Primary 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 cancer centers.
- Engage pharmacy leadership, supply chain, finance, population health, quality, and clinical stakeholders to support access objectives.
- Lead 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 to optimize access positioning.
- Provide 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-compliant clinical/economic/operational value messaging; educate on product impact, reimbursement pathways, coding, and implementation.
- Partner internally to ensure PIE materials are accurate, compelling, and compliant.
- Build/present budget impact, pro forma models, and economic value assessments; quantify financial implications (e.g., acquisition cost, site-of-care economics, infection/readmission reduction, operational efficiencies, patient outcomes).
Revenue Cycle & Reimbursement Expertise
- Consult on reimbursement optimization and operational implementation; cover coding/billing, DRG/APC, NTAP/pass-through, buy-and-bill, specialty pharmacy/medical benefit reimbursement, and charge capture/claims adjudication.
- Identify reimbursement risks and develop mitigation strategies.
HUB & Patient Services Collaboration
- Partner with HUB/patient support to optimize onboarding, benefit verification, prior auth support, financial assistance, and therapy access; communicate workflows and gather customer feedback.
Account Planning & Execution
- Create national account plans (stakeholder mapping, opportunity identification, financial analyses, access strategies).
- Drive execution against account objectives, metrics, and pull-through initiatives; monitor dynamics, competition, policy, and reimbursement trends; maintain forecasting and reporting.
Skills & Requirements
- Strong payer/provider economics knowledge (inpatient/outpatient).
- Ability to engage and influence executive stakeholders.
- Strong analytical, financial modeling, and presentation skills.
- Cross-functional leadership and collaboration.
Qualifications
- Bachelorβs degree required; advanced degree preferred (MBA/MPH/PharmD/MS or related).
- 8β12 yearsβ experience in pharma/biotech/specialty pharmacy/consulting/market access.
- Significant experience with IDNs, academic medical centers, organized health systems, and institutional customers.
- Travel up to 50% (including overnight(s)); ability to travel nationally.