Director, National Accounts
Madrigal Pharmaceuticals
19 days ago
Remote friendly (Springfield, Massachusetts Metropolitan Area)
United States
Sales
Director, National Accounts (CVS/Aetna)
Position Summary
- Ensure national payer accounts deliver a seamless, high-quality access experience that supports provider choice and appropriate patient care across the MASH portfolio.
- Translate complex data, contract structures, and market dynamics into actionable insights that remove barriers to access and optimize the patient journey from prescription to therapy initiation.
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 align with financial/contractual terms.
- Partner with Pricing & Contracting on accruals, forecasting, reconciliation, and gross-to-net; resolve discrepancies.
- Develop/maintain dashboards, QBRs, executive updates, formulary trackers, and standardized reporting.
- Perform root-cause analyses of access challenges across payer, provider, field, patient support, specialty pharmacy, and claims data.
- Collaborate cross-functionally to convert payer wins into real-world access.
- Support pre-deal analytics and scenario modeling; translate complex data into clear 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, finance, or related roles.
- Strong knowledge of payer contracting, rebates, formulary management, prior authorization, specialty pharmacy, and gross-to-net.
- Experience with dashboards/business reviews/performance reporting.
- Proficiency in Excel and PowerPoint required; payer/claims data platforms preferred.
- Up to 30% domestic travel.
Benefits
- Full-time employees are eligible for comprehensive benefits including flexible paid time off, medical/dental/vision, life/disability, and 401(k) offerings.
Application Instructions
- Applications accepted on an ongoing basis via the Madrigal Careers site.
Position Summary
- Ensure national payer accounts deliver a seamless, high-quality access experience that supports provider choice and appropriate patient care across the MASH portfolio.
- Translate complex data, contract structures, and market dynamics into actionable insights that remove barriers to access and optimize the patient journey from prescription to therapy initiation.
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 align with financial/contractual terms.
- Partner with Pricing & Contracting on accruals, forecasting, reconciliation, and gross-to-net; resolve discrepancies.
- Develop/maintain dashboards, QBRs, executive updates, formulary trackers, and standardized reporting.
- Perform root-cause analyses of access challenges across payer, provider, field, patient support, specialty pharmacy, and claims data.
- Collaborate cross-functionally to convert payer wins into real-world access.
- Support pre-deal analytics and scenario modeling; translate complex data into clear 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, finance, or related roles.
- Strong knowledge of payer contracting, rebates, formulary management, prior authorization, specialty pharmacy, and gross-to-net.
- Experience with dashboards/business reviews/performance reporting.
- Proficiency in Excel and PowerPoint required; payer/claims data platforms preferred.
- Up to 30% domestic travel.
Benefits
- Full-time employees are eligible for comprehensive benefits including flexible paid time off, medical/dental/vision, life/disability, and 401(k) offerings.
Application Instructions
- Applications accepted on an ongoing basis via the Madrigal Careers site.