Vice President Market Access & Value

Company Background

The mission of Neurogene is to treat devastating neurological diseases to improve the lives of patients and families impacted by these rare diseases. Neurogene is developing novel approaches and treatments to address the limitations of conventional gene therapy in central nervous system disorders. This includes selecting a delivery approach to maximize distribution to target tissues and designing products to maximize potency and purity for an optimized efficacy and safety profile. The Company’s novel and proprietary EXACT transgene regulation platform technology allows for the delivery of therapeutic levels while limiting transgene toxicity associated with conventional gene therapy.

Neurogene has constructed a state-of-the-art gene therapy manufacturing facility in Houston, Texas. CGMP production of NGN-401 was conducted in this facility and will support pivotal clinical development activities. This transformative work is driven by our highly collaborative people who come together each day to bring us closer to achieving our mission. As an employee of Neurogene, you will be part of building a culture that honors patient and caregiver mindsets and nurtures innovation, creative problem solving and a strong sense of purpose.

Position Overview - Reports To - Chief Commercial Officer – Remote

Neurogene is seeking an accomplished, strategic, and entrepreneurial Vice President of Market Access and Value to lead the development and execution of its U.S. market access strategy as the company advances toward commercialization of innovative gene therapies for patients with rare neurological diseases. Reporting to the Chief Commercial Officer, this executive will play a critical role in preparing Neurogene for the potential launch of NGN-401, an investigational gene therapy for Rett syndrome, while establishing scalable market access capabilities to support the company's broader pipeline.

The Vice President will be responsible for developing comprehensive strategies across payer engagement, reimbursement, government programs, institutional access, contracting, and value demonstration. A central priority will be addressing the unique economic, operational, and reimbursement complexities associated with high-cost, potentially one-time gene therapies administered at specialized treatment centers.

The ideal candidate brings a successful track record in rare disease commercialization, a sophisticated understanding of the evolving cell and gene therapy reimbursement landscape and demonstrated ability to translate complex market access challenges into actionable strategies that enable patient access. This individual must be equally comfortable operating as a strategic executive, engaging with external stakeholders, and building the organizational capabilities required for a successful first commercial launch.

This is a unique opportunity to shape the market access foundation of an emerging gene therapy company at a pivotal stage of development. The Vice President of Market Access will play a defining role in building the reimbursement and access infrastructure necessary to support Neurogene's first potential commercial launch and future pipeline.

Success will require more than achieving payer coverage. It will require building an integrated access ecosystem in which payers, treatment centers, healthcare professionals, patients, and caregivers can navigate the complexities of gene therapy commercialization.

The successful candidate will have the opportunity to establish a critical commercial capability, influence Neurogene's long-term commercialization strategy, and contribute meaningfully to the company's mission of bringing innovative therapies to patients and families affected by rare neurological diseases.

Accountabilities and Responsibilities

Market Access Strategy & Commercial Leadership

• Develop and execute an integrated U.S. market access strategy supporting the successful commercialization of NGN-401 and future Neurogene therapies.

• Serve as the company's senior market access expert, providing strategic guidance on payer dynamics, reimbursement pathways, access barriers, and emerging healthcare policy developments.

• Translate the unique clinical, economic, and treatment delivery characteristics of gene therapy into differentiated and sustainable access strategies.

• Partner closely with Commercial, Medical Affairs, Finance, Regulatory, Legal, and other functional leaders to ensure market access considerations are integrated into commercialization planning and decision-making.

• Anticipate competitive market dynamics and evolving payer expectations, proactively developing strategies to differentiate Neurogene's access approach.

• Establish clear launch-readiness milestones, performance measures, and risk mitigation strategies to support timely patient access following potential regulatory approval.

Payer Strategy, Medicaid & Government Programs

• Lead the development and execution of comprehensive payer access strategies across commercial insurers, Medicaid, and other relevant government programs.

• Develop a sophisticated understanding of state-specific Medicaid coverage, reimbursement, and payment pathways, particularly as they relate to pediatric rare disease populations and high-cost gene therapies.

