Director, National Accounts

Director, National Accounts - (Optum/United)

Position Summary:
Responsible for ensuring national payer accounts deliver a seamless, high-quality access experience that supports provider choice and appropriate patient care across the MASH portfolio.

Key Responsibilities:
- Lead analytics for national payer/PBM accounts (coverage quality, utilization management, approval rates, time to therapy, abandonment, pull-through).
- Monitor performance vs. contracts/forecasts/access objectives; identify gaps, risks, and opportunities.
- Oversee rebate validation, contract performance, and downstream analytics.
- 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.
- Conduct root-cause analyses of access challenges (payer, provider, field, patient support, specialty pharmacy, claims data).
- Collaborate cross-functionally (Field Reimbursement, Specialty Pharmacy, Trade, RADs, KADs, Sales) to convert payer wins into real-world access.
- Support pre-deal analytics/scenario modeling; translate complex data into actionable insights.
- Support payer/PBM/GPO engagements with performance insights.
- May directly manage a select payer account.

Qualifications:
- Bachelor’s required; advanced degree (MBA/MPH/PharmD or similar) preferred.
- 10+ years relevant pharma/healthcare experience; 5+ years in market access, payer strategy, account management, analytics, contracting, finance, or related.
- Strong payer contracting/rebates/formulary/prior auth/specialty pharmacy/gross-to-net knowledge.
- Experience with dashboards and performance reporting; strong analytical and cross-functional communication.
- Excel and PowerPoint required; payer/claims data platforms preferred.
- Up to 30% domestic travel.

Application Instructions:
- Apply via the Madrigal Careers site (applications accepted on an ongoing basis).