Director, VA and DoD Accounts

compasspathways

United States

Posted May 15, 2026

Temporary
Remote
Market Access

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Job description

Company introduction:

Compass Pathways plc (Nasdaq: CMPS) is a biotechnology company dedicated to unlocking urgently needed new treatment options in mental health care.

The Company is headquartered in London, UK, with a U.S. office in New Jersey. We believe mental health patients deserve the possibility of a better future. Our initial focus is developing COMP360 psilocybin, a proprietary, investigational, synthetic psilocybin treatment under evaluation for treatment-resistant depression (TRD) and post-traumatic stress disorder (PTSD). COMP360 is a potentially first-in-class treatment and has Breakthrough Therapy designation from the U.S. Food and Drug Administration (FDA), as well as Innovative Licensing and Access Pathway (ILAP) designation in the UK for TRD.

We are leading the world’s largest classic psychedelic clinical program in TRD, and building upon that robust foundation, we are executing a late-stage trial evaluating COMP360 for PTSD, another condition with high unmet need. Our goal is to advance treatments that move the field of psychiatry towards treatment options that offer rapid onset and sustained durability with infrequent dosing. - Compass Pathways

Job overview:

Our Director, VA and DoD Accounts is responsible for driving and securing formulary access and coverage for COMP360 across U.S. Federal healthcare systems, including Veteran's Administration (VA), Department of Defense (DoD), TriCare, and Indian Health Services (IHS) 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.

Reports to: Senior Director, Strategic Payer Accounts.

Roles and responsibilities
(Include but are not limited to):

Federal Payer Account Strategy and Execution

Work closely with the Senior Director to develop and execute account strategies across VA, DoD, TriCare, and IHS payer segments 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 federal and state 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, contracting, 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 with Sales and Patient Engagement on pull through initiatives in local VA/VISN and Military Treatment Facilities following national formulary wins

Cross-Functional Collaboration

Partner closely with HEOR, Medical Affairs, Government Affairs, Sales, and Patient Engagement to align payer specific push-or-pull-through strategies and tactics
Where applicable and possible for P&T meetings, lead and execute a multi-prong strategy:
- Collaborate with Sales and Patient Engagement to obtain HCP support
- Collaborate with Government Affairs around any relevant legislative-related tactics
- Collaborate with patient advocacy organizations (i.e. NAMI, AfPA, etc.) regarding appropriate 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 payer account management within the VA, DoD, TriCare, and IHS segments
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
Experience executing contracts specific to the Federal payer market (i.e. Temporary Drug Pricing contracts, VA National Contracts, Provisional/Temporary pricing, etc.), as well as other innovative, outcome, and/or value based contracts
Deep knowledge of US Federal 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

Compensation Description (annually):

Our compensation package for permanent hires includes base salary, discretionary bonus, and equity, alongside our comprehensive benefits offering.

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 salary per annum】:

$220,000—$270,000 USD

Benefits:

For an overview of our benefits package and compensation information, please visit "Joins us - Our Benefits".

These include flexibility & generous time off, parental & reproductive support, health & medical, mental health & wellbeing and Financial health.

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.