• Establish strategic relationships with key payer decision makers, government program stakeholders, and other influential reimbursement organizations.

• Personally lead high-priority payer engagements, complex access discussions, and strategic negotiations as appropriate.

• Evaluate and develop innovative contracting and reimbursement approaches, including outcomes-based agreements and alternative payment models where appropriate.

• Monitor emerging federal and state policy developments, including CMS initiatives related to cell and gene therapy access, and assess their potential implications for Neurogene.

• Partner with Legal, external policy experts, and executive leadership to inform government policy engagement and reimbursement advocacy.

Institutional Reimbursement & Treatment Center Access

• Lead the development and execution of institutional reimbursement strategies designed to support the financial readiness of specialized treatment centers administering Neurogene therapies.

• Develop expertise-driven solutions addressing hospital reimbursement, coding, coverage, payment pathways, and site-of-care economics.

• Evaluate inpatient and outpatient reimbursement dynamics, hospital acquisition and administration costs, financial exposure, and other institutional barriers associated with gene therapy delivery.

• Develop strategies to address reimbursement variability across commercial and government payers, including institution-specific payment challenges and alternative reimbursement arrangements.

• Partner with Customer Engagement, Patient Services, Commercial Supply Chain, and other stakeholders to integrate institutional financial readiness into broader treatment-center launch planning.

• Identify and mitigate financial barriers that could prevent clinically qualified treatment centers from offering therapy to eligible patients.

• Establish measurable institutional access-readiness criteria and processes for identifying and resolving reimbursement challenges before and after launch.

Pricing, Contracting & Financial Strategy

• Partner with Commercial leadership and Finance to inform product pricing strategy, incorporating payer insights, competitive dynamics, access implications, and long-term financial sustainability.

• Lead the development of payer contracting strategies, reimbursement assumptions, and innovative access arrangements appropriate for rare disease gene therapies.

• Collaborate with Finance and Commercial Analytics to inform gross-to-net assumptions, financial forecasts, and scenario planning.

• Assess the implications of pricing and contracting decisions across Medicaid, commercial payers, and institutional treatment settings.

• Provide strategic recommendations to executive leadership regarding access-related financial risks, opportunities, and trade-offs.

Health Economics, Outcomes Research & Value Demonstration

• Partner with Medical Affairs to develop an integrated value evidence strategy that supports payer decision-making and demonstrates the clinical and economic value of Neurogene therapies.

• Lead the identification of payer evidence requirements and access-related evidence gaps, informing HEOR priorities and economic modeling.

• Guide the development of payer value propositions, budget impact analyses, economic models, and other evidence-based access tools.

• Ensure that relevant patient, caregiver, healthcare utilization, and long-term outcomes considerations are appropriately incorporated into value demonstration strategies.

• Collaborate with Medical Affairs on real-world evidence priorities and long-term evidence-generation approaches that support reimbursement and access objectives.

• Translate complex clinical and economic evidence into compelling, scientifically accurate, and compliant value communications for appropriate external stakeholders.

Organizational Development & Cross-Functional Integration

• Build and lead a high-performing, scalable Market Access organization capable of supporting Neurogene's transition from clinical development to commercial operations.

• Develop the organizational design, talent acquisition roadmap, operating model, and resource strategy required to establish critical market access capabilities.

• Determine the optimal balance of internal talent, external partners, consultants, and field-based resources to support launch readiness and ongoing commercialization.

• Establish clear functional accountabilities, performance expectations, and cross-functional operating processes.

• Partner closely with Patient Services and Commercial Supply Chain to ensure integrated planning across reimbursement support, patient access, distribution, and treatment-center needs.

• Depending on organizational needs and the experience of the selected candidate, responsibilities may expand to include leadership of Patient Services and/or Trade and Channel functions.

• Foster a collaborative, accountable, and patient-centered culture that values strategic thinking, operational excellence, and agile execution.

International Market Access Collaboration

• Provide strategic input into future international pricing, reimbursement, and market access planning as Neurogene evaluates opportunities beyond the United States.

