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3 дня назад

National Account Manager (Medicaid/Medicare)

174 000 - 221 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
National Account Manager (Medicaid/Medicare) (Market Access/Managed Markets): Managing payer, PBM, health plan, Medicaid, Medicare Advantage, and DME relationships to negotiate contracts and expand pharmacy benefit access with an accent on formulary coverage, reimbursement pathways, and data-driven account strategy. Focus on leading complex negotiations, translating access outcomes into field execution, and shaping hybrid medical-pharmacy access models.

Location: Remote within the United States; travel by car or airplane up to 50% and work from a home office.

Salary: $174,000–$221,000 annual base pay, plus incentive compensation.

Company

Develops and manufactures diabetes technology, including insulin pumps and automated insulin-delivery systems, with a focus on improving access and outcomes for people using insulin.

What you will do

  • Lead contract negotiations and execution with PBMs, health plans, Medicaid plans, Medicare Advantage MCOs, large employers, and DME partners.
  • Develop access strategies covering formulary placement, pharmacy reimbursement, distribution agreements, and patient access pathways.
  • Drive pull-through by converting formulary placement into field sales tools, messaging, training, and playbooks.
  • Build senior-level relationships with payer and account stakeholders and lead business reviews and renegotiation cycles.
  • Analyze market trends, competitor access, payer mix, pharmacy benefit adoption, step edits, and tiering to inform strategy.
  • Coordinate with legal, pricing, finance, marketing, medical affairs, reimbursement, patient support, distribution, and sales teams.

Requirements

  • Bachelor’s degree in life science, business, marketing, or equivalent education and applicable experience.
  • 12+ years of experience in market access, national accounts, or managed markets within pharmaceutical, biotech, or medical device industries.
  • Demonstrated success negotiating with PBMs, health plans, Medicaid accounts, and Medicare Advantage MCOs.
  • Deep knowledge of pharmacy benefits, PBM contracting, pharmacy reimbursement, Medicaid, Medicare, specialty distribution, and DME contracting.
  • Strong analytical, negotiation, influencing, and executive communication skills, including the ability to work with C-suite stakeholders.
  • Must be authorized to work for any employer in the United States; visa sponsorship is not available.

Nice to have

  • Experience with pharmacy-first or limited distribution models.
  • Familiarity with digital health and connected medical technologies.
  • Experience with patient access programs, co-pay assistance, and limited distribution networks.

Culture & Benefits

  • Fully remote work with virtual training and company-provided equipment.
  • Medical, dental, and vision coverage available from the first day.
  • Health savings and flexible spending accounts.
  • At least 20 days of paid time off, 11 paid holidays, and a 401(k) plan with company match.
  • Employee Stock Purchase Plan and incentive compensation.

Hiring process

  • Employment is contingent on completion of a drug test and background check.
  • The role remains open until a final candidate is selected or sufficient applications are received.

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