National Account Director, Payer – Humana
Neurocrine Biosciences
June 24, 2026
Remote friendly (United States)
United States
Sales
About the Role
Responsible for securing and optimizing access for Neurocrine brands across assigned payer accounts (National/Regional Managed Care Organizations, PBMs, and State Medicaid). Builds and sustains payer relationships to advance patient access, reimbursement, and utilization while optimizing gross-to-net performance.
Your Contributions (include, but are not limited to)
- Cultivate long-term relationships with payer stakeholders; understand organizational structure, clinical/economic priorities, and decision-making processes.
- Develop and execute account-specific business plans; monitor formulary status, contract performance, patient access, and financial performance.
- Serve as primary conduit between national accounts and internal stakeholders; communicate contract changes and access dynamics; translate insights into actionable recommendations.
- Partner with Pricing & Contracting to develop, negotiate, and implement payer contracting strategies optimizing access while preserving gross-to-net.
- Evaluate trade-offs among formulary access, utilization management (PA/ST), and rebate structures.
- Identify and implement non-contracting solutions (payer policy engagement, exception pathways, targeted education).
- Analyze account performance (formulary positioning, utilization criteria, claims trends, competitive dynamics, gross-to-net) and adjust strategies.
- Monitor KPIs (access, utilization, rebate spend, net revenue contribution).
- Provide regular updates to Market Access leadership on payer changes, performance, financial implications, risks, and opportunities.
Requirements
- BS/BA in Business, Marketing, or Scientific field with 12+ years managing national/regional payer accounts (Managed Care, PBMs, and/or Medicaid—behavioral health preferred). OR
- Master’s degree or MBA preferred with 10+ years similar experience.
Preferred/Required Skills
- Lead payer relationships; engage formulary decision-makers (P&T committees, medical/pharmacy directors, exec stakeholders).
- Track record securing and optimizing specialty pharmaceutical formulary access and reimbursement.
- Expertise in contracting strategy, rebate negotiations, and implementing access agreements.
- Strong gross-to-net acumen; evaluate access/utilization/net revenue trade-offs.
- Deep U.S. payer landscape knowledge (Medicare Part D, Medicaid, commercial); formulary and utilization management (PA/ST).
- Ability to translate HEOR/clinical evidence into payer value propositions.
- Advanced negotiation/presentation/account leadership; strong cross-functional collaboration across Market Access, HEOR, Pricing, Finance, Legal/Compliance, Medical, Sales, Marketing, and Patient Services.
Responsible for securing and optimizing access for Neurocrine brands across assigned payer accounts (National/Regional Managed Care Organizations, PBMs, and State Medicaid). Builds and sustains payer relationships to advance patient access, reimbursement, and utilization while optimizing gross-to-net performance.
Your Contributions (include, but are not limited to)
- Cultivate long-term relationships with payer stakeholders; understand organizational structure, clinical/economic priorities, and decision-making processes.
- Develop and execute account-specific business plans; monitor formulary status, contract performance, patient access, and financial performance.
- Serve as primary conduit between national accounts and internal stakeholders; communicate contract changes and access dynamics; translate insights into actionable recommendations.
- Partner with Pricing & Contracting to develop, negotiate, and implement payer contracting strategies optimizing access while preserving gross-to-net.
- Evaluate trade-offs among formulary access, utilization management (PA/ST), and rebate structures.
- Identify and implement non-contracting solutions (payer policy engagement, exception pathways, targeted education).
- Analyze account performance (formulary positioning, utilization criteria, claims trends, competitive dynamics, gross-to-net) and adjust strategies.
- Monitor KPIs (access, utilization, rebate spend, net revenue contribution).
- Provide regular updates to Market Access leadership on payer changes, performance, financial implications, risks, and opportunities.
Requirements
- BS/BA in Business, Marketing, or Scientific field with 12+ years managing national/regional payer accounts (Managed Care, PBMs, and/or Medicaid—behavioral health preferred). OR
- Master’s degree or MBA preferred with 10+ years similar experience.
Preferred/Required Skills
- Lead payer relationships; engage formulary decision-makers (P&T committees, medical/pharmacy directors, exec stakeholders).
- Track record securing and optimizing specialty pharmaceutical formulary access and reimbursement.
- Expertise in contracting strategy, rebate negotiations, and implementing access agreements.
- Strong gross-to-net acumen; evaluate access/utilization/net revenue trade-offs.
- Deep U.S. payer landscape knowledge (Medicare Part D, Medicaid, commercial); formulary and utilization management (PA/ST).
- Ability to translate HEOR/clinical evidence into payer value propositions.
- Advanced negotiation/presentation/account leadership; strong cross-functional collaboration across Market Access, HEOR, Pricing, Finance, Legal/Compliance, Medical, Sales, Marketing, and Patient Services.