person, virtually, or in writing * Collaborate with HEOR and Medical to secure impactful manufacturer testimony at the meeting * Collaborate with Government Affairs around any relevant legislative-related tactics * Collaborate with Patient Experience regarding appropriate patient advocacy organization (i.e. NAMI, AfPA, etc.) support * Collaborate with Sales, Patient Engagement, and Commercial Operations leadership on HCP-facing formulary and access update communications that enable effective Sales execution and pull through * Represent the payer perspective internally, providing strategic guidance to leadership on coverage risks, opportunities, and competitive landscape dynamics Candidate Profile: * 7+ years in pharma/biotech market access, with significant direct experience in Medicaid and Regional payer account management * Proven track record negotiating, securing, and maintaining formulary access for launch-stage (and beyond) specialty or breakthrough products; CNS/psychiatry or novel treatment modality experience is a plus * Payer contracting experience, Including Innovative contracting (e.g. value-based, outcome-based, volume-based, cap models) is a plus * Deep knowledge of US payer landscape, formulary decision-making processes, utilization management, and prior authorization design * Ability to translate HEOR and health economic data into compelling value narratives for payer audiences * Hands-on launch experience at a growth-stage biotech; comfortable working in ambiguous situations and building tools and capabilities from scratch * Exceptional stakeholder management skills; equally credible with external payer accounts and internal cross-functional partners * Bachelor's degree required; advanced degree in Business, Public Health, Health Economics, or Pharmacy preferred * Mission and values-aligned team player and cross-functional leader, passionate about expanding access to mental health innovation; demonstrates Compass' values: Compassion, Boldness, Inclusion, Rigour 【For NYC】Compensation Description (annually): Please note that the base salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location. Base pay is one part of the Total Package that is provided to compensate and recognise employees for their work and any role at Compass, regardless of the location, is eligible for additional discretionary bonuses and equity. 【Base salary per annum】: $220,000—$270,000 USD BENEFITS & COMPENSATION: For an overview of our benefits package and compensation information, please visit  "Working at Compass".   EQUAL OPPORTUNITIES:  Reasonable accommodation We are committed to building a workplace where everyone’s wellbeing matters. If you need reasonable accommodation during the interview process to be at your best, please let our recruiting team know.  UK applicants We are proud of our commitment to diversity and equality (pursuant to the Equality Act 2010). We do not discriminate based upon race, religion or belief, colour, nationality, ethnic or national origin, gender, pregnancy or maternity, marital or civil partner status, sexual orientation, gender reassignment, age or disability. US applicants Compass Pathways is proud to be an equal opportunity employer. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, and related medical conditions), ethnicity, age, disability, sexual orientation, gender identity, gender expression, military service, genetic information, familial or marital status, or any other status, category, or characteristic protected by applicable law. SPONSORSHIP: Unfortunately, we cannot sponsor employment visas and can only accept applications if you have employment rights in the country to which you are applying. DATA PRIVACY: All data is confidential and protected by all legal and data privacy requirements, please see our recruitment Privacy Notice to learn more about how we process personal data.

ABOUT US We’re Cyted - a pioneering gastrointestinal health diagnostics company enabling more patients early access and detection for esophageal cancer and Barrett’s esophagus. Our technology brings a minimally invasive diagnostic approach to market - our EndoSign test combines a swallowable pill-like device with advanced biomarkers and analytics to help detect disease earlier and faster. What started as an idea between a health-tech entrepreneur and leading clinical scientists at Cambridge University has quickly grown into an international company operating across the UK and US, backed by investors such as EQT Life Sciences and a $44M Series B investment. But we still work like a startup - because we are one. Things move quickly here and we build as we go. Some days you’ll be solving problems first of their kind with innovative approaches. Other days you’ll just need to roll your sleeves up and get things done. That’s the reality of building a company that’s growing fast and trying to genuinely change patient outcomes. We’re a small, highly collaborative team, which means your work matters. We have the trust and belief from our investors so you won’t disappear into layers of hierarchy or spend months waiting for decisions. If you have a good idea, we want to hear it, regardless of your role or title. We like people who are curious, adaptable, thoughtful, and always willing to learn and improve. This isn’t a polished corporate environment where everything already exists. We’re building processes, teams, products and ways of working in real time. Every day is different. If the idea of helping build something ambitious from the ground up excites you - and you want your work to have a real-world impact on people’s lives  - we’d love to hear from you. Our recruitment process runs through four stages and we interview on a rolling basis. Each stage has its own purpose. As we have grown, we have made each contact point based on candidate feedback, making sure you actually get a helpful insight into Cyted. We want to give you the most open & true snapshot of us no matter the role.  1. Initial conversation – Run by Maddie from our People team, this is a relaxed online chat so we can learn more about you and your background, and so you can learn more about us too. 2. Line manager interview – This online chat explores the role in more detail through scenario-based and role-specific questions to see how you would bring your skills and knowledge into Cyted. 