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Senior Director, Market Access National Accounts

Madrigal Pharmaceuticals
11 hours ago
Remote friendly (Field, MN)
United States
Market Access
Senior Director, National Accounts (ESI/Cigna) – MASH

Responsibilities
- Lead strategy and execution for priority national payer and PBM accounts; develop short- and long-term account plans aligned to brand, access, and financial objectives.
- Serve as primary point of contact for assigned national accounts; engage pharmacy, medical, formulary, population health, quality, and economic decision-makers.
- Build trusted customer relationships to support collaboration, negotiation, contracting, and issue resolution.
- Monitor account performance vs. contracted expectations, business plans, access objectives, and financial assumptions; identify risks, gaps, and opportunities.
- Partner with Pricing & Contracting, Value & Access, and Legal to support contracting strategy, rebate accuracy, contract alignment, gross-to-net performance, and financial reconciliation.
- Analyze payer performance, utilization management, coverage quality, formulary alignment, pull-through, and access barriers to identify trends and systemic opportunities.
- Translate payer wins into field execution with Sales, Trade, and Patient Support Services; remove barriers to patient access.
- Provide performance updates, executive briefings, strategic recommendations, and customer-facing business reviews.
- Share customer/market insights to inform messaging, tools, resource development, access strategy, and cross-functional execution plans.

Qualifications & Skills
- Bachelor’s required; MBA/MPH/PharmD or related advanced degree preferred.
- 12+ years relevant pharmaceutical/healthcare experience; 6+ years in market access, payer strategy, national account management, contracting, finance, analytics, or related roles.
- Demonstrated experience managing national/large regional payer accounts (including PBMs and/or large commercial plans).
- Strong knowledge of U.S. payer landscape, formulary and utilization management, contracting/rebate structures, gross-to-net, Specialty Pharmacy, reimbursement, and patient access pathways.
- Proven ability to influence stakeholders and translate data into actionable strategies.
- Preferred: experience supporting product launches and access strategy execution.
- Strong executive communication, analytical rigor, financial/contracting acumen, collaboration, project management, and follow-through.
- Proficiency in Microsoft Office (Excel, PowerPoint); familiarity with payer data/claims/CRM/specialty pharmacy or access analytics preferred.
- Up to 30% domestic travel.

Benefits
- Full-time employees eligible for base salary, bonus, equity, and comprehensive benefits (flexible paid time off; medical, dental, vision, life/disability; 401(k) options; plus additional voluntary benefits and Employee Assistance Program).

Application instructions
- Apply via the Madrigal Careers site on an ongoing basis.