Primary Responsibilities
- Serve as 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 to evaluate customer opportunities and optimize access positioning.
- Provide strategic input on payer/provider dynamics impacting adoption and utilization.
- Identify adoption barriers and develop customized solutions aligned with customer operational and financial objectives.
- Coordinate cross-functionally with Market Access, Sales, Medical Affairs, Trade, HEOR, Compliance, Legal, Finance, and Patient Services.
PIE
- Lead compliant PIE engagements for upcoming launches or label expansions.
- Deliver FDA/compliance-guideline value messaging (clinical, economic, operational) and educate on reimbursement pathways, coding, and implementation planning.
- Develop/present budget impact analyses, pro forma models, and economic value assessments.
Revenue Cycle & Reimbursement
- Advise on reimbursement optimization and operational implementation across coding/billing pathways, 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
- Partner with HUB services and patient support to optimize onboarding, benefit verification, prior authorization support, financial assistance, and therapy access.
Account Planning & Execution
- Build national account plans (stakeholder mapping, opportunity identification, financial analyses, access strategies) and drive execution against metrics.
Qualifications
- Bachelorβs degree required; MBA/MPH/PharmD/MS or related preferred.
- 8β12 years in pharmaceutical/biotech/specialty pharmacy/healthcare consulting/market access.
- Experience with IDNs, academic medical centers, organized health systems, and institutional customers.
- Travel up to 50% as needed (including overnight(s)); national travel required.