Senior Director, Government Accounts

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

📋 Description

• Execute the government access strategy across Medicaid fee-for-service, Medicaid managed care, and key public payer channels.

• Create account plans that consider state review timelines, policy requirements, coverage pathways, and reimbursement factors.

• Cultivate relationships with state Medicaid agencies, Medicaid managed care organizations (MCOs), pharmacy and medical policy leaders, and public payer stakeholders.

• Identify and resolve access barriers, including policy criteria, utilization management, reimbursement, benefit design, and operational readiness.

• Collaborate with Government Affairs to keep track of federal and state policy changes impacting access, coverage timing, or payer reviews.

• Assist Kaiser Permanente and similar integrated payer-provider planning as needed.

• Work alongside Finance, Legal/Compliance, and cross-functional teams on public payer access planning, policy considerations, and launch readiness.

• Partner with HEOR, Medical Affairs, and Value & Access to provide payer-relevant evidence, value communication, and materials for launch readiness.

• Gather customer insights and market intelligence to guide account planning, launch readiness, and leadership decision-making.

• Act as a player/coach by supporting account planning and directly engaging priority accounts that require senior-level access expertise.

• Interact with state Medicaid agencies, Medicaid managed care organizations, CMS, federal policy stakeholders, Kaiser Permanente, and government policy organizations as appropriate.

• Ensure that payer communications and pre-approval information exchange/healthcare economic information comply with approved materials, review processes, FDA guidance, PIE guidelines, and company compliance policies.

⛳️ Requirements

• Bachelor's degree is required; an advanced degree is preferred.

• At least 10 years of experience in government/public payer market access, including Medicaid, managed Medicaid/MCOs, Medicare, and/or state health programs.

• Proficiency in navigating state-level policy, legislative, and regulatory processes that affect drug access and reimbursement.

• Experience with Medicaid PDLs, supplemental rebates, and state Pharmacy & Therapeutics (P&T) or Drug Utilization Review (DUR) processes.

• Proven track record of contributing account-level insights and recommendations to government affairs or market access planning.

• Existing relationships with state Medicaid directors, state pharmacy directors, or Medicaid MCO leadership are a plus.

• Comprehensive understanding of public payer access considerations, Medicaid policy requirements, and state-level coverage and reimbursement processes.

• Ability to distill state-by-state policy variations into clear account and national recommendations.

• Experience with Kaiser Permanente or similar integrated payer-provider organizations is preferred.

• Experience in cross-functional collaboration with government affairs, policy, legal/compliance, HEOR, medical, finance, and commercial operations teams.

• Demonstrated people/team leadership experience.

• Willingness to travel, typically 50% or more.

• Knowledge of relevant compliance requirements, including the anti-kickback statute, False Claims Act, and state-specific transparency laws.

• Capability to conduct payer communications in accordance with approved company materials, Medical/Legal/Regulatory review processes, applicable FDA guidance, PIE guidelines, and company compliance policies.

🏝️ Benefits

• Comprehensive health benefits fully paid, including Medical, Dental, and Vision for you and your dependents.

• 401(k) plan with company match and vesting after the end of the first month following your start date.

• Flexible time-off policy.

• Generous parental leave.

• Enjoyable fringe benefits.

• Additional compensation opportunities, including bonuses and equity.