National Account Director Payer Accounts

Job Purpose

The National Account Director is the dedicated, external-facing lead for one of the big three national PBM/GPO accounts (e.g., CVS Caremark/Zinc, Express Scripts/Ascent, Optum Rx/Emisar). Drawing on established relationships with decision makers at that account, this individual drives timely and favorable access for sonelokimab. The role executes the account plan, leads Pre-approval Information Exchange (PIE) and formulary discussions, supports contract negotiations and pull-through, and brings account insights back into the access, pricing and contracting strategy.

Your profile

Major Accountabilities

• Pre-Launch (FDA -24 to 0 months)

• Account mapping: Map the decision-making structure, influencers, processes and timelines of the assigned account, including PBM, GPO, P&T and clinical committees, and key affiliated health plans

• Account plan: Develop and execute the account plan in line with the overall payer engagement and contracting strategy

• Relationship building: Use and deepen existing senior relationships across clinical, trade and contracting functions at the assigned account

• PIE engagement: Lead compliant PIE discussions with the assigned account

• Account insights: Feed account-specific insights into the access strategy, payer value proposition, PIE decks, AMCP dossier and contracting strategy

• Contract preparation: Work with Pricing & Contracting to identify the account's likely contract requirements, key terms and deal scenario

• Launch & Post-Approval (FDA approval to 6-12 months post)

• Formulary review: Lead formulary review meetings and clinical presentations with the assigned account

• Contract negotiation support: Support rebate negotiations with Pricing & Contracting, within approved guardrails, and support contract execution

• Pull-through: Drive pull-through of coverage wins with the account and its downstream health plans, together with FRMs and sales

• Coverage tracking: Track policy development, formulary tiers and utilization management criteria at the account, and communicate coverage updates to internal teams

• Issue resolution: Escalate and resolve access barriers such as restrictive PA criteria, step edits and specialty pharmacy requirements with the account

• Account reporting: Report on account status, risks and opportunities to the Payer Account Team Lead and cross-functional partners

Job Requirements

Education:

• Bachelor's degree required
• Advanced degree (MSc, MBA, PhD, PharmD, or MD) strongly preferred

Experience:

• 8+ years of U.S. market access or payer account experience, including national account management
• Established, senior relationships at one of the big three PBM/GPO organizations (CVS Caremark/Zinc, Express Scripts/Ascent or Optum Rx/Emisar)

Skills/knowledge/behavioural competencies:

• Deep knowledge of the assigned account's decision processes, P&T and formulary cycles, and contracting practices
• Experience supporting rebate negotiations and contract pull-through
• Specialty or immunology launch experience preferred
• Familiarity with PIE, AMCP dossier standards and compliant payer interactions
• Strong external presentation, negotiation and relationship skills
• Willingness to travel frequently to account sites and internal meetings

Why us?

An exciting job opportunity awaits you!

MoonLake is a dynamic and innovative company pushing the boundaries of possibility, and we are looking for passionate individuals to join our stellar team.

What we offer:

Learning Environment: An opportunity to learn and grow alongside experienced professionals in a supportive and innovative biotech environment.

Impactful Work: Contribute to ground-breaking projects that have the potential to transform global healthcare.

Flexibility and Balance: Enjoy a healthy work-life balance while making meaningful contributions to our team.

Career Growth: A clear path for career progression, with the chance to take on more responsibilities as you develop your skills.