Director, National Accounts
Madrigal Pharmaceuticals
13 hours ago
Remote friendly (Pennsylvania, United States)
United States
Sales
Director, National Accounts – (Optum/United)
Position Summary
- Responsible for ensuring national payer accounts deliver a seamless, high-quality access experience supporting provider choice and appropriate patient care across the MASH portfolio.
Key Responsibilities
- Lead analytics for national payer and PBM accounts (coverage quality, utilization management, approval rates, time to therapy, abandonment, pull-through).
- Monitor performance vs. contracts, forecasts, and access objectives; identify gaps, risks, and opportunities.
- Oversee rebate validation, contract performance, and downstream analytics to ensure alignment with financial/contractual terms.
- Partner with Pricing & Contracting on accruals, forecasting, reconciliation, and gross-to-net; resolve discrepancies with recommendations.
- Develop/maintain dashboards, QBRs, executive updates, formulary trackers, and standardized reporting.
- Conduct root-cause analyses of access challenges across payer, provider, field, patient support, specialty pharmacy, and claims data.
- Collaborate with Field Reimbursement, Specialty Pharmacy, Trade, RADs, KADs, Sales to convert payer wins into real-world access.
- Support pre-deal analytics and scenario modeling; translate complex data into actionable insights.
- Support payer/PBM/GPO engagements with performance insights and business reviews.
- May directly manage a select payer account.
Qualifications
- Bachelor’s degree required; advanced degree (MBA/MPH/PharmD or similar) preferred.
- 10+ years relevant pharmaceutical/healthcare experience; 5+ years in market access, payer strategy, account management, analytics, contracting, or finance.
- Strong knowledge of payer contracting, rebates, formulary management, prior authorization, specialty pharmacy, and gross-to-net.
- Proficiency in Excel and PowerPoint required; payer/claims data platforms preferred.
- Up to 30% domestic travel.
Application Instructions
- Apply via Madrigal Careers site (ongoing basis).
Position Summary
- Responsible for ensuring national payer accounts deliver a seamless, high-quality access experience supporting provider choice and appropriate patient care across the MASH portfolio.
Key Responsibilities
- Lead analytics for national payer and PBM accounts (coverage quality, utilization management, approval rates, time to therapy, abandonment, pull-through).
- Monitor performance vs. contracts, forecasts, and access objectives; identify gaps, risks, and opportunities.
- Oversee rebate validation, contract performance, and downstream analytics to ensure alignment with financial/contractual terms.
- Partner with Pricing & Contracting on accruals, forecasting, reconciliation, and gross-to-net; resolve discrepancies with recommendations.
- Develop/maintain dashboards, QBRs, executive updates, formulary trackers, and standardized reporting.
- Conduct root-cause analyses of access challenges across payer, provider, field, patient support, specialty pharmacy, and claims data.
- Collaborate with Field Reimbursement, Specialty Pharmacy, Trade, RADs, KADs, Sales to convert payer wins into real-world access.
- Support pre-deal analytics and scenario modeling; translate complex data into actionable insights.
- Support payer/PBM/GPO engagements with performance insights and business reviews.
- May directly manage a select payer account.
Qualifications
- Bachelor’s degree required; advanced degree (MBA/MPH/PharmD or similar) preferred.
- 10+ years relevant pharmaceutical/healthcare experience; 5+ years in market access, payer strategy, account management, analytics, contracting, or finance.
- Strong knowledge of payer contracting, rebates, formulary management, prior authorization, specialty pharmacy, and gross-to-net.
- Proficiency in Excel and PowerPoint required; payer/claims data platforms preferred.
- Up to 30% domestic travel.
Application Instructions
- Apply via Madrigal Careers site (ongoing basis).