VP, Managed Markets

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

📋 Description

• Develop and spearhead the managed care strategy for Yutrepia, encompassing access objectives, formulary positioning, and contracting priorities.

• Lead, mentor, and cultivate a team of Account Directors.

• Oversee the annual bid and RFP cycle with national PBMs, GPOs, rebate aggregators, and regional health plans for Commercial, Medicare, and Medicaid.

• Negotiate agreements regarding rebates, price protection, administrative fees, parity, preferred, and exclusive formulary arrangements.

• Collaborate on deal modeling, gross-to-net forecasting, and analyzing the impact of government pricing.

• Work alongside Legal and external counsel on drafting contracts, redlining, amending, and implementing finalized agreements.

• Manage contract operations, validate rebate invoices, ensure formulary compliance and conduct utilization audits, resolve disputes, and handle rebate payments.

• Track coverage and formulary positions across Commercial, Medicare, and Medicaid plans.

• Own the Managed Markets scorecard tracking coverage, lives, rebate spending, and gross-to-net by book and account.

• Stay updated on payer and policy developments, including Medicare, PBM reforms, utilization management, and competitor contracting activities.

• Collaborate on payer value propositions, account materials, and clinical as well as economic evidence for P&T committee evaluations.

• Partner with Field Reimbursement and Sales to enhance the implementation of contracted coverage.

• Inform Trade and Distribution about how payer agreements affect the specialty pharmacy network.

• Collaborate with Patient Support Programs to address payer-driven access challenges.

• Act as Liquidia's senior executive contact for payer clients, managing escalations, executive business reviews, and relationship strategies.

• Partner with Finance on rebate accruals, forecasting, and the Managed Markets budget.

• Work cross-functionally with Pricing and Access Analytics, Trade and Distribution, Field Reimbursement, Patient Support Programs, Sales, Marketing, Medical Affairs, Finance, Legal, and Compliance.

• Address payer-related issues that could affect patient access, product initiation, or continuity of therapy.

• Ensure adherence to company policies, the federal Anti-Kickback Statute, OIG guidelines, and government price reporting obligations.

• Participate in company-sponsored meetings, trade shows, and industry conferences as needed.

• Comply with company policies, procedures, and training requirements.

⛳️ Requirements

• A Bachelor's degree is required.

• 12+ years of experience in managed markets, market access, or payer account management within a pharmaceutical or biotechnology manufacturing environment.

• 5+ years of experience in negotiating and executing rebate agreements with national PBMs, GPOs, and health plans.

• 5+ years of leadership experience, including managing national or regional account teams.

• Proven experience in launching or expanding a specialty product through payer contracting.

• Experience in access for a pharmacy benefit specialty product is required, including Commercial, Medicare, and Medicaid.

• Familiarity with gross-to-net, government pricing (AMP and Best Price), and Medicare rebate and inflation rebate provisions.

• Strong understanding of healthcare compliance frameworks, including the federal Anti-Kickback Statute, the discount safe harbor, and OIG guidance.

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

• Comprehensive knowledge of PBM, GPO, and rebate aggregator business models, formulary development, P&T processes, and utilization management.

• Exceptional negotiation skills.

• Strong financial acumen with the ability to model contract terms and interpret impacts on rebates, gross-to-net, and government pricing.

• Excellent executive communication and presentation abilities.

• Demonstrated capacity to build, lead, and develop high-performing account teams.

• High level of organization, attention to detail, and accuracy.

• Ability to proactively identify issues and drive effective solutions.

• Proven capability to thrive in a smaller, entrepreneurial organization.

• Proficiency in Microsoft Office applications (Outlook, Word, Excel, PowerPoint).

🏝️ Benefits

• Competitive compensation package.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Short-term disability (STD).

• Long-term disability (LTD).

• 401(k) Savings Retirement Plan.

• Employee Stock Purchase Plan (ESPP).

• Equal opportunity employment.

• Reasonable accommodation for qualified individuals with disabilities.