Director – Payer National Accounts, East

This is a fully remote position, open to applicants in United States.

📋 Description

• The Director / Senior Director, Payer National Accounts, will play a vital role as a commercial leader, tasked with crafting and implementing the national account strategy for the company.

• Build and nurture relationships while negotiating with essential healthcare stakeholders such as Payer (GPOs), Pharmacy Benefit Managers (PBMs), and National Health Plans.

• Develop and maintain executive-level partnerships with key stakeholders across PBMs, GPOs, and both national and regional payers, as well as specialty pharmacies.

• Recognize, prioritize, and secure formulary access opportunities that are in line with corporate goals.

• Act as the main commercial representative for designated national accounts, formulating account-specific business plans and performance targets.

• Oversee negotiations and management of rebate, formulary, and value-based agreements with PBMs and health plans.

• Work in collaboration with teams such as Pricing, Market Access, Finance, Legal, and Compliance to devise contract strategies and assess financial impacts.

• Keep track of payer coverage policies, competitive trends, and market dynamics to proactively modify account strategies.

• Aid in pull-through initiatives to enhance access and utilization within contracted entities.

• Contribute significantly to launch planning and commercialization activities.

• Collaborate effectively with Commercial, Medical Affairs, Trade, Supply Chain, Finance, Legal, Compliance, and Executive Leadership teams.

⛳️ Requirements

• A bachelor's degree is required; an advanced degree (MBA, MPH, PharmD, or a related field) is preferred.

• 10+ years of progressive experience within pharmaceutical, biotechnology, specialty pharmaceutical, or healthcare organizations; experience with 505(b)(2) or drug delivery devices is preferred.

• A minimum of 5+ years in direct national account management, specifically overseeing Payer GPOs, PBMs, and National Health Plans (including government payers such as VA, DoD, and Medicaid).

• Exceptional customer relationship management, interpersonal, and verbal/written communication skills, with a proven ability to engage effectively with diverse groups and influence across functions.

• Proven track record in negotiating complex agreements with Payer GPOs, PBMs, and National Health Plans.

• In-depth understanding of market access, payer dynamics, reimbursement, and healthcare contracting.

🏝️ Benefits

• Approximately 40–60% travel is expected, encompassing customer meetings, industry conferences, and internal planning sessions.