Remotery

Senior Director, National Accounts

atDefinium TherapeuticsRemoteUS flagUnited StatesFull-timeDirectorSenior$220k – $280k/year

Posted 2 days ago

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

📋 Description

• Execute market access strategies that have been approved and craft access and reimbursement recommendations tailored to specific customers.

• Manage executive relationships with designated PBMs, national commercial health plans, and other crucial market access stakeholders.

• Oversee account planning, customer engagement, and business reviews for the designated accounts.

• Interact with pharmacy, medical, clinical, policy, and reimbursement stakeholders within payers.

• Collaborate across functions to facilitate payer access planning, reimbursement strategy, and the implementation of customer-specific needs.

• Convert approved clinical, outcomes, and economic evidence into discussions relevant to payers.

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

• Keep track of payer trends, benefit designs, formulary and medical policy processes, utilization management, behavioral health management, reimbursement dynamics, and competitive activities.

• Conduct payer communications in accordance with approved materials, Medical/Legal/Regulatory review processes, FDA guidelines, PIE guidelines, and the company’s compliance policies.

• Collaborate with internal stakeholders to ensure that payer planning discussions align with approved access, value, and launch readiness objectives.


⛳️ Requirements

• A Bachelor’s degree is required; an advanced degree is preferred.

• At least 10 years of experience in market access, payer, reimbursement, account management, or related biopharmaceutical fields.

• Proven experience with national commercial health plans, PBMs, and/or major regional payer accounts.

• Experience in CNS, psychiatry, mental health, behavioral health, or other specialty product launches is preferred.

• A strong record of implementing market access strategies and achieving access objectives for specific accounts.

• Understanding of payer policy, reimbursement, benefit design, formulary management, and coverage decision-making.

• Familiarity with formulary review, medical policy development, prior authorization, step therapy, and considerations between medical and pharmacy benefits.

• Experience in translating clinical, HEOR, outcomes, and value evidence into discussions relevant to customers.

• Experience engaging with payer decision-makers, including P&T committees or similar clinical, pharmacy, medical policy, and value assessment forums.

• Exceptional skills in managing executive relationships with payer and PBM stakeholders.

• Ability to collaborate across functions such as Medical Affairs, HEOR, Commercial Operations, Patient Services, and Legal/Compliance.

• Capability to generate actionable customer insights and market intelligence.

• Willingness to travel, typically 50% or more.

• Knowledge of applicable compliance requirements and standards for payer communication.

• Adherence to approved company materials, Medical/Legal/Regulatory review processes, relevant FDA guidance, PIE guidelines, and company compliance policies.


🏝️ Benefits

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

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

• Flexible time off policy.

• Generous parental leave policy.

• Various enjoyable fringe benefits.

• Additional compensation options, including bonuses and equity, may be available.

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