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 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 payer/provider dynamic input impacting adoption and utilization; identify adoption barriers and develop tailored solutions.
- Collaborate cross-functionally (Market Access, Sales, Medical Affairs, Trade, HEOR, Compliance, Legal, Finance, Patient Services).
- Lead compliant Pre-Approval Information Exchange (PIE) engagements for awareness and planning for launches/label expansions, including compliant FDA-aligned value messaging.
- Educate on anticipated product impact, reimbursement pathways, coding considerations, and implementation planning; develop/present budget impact analyses, pro formas, and economic value assessments.
- Maintain revenue cycle & reimbursement expertise (coding/billing, DRG/APC, NTAP/pass-through, buy-and-bill, specialty pharmacy/medical benefit reimbursement, charge capture/claims adjudication); advise on reimbursement optimization and mitigation of risks.
- Partner with HUB/patient services to optimize onboarding, benefit verification, prior authorization support, financial assistance, and therapy access.
- Build national account plans (stakeholder mapping, opportunity ID, financial analyses, access strategies), execute against objectives/metrics, monitor market and reimbursement trends, and manage forecasting/reporting.
Qualifications
- Bachelorβs degree required; advanced degree preferred.
- 8β12+ years in pharma/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.