
Senior Director, National Accounts
Posted 6 days ago

Posted 6 days ago
This is a fully remote position, open to applicants in Massachusetts.
• Act as the primary relationship manager for all accounts within the region.
• Lead and implement Stoke’s payer access strategy from inception.
• Engage with targeted accounts and policy decision-makers to expedite coverage timelines.
• Establish Stoke’s credibility and disseminate clinical data to medical benefit policy decision-makers.
• Formulate and execute strategies for access during both pre-launch and launch phases.
• Assume a strategic leadership role for key accounts in the region.
• Create account-specific action plans to reduce the timeline from FDA approval to favorable coverage determination.
• Cultivate payer relationships prior to NDA submission.
• Develop multi-year access plans that anticipate commercial cycles and shifts in competitive coverage.
• Educate payers regarding clinical evidence, FDA labeling, treatment guidelines, and health-economic data.
• Monitor medical policy language and collaborate with Medical Affairs, HEOR, and Advocacy.
• Engage with payer Medical Directors to secure guidance letters or billing instructions pending the assignment of a permanent J code.
• Influence policy decision-makers to achieve desired coverage results.
• Serve as a subject-matter expert on buy-and-bill reimbursement for miscellaneous J codes.
• Educate payer medical policy teams on claims submission, billing units, and NDC-to-J code crosswalks.
• Foster alignment among commercial and field medical teams as well as cross-functional departments.
• Coordinate field reimbursement and patient services to enhance approval success and ensure timely patient access.
• Engage with the Dravet syndrome patient and caregiver community.
• Conduct payer engagements in adherence to company SOPs, OIG guidelines, PhRMA Code, and relevant regulations.
• Overcome access challenges for a first-in-class disease-modifying ASO therapy.
• Bachelor’s degree is required; advanced degree (MBA, MPH, PharmD) is preferred.
• Over 15 years of experience in the pharma/biotech industry.
• At least 10 years in payer account management with lead responsibility for one of the three major PBM and National accounts.
• Demonstrated success in achieving positive coverage outcomes for orphan designation or rare disease products within the medical benefit.
• Experience in pre-launch payer strategy.
• Practical experience in navigating a miscellaneous J code (J3490/J3590) environment, including the transition to a permanent product-specific code.
• Strong understanding of managed care economics, formulary management, utilization management, and coverage policy development processes at national payers.
• Experience in launching products for rare pediatric or neurological diseases; CNS or epilepsy payer experience is a significant advantage.
• Knowledge of reimbursement pathways for disease-modifying therapies and gene testing as outlined by payer policy.
• Experience working in a startup or early commercial-stage biotech while building its commercial infrastructure for the first time.
• Exceptional ability to influence across functions without direct authority.
• A strong passion for patient access and the impact of rare diseases.
• Proximity to a major US airport is preferred.
• Willingness to travel approximately 50% of the time.
• Annual bonus.
• Equity participation.
• Medical insurance.
• Dental insurance.
• Vision insurance.
• Life insurance.
• Long- and short-term disability insurance.
• Paid parental leave.
• 401K plan with company match.
• Unlimited vacation time.
• Tuition assistance.
• Employee Stock Purchase Program (ESPP).
• Flexible work arrangements.
• Employee-led Diversity, Inclusion, and Belonging (DIB) Committee.
Ralliant
Bristol Myers Squibb
Zscaler
Illumina
Get handpicked remote jobs straight to your inbox weekly.