Responsibilities
- Serve as the primary corporate account lead for targeted organized customers and decision-makers for priority IDNs.
- Develop and execute national account strategies across IDNs, academic medical centers, large health systems, and individual cancer centers.
- Engage with pharmacy leadership, supply chain, finance, population health, quality, and clinical stakeholders to support access objectives.
- Lead strategic engagement plans to improve formulary access, operational readiness, reimbursement optimization, and financial adoption.
- Support health system and organized customer contracting strategies; collaborate with Pricing, Trade, and Contracting teams.
- Provide strategic input on payer/provider dynamics; identify adoption barriers and develop customized solutions.
- Collaborate cross-functionally (Market Access, Sales, Medical Affairs, Trade, HEOR, Compliance, Legal, Finance, Patient Services) to coordinate customer engagement.
Pre-Approval Information Exchange (PIE)
- Lead compliant PIE engagements for upcoming launches/label expansions.
- Deliver FDA/compliance-guideline messaging; educate on product impact, reimbursement pathways, coding, and implementation.
- Build compliant PIE materials with internal stakeholders.
- Develop/present budget impact analyses, pro forma models, and economic value assessments; quantify financial implications across acquisition cost, reimbursement, site-of-care economics, and patient outcomes.
Revenue Cycle & Reimbursement / HUB & Account Planning
- Advise on revenue cycle operations (coding/billing, DRG/APC, NTAP/pass-through, buy-and-bill, specialty pharmacy/medical benefit, charge capture/claims adjudication) and mitigate reimbursement risks.
- Partner with HUB/patient services to optimize onboarding, benefit verification, prior authorization, financial assistance, and therapy access.
- Develop national account plans (stakeholder mapping, opportunity identification, financial analyses, access strategies); drive performance metrics, pull-through, forecasting, and reporting.
Qualifications & Requirements
- Bachelorβs required; MBA/MPH/PharmD/MS or related preferred.
- 8β12 years in pharmaceutical/biotech/specialty pharmacy/consulting/market access.
- Experience with IDNs, academic medical centers, organized health systems, and institutional customers.
- Travel up to 50% (including overnight(s)); national travel as required.