3. Team interview & assessment – To meet the wider team and see how we work in-person, we like to involve a panel of team members to listen to your ideas in either a presentation or assessment format.  4. Final Interview – Marcel, our CEO, still speaks to every new potential employee. In this online meeting, you will get to discuss your goals and explore how they align with the company’s history and future vision. ROLE SUMMARY As the Director of Payer Relations and National Accounts you will lead Cyted’s US payer strategy to secure optimal reimbursement, coverage, and patient access for the company’s molecular diagnostic portfolio. Reporting into the VP Market Access & Reimbursement and working closely with the Billing Director, you will develop and execute national account strategies, establish coding and payment pathways, and drive favorable coverage policies with commercial and government payers. You will define and track key access KPIs, proactively identify reimbursement risks and opportunities, and align access strategy to Cyted’s broader business objectives. It will be essential to build and maintain strong relationships with commercial payers, laboratory benefit managers (LBMs), IDNs, Medicare, Medicaid, VA, DoD, and other key stakeholders across the US market. You will represent Cyted in payer meetings, contract negotiations, and industry forums, leading engagement plans across national and regional accounts. The role will also partner closely with health systems and finance stakeholders to remove reimbursement barriers, support contract implementation, and ensure operational alignment to accelerate revenue pull-through. In addition, you will shape and communicate compelling payer value propositions supported by clinical and health economic evidence. Overseeing the development of reimbursement dossiers, economic models, and payer-facing materials, you will be partnering cross-functionally with Sales, Marketing, Medical Affairs, Regulatory, Finance, and Billing to ensure cohesive execution. By integrating payer insights into evidence generation, product positioning, and launch planning, this role will be instrumental in advancing Cyted’s US market access and growth strategy. WORKING PATTERN AND LOCATION The role is a full-time and remote position with a standard 40 hour working week. The role holder may be required to work flexibly and may need to visit other company sites when and if required. IN THIS ROLE YOU WILL BE ACCOUNTABLE FOR: US Payer Strategy and Reimbursement Leadership * Developing and executing US payer relations and national account strategies to achieve reimbursement, coverage, and patient access goals. * Establishing strategies and tactics to secure favourable coverage policies and payment contracts with commercial payers. * Leading efforts to establish and optimise coding, coverage, and payment pathways for Cyted's molecular diagnostic portfolio. * Monitoring federal and state healthcare policy developments and assessing their impact on access strategy and business objectives. * Identifying reimbursement risks and opportunities, proactively shaping mitigation and growth plans. * Defining access KPIs and tracking performance against coverage, payment, and revenue targets. Payer and National Account Engagement * Building and maintaining strong relationships with payers, LBMs, IDNs, IDN finance structures, Medicare, Medicaid, the VA, the DoD, and other relevant stakeholders. * Leading payer engagement plans across national and regional accounts, aligning access strategy with key health system priorities. * Representing Cyted in payer meetings, contract discussions, industry conferences, and other relevant forums. * Partnering with national and regional accounts to remove reimbursement barriers and accelerate commercial pull-through. * Supporting contract implementation and ensuring alignment between coverage terms and operational execution. Value Proposition, Evidence, and Cross Functional Alignment * Creating and communicating compelling payer value propositions supported by clinical and health economic evidence. * Developing health economic models, reimbursement dossiers, and other payer-facing materials tailored to payer decision-makers. * Supporting commercial teams and key accounts through reimbursement education and structured problem-solving. * Collaborating cross-functionally with Sales, Marketing, Medical Affairs, Regulatory, and Finance to align access strategy with commercial and product launch objectives. * Ensuring payer insights inform evidence generation, messaging, and product positioning decisions. TO THRIVE IN THIS ROLE, YOU WILL HAVE: * A bachelor's degree in Health Policy, Business, Life Sciences, or a related field; advanced degree (MPH, MBA, etc.) preferred. * 8-10+ years of experience in market