Director, Managed Markets – National Accounts

Posted 5 days ago

This is a fully remote position, open to applicants in Illinois, +10 more states.

πŸ“‹ Description

β€’ Direct the access strategy and implementation across Ohio, Michigan, Indiana, Illinois, Wisconsin, Minnesota, Iowa, Missouri, Kansas, Nebraska, North Dakota, and South Dakota.

β€’ Cultivate relationships with regional commercial payers, fee-for-service (FFS) and managed Medicaid programs, aligned integrated delivery networks (IDNs), and provider-sponsored health plans.

β€’ Manage corporate relationships for HCSC and CareSource.

β€’ Develop enterprise account strategies and oversee affiliate and state-level execution.

β€’ Create and implement account-specific business plans that facilitate access for approved products.

β€’ Analyze formulary and medical policy review processes, utilization management requirements, decision makers, and geographic coverage.

β€’ Recognize and mitigate launch barriers prior to Pharmacy and Therapeutics (P&T) and coverage evaluations.

β€’ Collaborate with Medical, HEOR, Marketing, Trade, Pricing and Contracting, Field Reimbursement, Sales, and Operations teams.

β€’ Present clinical and economic value narratives while resolving access challenges.

β€’ Relay payer policy and coverage updates to field teams.

β€’ Assist in effective pull-through following access achievements.

β€’ Stay up-to-date with state Medicaid policies and regional market factors.

β€’ Report directly to the Vice President of Market Access.


⛳️ Requirements

β€’ Bachelor’s degree (BA/BS) is required.

β€’ A minimum of 10 years of experience in the biotech or pharmaceutical industry.

β€’ At least five years of experience in regional payer account management.

β€’ Proven experience in launching rare diseases, contracting, and pull-through with regional payers, Medicaid, IDNs, and Centers of Excellence is essential.

β€’ Strongly preferred: Established connections with decision makers at designated Central regional payers and IDNs.

β€’ Excellent communication and interpersonal abilities.

β€’ Capability to work both independently and collaboratively in a team setting.

β€’ Comprehensive understanding of the payer landscape, including Medical/Pharmacy Benefit Designs, current legislation, and Medicaid (Managed/FFS).

β€’ Outstanding analytical skills with the capacity to devise strategies responsive to the healthcare market.

β€’ Superior verbal and written communication skills, along with strong teamwork capabilities.

β€’ Experience in coordinating corporate payer strategy across parent and affiliate relationships, with clear ownership and regional execution duties.

β€’ Aptitude to comprehend and convey complex clinical data for approved indications.

β€’ Willingness and ability to travel 50–60% of the time.


🏝️ Benefits

β€’ Competitive compensation package.

β€’ Annual performance bonuses.

β€’ Company equity options.

β€’ 401(k) plan with employer matching contributions.

β€’ Employee Stock Purchase Program (ESPP).

β€’ Pre-tax commuter benefits for transit and parking.

β€’ Referral bonuses for successful candidate placements.

β€’ Subsidized lunch and parking on in-office days.

β€’ Comprehensive employer-paid medical, dental, and vision premiums for you and your dependents.

β€’ Health Savings Account (HSA) with annual employer contributions.

β€’ Flexible Spending Accounts (FSA).

β€’ Benefits for fertility and family formation.

β€’ Enhanced mental health support, including therapy and coaching resources.

β€’ Hybrid work model offering flexibility.

β€’ Flexible paid time off with a β€œtake-what-you-need” policy, plus company-paid holidays.

β€’ Generous paid medical and parental leave.

β€’ Opportunities for skill development and internal mobility.

β€’ Career advancement through regular feedback, continuous education, and professional development programs via LinkedIn Learning, LifeLabs, and BetterUp Coaching.

β€’ Financial rewards, peer recognition, and growth opportunities.

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