• Partner with internal and external stakeholders to identify global evidence requirements, access considerations, and potential implications of U.S. pricing and reimbursement decisions.

• Support the development of scalable market access approaches that may inform future geographic expansion.

Minimum Requirements

Education

• Bachelor's degree in business, life sciences, healthcare, economics, or a related field.

• Advanced degree in business, healthcare, public health, economics, or a related discipline, is a plus.

Experience Required:

• 15+ years preferred - progressive leadership experience in pharmaceutical or biotechnology market access, including demonstrated responsibility for developing and executing U.S. access strategies.

• Proven success supporting the launch and commercialization of rare disease, orphan, or highly specialized therapies.

• Deep understanding of the U.S. healthcare reimbursement environment, including commercial payers, Medicaid, managed care, and government reimbursement programs.

• Demonstrated expertise in institutional reimbursement, hospital economics, coding and payment pathways, and access considerations for complex, high-cost therapies.

• Experience developing payer value propositions and collaborating on HEOR and evidence-generation strategies.

• Demonstrated ability to build, lead, and develop high-performing teams and scalable organizational capabilities.

• Established ability to engage credibly with senior payer stakeholders, institutional decision-makers, and executive leadership.

• Strong strategic, analytical, financial, and communication skills, with demonstrated ability to translate complex challenges into actionable business solutions.

• Proven success operating cross-functionally in dynamic, evolving organizations.

Preferred:

• Direct experience supporting the launch or commercialization of cell and gene therapies (preferred).

• Experience with one-time or potentially transformative therapies requiring innovative reimbursement or payment approaches (preferred).

• Experience navigating Medicaid reimbursement for pediatric rare diseases (preferred).

• Familiarity with outcomes-based agreements, alternative payment models, and evolving CMS cell and gene therapy initiatives (preferred).

• Experience developing reimbursement strategies for specialized treatment centers, including inpatient and outpatient administration settings.

• Experience building Market Access capabilities within an emerging or precommercial biotechnology company.

• Previous leadership responsibility for Patient Services, Trade and Channel, or broader patient access operations.

• Experience contributing to international market access strategy.

Knowledge, Skills, and Attributes

• Strategic Vision: Ability to anticipate the evolving market access landscape and translate complex reimbursement challenges into differentiated commercial strategies.

• Entrepreneurial Mindset: Comfortable building capabilities in a resource-conscious, rapidly evolving organization while balancing long-term strategic priorities with immediate execution needs.

• Executive Presence: Credibility and confidence to engage senior external stakeholders, influence executive decisions, and represent the Market Access function at the highest organizational levels.

• Collaborative Leadership: Proven ability to work across functional boundaries, establish shared accountability, and build trust throughout the organization.

• Patient-Centered Perspective: A commitment to understanding and addressing the financial, logistical, and systemic barriers that prevent patients and families from accessing potentially transformative therapies.

• Operational Accountability: A results-oriented leader who establishes clear priorities, drives execution, and takes ownership of outcomes; able to track and measure performance against defined metrics.

• Delivering on Expectations: Continuous strong focus on meeting or exceeding expectations in executing deliverables, performance, and results.

• Autonomy: Self-starter with high degree of energy, independence, initiative, and self-motivation, as illustrated by the ability to instill a sense of pace and urgency into the team.

• Decision-Making: Someone who moves fast and decisively in a balanced manner, with a passion for the growing company.

• Commitment: Passionate, collaborative, creative, willing to take prudent risks, and motivated by the creation of a company focused on transformative treatments for patients and their families.

This job description has been developed based upon the expected and current duties, responsibilities, and requirements for the position. Because job requirements evolve with the changing needs of Neurogene’s business, this description is subject to change and may be modified at any time, whether formally or informally.

Neurogene is an Equal Opportunity Employer and will assess all applicants based on their qualifications for the job, without regard to race, color, sex, religion, national origin, age, disability, sexual orientation, gender identity, protected veteran, disability status or any other characteristics protected by applicable federal, state or local law.