VP, Market Access

About the Role

Reporting to the Chief Commercial Officer, this enterprise leader will shape and execute Tarsus’ market access strategy, expanding patient access and driving sustainable commercial growth across our marketed products and pipeline. With XDEMVY® moving from a successful launch into its next phase of growth, this leader will make market access a competitive advantage and an engine for growth — maximizing appropriate patient access, accelerating new patient starts, minimizing payer friction, optimizing formulary positioning, and protecting brand economics — while building the access infrastructure Tarsus needs for its next wave of products. This role oversees the market access function, including payer strategy and relationships, pricing and contracting, reimbursement, patient services, and distribution channels. As a strategic partner across the organization, this leader will embed access considerations early in product development, inform business development opportunities, and build and lead high-performing teams that translate strategy into measurable results for patients and the business.

Let’s talk about some of the key responsibilities of the role:

Payer Strategy & Access

• Develop, implement, and execute Tarsus’ managed care payer strategy — collaborating both inside and outside the organization to leverage reimbursement, managed care, payer, and healthcare policy developments and establish short- and long-term goals and tactics to drive and maintain broad, profitable access across the product portfolio.

• Lead formulary and reimbursement strategies, partnering with Medical on HEOR evidence generation needs and planning across the portfolio of assets.

• Establish and expand key payer relationships including national and regional payers, insurance/managed care organizations, pharmacy benefit managers (PBMs), specialty pharmacies, and integrated delivery networks to increase collaboration, support positive coverage policy, improve contracting processes, and enhance reimbursement for supported products.

• Own the access-to-revenue chain and set strategies that minimize payer friction, including reducing prior authorization and step-edit burden, improving approval rates, and lowering patient abandonment.

• Build differentiated payer value propositions — grounded in clinical, economic, and real-world evidence — that change payer behavior and secure optimal formulary positioning across pharmacy and medical benefit designs.

• Lead government programs strategy, including Medicare Part D, Medicaid, and government pricing, in close partnership with Government Affairs and Legal.

• Assess evolving healthcare policy, payer requirements, and competitive dynamics; advise the Executive Team on business implications and recommend timely adjustments to access, pricing, and reimbursement strategies.

• Attend key access-related trade shows, payer meetings, and industry conferences.

Pricing & Contracting

• Develop managed market pricing strategies consistent with customer and market dynamics and the overall portfolio, targeting long-term commercial success.

• Develop and evolve cross-functional pricing committee governance, including SOPs and policies to ensure alignment and oversight, in partnership with Legal, Finance, Compliance, and leadership.

• Oversee contracting strategy, negotiation oversight, contract performance, and partnership with Finance on gross-to-net (GTN) assumptions, forecasts, and net revenue.

• Negotiate strategically — securing differentiated payer and PBM positioning without defaulting to price concessions — and develop innovative contracting models (e.g., value-based, outcomes-based, or portfolio agreements) that protect brand economics.

• Continuously improve gross-to-net economics through disciplined rebate strategy, utilization-management trade-offs, and benefit-design insight, translating access decisions into their financial implications for Finance and the Executive Committee.

Product Strategy, Patient Access & Business Development Support

• Engage early and often in shaping the overall product value proposition and therapeutic product profiles, including positioning and product specifications, to help ensure access from the earliest stages of product development.

• Oversee the development and evolution of patient services, field reimbursement, and distribution channel strategy to drive innovative patient support.

• Partner with Business Development on diligence for potential licensing, acquisition, and partnership opportunities, assessing payer, pricing, reimbursement, and access dynamics to inform deal evaluation and help ensure access and value creation across the product portfolio.

• Lead integrated market access launch plans, readiness milestones, and access strategies for new indications and acquired assets.

Cross-Functional & Team Leadership

• Partner with Marketing, Medical, Clinical Development, Sales, Finance, Legal, Regulatory, Government…