National Account Director – Prime/Humana

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $210k - $289k / year

⏰ Full Time

🔴 Lead

🧑‍💼 Account Executive

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Biogen

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Biotechnology • Healthcare Insurance • Pharmaceuticals

Biogen is a biotechnology company dedicated to discovering, developing, and delivering innovative therapies for people living with serious neurological diseases, including Alzheimer's disease, multiple sclerosis, and spinal muscular atrophy. With a strong emphasis on research and development, Biogen continues to advance the science of neurology through clinical trials and strategic partnerships, while also striving for access and health equity in healthcare.

📋 Description

• Develop and lead Prime Therapeutics account strategy to secure and optimize formulary access, coverage, and reimbursement across Commercial, and Medicare, and Medicaid segments • Own account enterprise relationships across multiple levels within the Prime organization, ensuring ongoing engagements with key decision makers influencing coverage, utilization management, and contracting decisions. • Execute contracting strategies, including rebates, administrative fee agreements, value-based contracts, and pull-through initiatives, in alignment with pricing and compliance requirements. • Collaborate cross-functionally with MA&R, Franchise Leadership, Trade & Distribution, Regional Account, Legal, Medical and Value Access & Optimization teams to ensure coordinated execution of payer strategies. • Support product launches and lifecycle management, driving early access readiness, formulary positioning, and post-launch optimization across all payer channels. • Analyze payer performance metrics, including formulary status, utilization trends, contract compliance, and financial outcomes, to inform strategic decision-making. • Proactive Communication across Biogen NA on key aspects related to the nation payers, including formulary updates, coverage policies, account trends and business opportunities • Ensure compliance with government pricing, Medicaid Best Price, Anti-Kickback Statute, and internal policy requirements across all contracting and payer engagements. • Translate complex payer dynamics—including utilization management, benefit design, and health-economic evidence—into actionable strategies for internal stakeholders. • Represent the organization externally at national payer meetings, negotiations, and industry forums, reinforcing the company’s value proposition and partnership approach.

🎯 Requirements

• Bachelor’s degree required, Master’s level or above degree preferred • 10+ years of experience in U.S. market access, payer marketing, pricing, or related fields within the pharmaceutical or biotech industry • Work experience at Prime Therapeutics is preferred • Proven excellence in account management, relationship development and stakeholder networking specific to Anthem or relative national payer • Deep business analytic skills assessing marketplace trends as the foundation of account strategy development • Strong knowledge of payer landscape, policy trends, and competitive trends impacting Biogen’s portfolio • Exceptional leadership and cross-functional team management skills • Strategic mindset with strong analytical and communication capabilities • Ability to operate in a fast-paced, dynamic environment with a high degree of ownership and accountability. • Driving is an essential duty of the job; candidates must have a valid driver’s license and an acceptable driving record according to Biogen policy to be considered • 50% travel

🏖️ Benefits

• Medical, Dental, Vision, & Life insurances • Fitness & Wellness programs including a fitness reimbursement • Short- and Long-Term Disability insurance • A minimum of 15 days of paid vacation and an additional end-of-year shutdown time off (Dec 26-Dec 31) • Up to 12 company paid holidays + 3 paid days off for Personal Significance • 80 hours of sick time per calendar year • Paid Maternity and Parental Leave benefit • 401(k) program participation with company matched contributions • Employee stock purchase plan • Tuition reimbursement of up to $10,000 per calendar year • Employee Resource Groups participation