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Director, National Accounts

Madrigal Pharmaceuticals
June 30, 2026
Remote friendly (Pennsylvania Furnace, PA)
United States
Sales
Position Summary
The Director, National Accounts ensures 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 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 performance; resolve discrepancies.
- 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/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, actionable insights; support payer/PBM/GPO 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 understanding of payer contracting, rebates, formulary management, prior authorization, specialty pharmacy, 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 (as stated)
Full-time employees are eligible for comprehensive benefits including flexible PTO, medical/dental/vision, life/disability, and 401(k).

Application Instructions
Submit through the Madrigal Careers site.