Executive Director – Head of Managed Markets

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

📋 Description

• Oversee the comprehensive managed markets strategy across the portfolio, focusing on channel priorities, account segmentation, resource allocation, launch readiness, and annual operating plans.

• Supervise, mentor, and develop three Directors; define account ownership, objectives, execution standards, and development plans.

• Guide payer consultants in their scopes of work, account assignments, deliverables, and budget management.

• Take charge of strategic national and regional payer account planning and engage with senior payer executives.

• Assist in complex negotiations, formulary reviews, and critical access escalations.

• Formulate payer contracting recommendations, including offer design, rebate structures, and access conditions.

• Assess access gains in relation to net revenue and government pricing implications; obtain necessary approvals.

• Enhance payer value propositions in collaboration with Medical Affairs and HEOR.

• Equip account teams for formulary and pharmacy and therapeutics committee reviews.

• Collaborate with Patient Support and field reimbursement resources to tackle prior authorization, exception, and appeal obstacles.

• Synchronize payer strategy with pharmacy-network requirements, distribution pathways, affordability support, and prescription-to-paid-claim execution.

• Spearhead payer readiness for new products and indications.

• Work alongside Analytics to monitor payer policies, access restrictions, contract economics, coverage quality, utilization management, and business impact.

• Provide marketplace intelligence and strategic recommendations to senior leadership.

• Oversee the managed markets operating budget and consultant expenditures.

• Ensure that payer engagement and contracting activities adhere to relevant requirements and company policies.

⛳️ Requirements

• Bachelor's degree in Health Sciences, Business, Marketing, or a related discipline.

• Significant progressive experience in pharmaceutical or biotechnology market access, encompassing successful national payer account management, contracting strategy, and leadership of seasoned account professionals.

• Proven capability to lead Director-level colleagues and external consultants, establish accountability, and translate strategy into cohesive execution.

• Established relationships and proven experience with major PBMs as well as national and regional health plans; comprehensive experience beyond a single payer account.

• Profound understanding of commercial, Medicare Part D, state Medicaid, and managed Medicaid access dynamics, including formulary processes, utilization management, and reimbursement pathways.

• Strong expertise in rebate economics, gross-to-net trade-offs, and the government pricing consequences of commercial contracting.

• Ability to convert clinical, HEOR, and pharmacoeconomic evidence into compelling payer value discussions and actionable account strategies.

• Experience in supporting product launches and aligning payer strategy with patient support, specialty pharmacy, field reimbursement, and prescription pull-through initiatives.

• Executive presence, sound judgment, and the capacity to influence senior payer stakeholders and cross-functional leadership.

• Willingness to travel up to 50% of the time.

🏝️ Benefits

• Competitive salary and performance-based bonuses.

• Comprehensive health and wellness benefits.

• Opportunities for professional development and career advancement.

• Flexible working arrangements and work-life balance initiatives.