access, reimbursement, or managed care within the US healthcare system. * Proven track record in securing reimbursement and access for medical devices, molecular diagnostics, or therapies. * Established relationships with key payer stakeholders, including LBMs, IDNs, IDNFS and CMS. * Deep knowledge of US reimbursement processes, including CMS and private payer systems. * Strong communication, negotiation, and presentation skills. * Ability to synthesize complex clinical and economic data into compelling, payer-relevant narratives. * Willingness to travel as required (up to 50%). * Expertise in US reimbursement and health policy landscape. * Strong negotiation and relationship-building skills. * Strategic mindset with ability to execute tactically. * Experience working within molecular diagnostics, or related medical technology sectors. * Strong understanding of health economics and outcomes research (HEOR) principles. SUCCESS IN THIS ROLE WILL LOOK LIKE: At Cyted, how we work is just as important as the impact we create. Following our recent Series B fundraise and with growing momentum in the US, we are entering a pivotal phase of expansion. As Director of Payer Relations and National Accounts, you will play a critical role in shaping how Cyted engages with the US healthcare system - building and executing our payer strategy, securing reimbursement, and ensuring our diagnostic innovations reach patients through sustainable coverage and access pathways. We care deeply about the clinicians, partners and patients our work ultimately serves. In this role, care means establishing and maintaining trusted, high-impact relationships with commercial and government payers, ensuring Cyted’s solutions are understood, valued, and supported within the healthcare ecosystem. You will act as a credible partner to payer organisations, advocating for patient access while aligning clinical and economic value with payer priorities. We expect you to own your responsibilities with confidence and accountability. You will lead Cyted’s payer strategy end-to-end - defining national account plans, negotiating coverage and contracts, and driving alignment between policy, reimbursement, and operational execution. Your leadership, judgement, and attention to detail will ensure Cyted is well-positioned to navigate the complexities of the US reimbursement landscape as we scale. We aim high. Cyted’s growth depends on strong, scalable market access foundations. You will design and implement strategies, processes, and KPIs that enable sustainable reimbursement and revenue growth. By monitoring the evolving healthcare policy environment, identifying risks and opportunities, and leveraging payer insights, you will help shape how Cyted expands access and strengthens its position in the market. You will be expected to dive deep into the healthcare and reimbursement landscape, understanding payer decision-making, policy dynamics, and the clinical and economic evidence required to support coverage. By translating complex data into compelling value propositions, you will ensure Cyted’s diagnostic services are effectively positioned within care pathways. You will work closely with cross-functional teams including Medical Affairs, Commercial, Finance, and Regulatory to align evidence generation, messaging, and execution. We encourage everyone to challenge and commit. As Cyted continues to build its presence in the US, your perspective will help shape how we engage with payers and national accounts. Working across teams and stakeholders, you will ensure payer insights inform product strategy, evidence development, and commercial planning, strengthening Cyted’s overall impact in the healthcare system. Finally, we deliver. This role requires ownership, resilience, and follow-through. From securing coverage decisions to driving contract implementation and ensuring access translates into real-world adoption, your work will directly influence Cyted’s ability to deliver value to the healthcare system and improve patient outcomes. This is how we work at Cyted. If this sounds like an environment where you can shape strategy, build critical partnerships, and expand access to innovative diagnostics, we’d love to hear from you. BENEFITS  Financial & Retirement Benefits: * 401(k) Safe Harbor Planwith employer match: * Dollar-for-dollar match on the first 1% * 50 cents on the dollar up to 6% * Automatic enrolment after 2 months * Equity Participation: Share grants subject to board approval, giving you a stake in our mission and long-term growth Health & Insurance Coverage: * Access to the company's medical insurance with company contributions of up to $1000/month * Access to self-pay vision and dental insurance options * Life Insurance: 3x your annual base earnings, employer-paid * Long-Term Disability (LTD): 60% of base salary up to $10,000/month * Short-Term Disability (STD): 60% of salary up to $2,500/week for up to 13 weeks * Employee Assistance Program (EAP): Full access to our EAP platform including courses and resources to support your wellbeing Leave & Time Off: * 20 vacation days per year * 9 paid sick days * 8 paid holidays * 3 floating holiday days * 2 personal holiday days * Parental Leave: * 6 weeks fully paid primary caregiver leave * 2 weeks fully paid secondary caregiver leave * Holiday Purchase Scheme: Buy up to 5 extra vacation days per year Learning, Development & Culture: * Annual CPD Allowance: $1,000 per year for professional development activities relevant to your role * Regular Company Events: Including summer and holiday parties, team socials, and more