Remotery

National Account Director – Payer

Posted 11 hours ago

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

📋 Description

• Accountable for securing and enhancing access for Neurocrine brands within designated payer accounts, encompassing National and Regional Managed Care Organizations, PBMs, and State Medicaid programs.

• Develops and maintains strategic relationships that promote patient access, reimbursement, and utilization while maximizing gross-to-net performance, in alignment with Neurocrine’s enterprise and brand goals.

• Utilizes extensive knowledge of the U.S. payer landscape, including formulary decision-making, reimbursement dynamics, and population health management.

• Works collaboratively with cross-functional teams to formulate and implement access strategies that balance access, affordability, and financial viability.

• Ensures all strategies are consistent with Neurocrine’s strategic priorities and are executed in accordance with company policies, legal standards, and regulatory requirements.


⛳️ Requirements

• BS/BA degree in Business, Marketing, or a Scientific Field and over 12 years of experience managing national/regional payer accounts, including Managed Care, PBMs, and/or Medicaid types in the behavioral health sector is highly preferred.

• OR a Master's degree or MBA is preferred, along with 10+ years of relevant experience as mentioned above.

• Demonstrated success in engaging formulary decision-makers, such as P&T committees, medical/pharmacy directors, and executive stakeholders.

• Extensive experience in navigating complex payer accounts as well as reimbursement and policy environments.

• Proven history of securing and optimizing formulary access and reimbursement for specialty pharmaceutical products.

• Advanced skills in developing and executing integrated payer strategies that align with brand and enterprise objectives.

• Comprehensive understanding and experience in leading contracting strategies, rebate negotiations, implementation of access agreements, and ensuring effective execution of contract terms.

• Strong grasp of pharmaceutical gross-to-net dynamics, including rebates, discounts, fees, and the implications of payer mix.

• Proven capability to assess trade-offs between access, utilization, and net revenue to enhance sustainable brand performance.

• Ability to interpret financial models and leverage insights in real-world payer strategy and negotiations.

• In-depth understanding of the U.S. payer landscape, including Medicare Part D, Medicaid, and commercial markets.

• Expertise in formulary decision-making processes, utilization management (PA/ST), and reimbursement policy development.

• Strong knowledge of healthcare policy, pricing, compliance, and evolving regulatory factors.

• Exceptional ability to communicate and influence senior/executive stakeholders both internally and externally.

• Advanced negotiation, presentation, and account leadership skills.


🏝️ Benefits

• Retirement savings plan with company match.

• Paid vacation.

• Holiday and personal days.

• Paid caregiver/parental and medical leave.

• Health benefits including medical, prescription drug, dental, and vision coverage.

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