James Pini
Middletown
Summary
Accomplished market access executive with over 20 years of experience leading national and regional payer and reimbursement teams across diverse healthcare sectors. Expertise in launch readiness, payer strategy, and reimbursement operations drives timely patient access to therapies. Demonstrated success in hiring, developing, and scaling high-performing teams while ensuring compliant reimbursement support.
Overview
20
20
years of professional experience
Work History
Vice President, Head of Market Access
Bioventus
01.2019 - Current
- Led strategic reimbursement organization for IDNs, GPOs, Health Plans, PBMs, Specialty Pharmacy, Distribution, Government, and pricing, optimizing access strategies across channels.
- Collaborated with Executive Team to drive strategic planning initiatives that enhanced product success and market positioning within Market Access.
- Developed field access structure and playbooks for national and regional payer engagement; hired and nurtured VP, Sr. Directors, & Managers to achieve above-market access outcomes.
Sales Commercial Excellence; National Accounts
Sanofi
01.2006 - 01.2019
- Directed commercial excellence programs in CRM, training, sales force effectiveness, and market access, resulting in consistent sales exceeding budget.
- Led national account negotiations for specialty product launches and specialty network contracts, facilitating market access and partnership growth.
- Achieved 14 years of success with National PBM and Health Plan customers, expanding product offerings across multiple therapeutic areas.
Senior Roles in Corporate Accounts, Customer Marketing, and Managed Markets
Pharmacia / Pfizer / Upjohn
- Developed strategic plans for account growth and customer retention
- Developed national customer marketing teams and tools (e.g., Managed Access Planner) that increased pull-through and incremental sales.
- Led primary and secondary research initiatives and represented the company at major payer and managed-care conferences.
Education
Master of Public Health (MPH) - Administration and Policy
AHIP Fellowship -
Skills
- Market access strategy and leadership
- Payer engagement and negotiations
- Value proposition development
- Results-driven problem solving
- Integrated delivery networks (IDNs)
- Pharmacy benefit managers (PBMs)
- Government pricing strategies
- Field organization development
- Talent acquisition and training
- Reimbursement operations management
- Buy-and-bill processes
- Specialty pharmacy management
- Prior authorization processes
- Cross-functional collaboration
- Commercial excellence initiatives
- Distribution strategies
- Patient services optimization
- Formulary strategy development
- Analytics and performance management
- Forecasting techniques
- Pull-through initiatives
Degree
MPH
Awards
- 3× CEO Award (Bioventus)
- Multiple sales and account leadership awards at Sanofi (Account Executive Champion 2016; National Champion 2012)
Education And Professional Development
- Master of Public Health (MPH), Administration and Policy
- AHIP Fellowship
Selected Career Highlights
- Executive leadership of the strategic reimbursement organization for Bioventus that includes Corporate Accounts (IDNs/GPOs), Payer Accounts (Health Plans/PBMs/GPOs), Specialty Pharmacy, Distribution/Wholesale, Government, and pricing. High performing team generating strategic growth in key IDN and Channel accounts over 25% for 2024.
- Built and led national market access teams responsible for payer coverage, specialty pharmacy, and provider reimbursement across multiple product modalities (injectables, devices, surgical solutions).
- Drove a field-led strategy that produced >25% growth in key IDN and channel accounts (2024) and established the company’s #1 reimbursed position in a competitive therapeutic class for 2025.
- Hired, coached, and scaled National Account Directors and Field Managers
- Negotiated specialty service agreements and formulary inclusions with PBMs and national payers; led contracting and policy change initiatives that improved access and pull-through.
Timeline
Vice President, Head of Market Access
Bioventus
01.2019 - Current
Sales Commercial Excellence; National Accounts
Sanofi
01.2006 - 01.2019
Senior Roles in Corporate Accounts, Customer Marketing, and Managed Markets
Pharmacia / Pfizer / Upjohn