National Account Director
Company | Arrowhead Pharmaceuticals |
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Location | Pasadena, CA, USA |
Salary | $200000 – $240000 |
Type | Full-Time |
Degrees | |
Experience Level | Senior |
Requirements
- 5+ years of previous payer, market access, or healthcare reimbursement experience, including pharmacy and medical benefit products.
- Strong understanding of commercial, Medicare Part D, and Medicaid managed care processes.
- Proven ability to build and maintain relationships with trade negotiators, payer medical and pharmacy leaders.
- Deep understanding of specialty pharmacy required and established relationships highly desired.
- Expertise in business planning, tactical execution, and results delivery.
- Experience managing national and local contracting initiatives in managed care organizations.
- Strong leadership, project management, and communication skills.
- Ability to work independently while fostering a collaborative team environment.
- Experience managing vendor relationships, projects, and budgets.
- Familiarity with healthcare laws, industry regulations, and compliance standards.
- Professional representation of Arrowhead in external engagements.
- Willingness to travel up to 50%.
Responsibilities
- Develop and manage relationships with GPOs, PBMs, Commercial, Medicare, Medicaid plan stakeholders.
- Establish partnerships with specialty pharmacy, distributors, and healthcare systems as necessary to support broad product availability.
- Communicate product clinical and economic value to payers, formulary committees, and key decision-makers.
- Create and maintain comprehensive account plans outlining pre-launch, launch, and post-launch strategies.
- Lead contract negotiations, evaluate performance metrics, and ensure organizational alignment.
- Monitor sales implications for each payer negotiation and take action to establish optimal access in the right direction as necessary.
- Collaborate with cross-functional teams, including Sales, Medical Affairs, Commercial Analytics, Finance, and Compliance, to address access challenges.
- Provide market intelligence updates on payer trends, coverage determinations, and healthcare policy changes.
- Present payer policy insights at internal business reviews, national conferences, and sales meetings to align strategic priorities.
- Ensure full compliance with US healthcare regulations, legal standards, and corporate policies.
- Lead, mentor, and manage a high-performing, compliant Field Reimbursement Team providing case-specific support for prior authorizations, appeals, and reimbursement education.
- Act as an expert on payer coverage policies, claims processes, and reimbursement protocols.
- Identify emerging payer-related issues and collaborate with leadership to address them.
- Collaborate with Specialty Pharmacy and HUB teams to ensure seamless product access.
- Deliver targeted training on payer-specific requirements, claims documentation, appeals processes, and financial assistance programs.
- Develop and maintain reimbursement resources for internal and external stakeholders.
- Assist in the development of a best-in-class patient assistance program to serve HCPs and patients.
- Contribute to building resources to deliver key patient access services and educational support to HCPs and their staff.
- Work closely with Sales, Marketing, Specialty Pharmacy, and Commercial Analytics teams to optimize patient access.
- Maintain open communication with leadership on access challenges, program performance, and specialty pharmacy updates.
- Support the implementation of patient assistance programs, copay support, etc.
Preferred Qualifications
- National Account experience
- Master’s / Advanced Degree (MBA, MPH, PharmD)