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Senior Director, Government Accounts

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Definium Therapeutics

51 - 200 employees

Founded 2019

🏥 Healthcare

🧬 Biotechnology

đź’Š Pharmaceuticals

Healthcare • Biotechnology • Pharmaceuticals

Definium Therapeutics is a clinical-stage biotechnology company developing precision psychedelic-derived therapeutics for psychiatric and neurodevelopmental disorders. The company focuses on pharmaceutically optimized formulations of lysergide (LSD) and an R-enantiomer of MDMA to treat conditions such as major depressive disorder, generalized anxiety disorder, and core symptoms of autism spectrum disorder, advancing candidates through preclinical and clinical trials with a science-led, evidence-backed approach.

đź“‹ Description

• Implement government access strategy across Medicaid fee-for-service, Medicaid managed care, and priority public payer channels • Develop account plans addressing state review timelines, policy requirements, coverage pathways, and reimbursement considerations • Build relationships with state Medicaid agencies, Medicaid MCOs, pharmacy and medical policy leaders, and public payer stakeholders • Identify and address access barriers, including policy criteria, utilization management, reimbursement, benefit design, and operational readiness • Partner with Government Affairs to monitor federal and state policy developments affecting access, coverage timing, or payer review • Support Kaiser Permanente and similar integrated payer-provider planning as assigned • Collaborate with Finance, Legal/Compliance, and cross-functional partners on public payer access planning, policy considerations, and launch readiness • Partner with HEOR, Medical Affairs, and Value & Access to support payer-relevant evidence, value communication, and launch readiness materials • Generate customer insights and market intelligence to inform account planning, launch readiness, and leadership decision-making • Operate as a player/coach by supporting account planning and directly engaging priority accounts where senior-level access expertise is required • Engage with state Medicaid agencies, Medicaid managed care organizations, CMS and federal policy stakeholders, Kaiser Permanente, and government policy organizations as appropriate • Ensure payer communications and pre-approval information exchange/healthcare economic information align with approved materials, review processes, FDA guidance, PIE guidelines, and company compliance policies

🎯 Requirements

• Bachelor's degree required; advanced degree preferred • Minimum 10 years in government/public payer market access, including Medicaid, managed Medicaid/MCOs, Medicare, and/or state health programs • Expertise navigating state-level policy, legislative, and regulatory processes affecting drug access and reimbursement • Experience with Medicaid PDLs, supplemental rebates, and state P&T or DUR processes • Track record contributing account-level insights and recommendations to government affairs or market access planning • Relationships with state Medicaid directors, state pharmacy directors, or Medicaid MCO leadership a plus • Working knowledge of public payer access considerations, Medicaid policy requirements, and state-level coverage and reimbursement processes • Ability to synthesize state-by-state policy variation into clear account and national recommendations • Experience with Kaiser Permanente or similar integrated payer-provider organizations preferred • Cross-functional collaboration with government affairs, policy, legal/compliance, HEOR, medical, finance, and commercial operations teams • People/team leadership experience • Willingness to travel, typically 50%+ • Knowledge of relevant compliance requirements, including anti-kickback statute, False Claims Act, and state-specific transparency laws • Ability to conduct payer communications in alignment with approved company materials, Medical/Legal/Regulatory review processes, applicable FDA guidance, PIE guidelines, and company compliance policies

🏖️ Benefits

• 100% paid health benefits including Medical, Dental and Vision for you and your dependents • 401(k) program with company match and vesting after the turn of the first month after your start date • Flexible time off • Generous parental leave • Fun fringe perks • Additional compensation, including bonus and equity

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đź’µ $128.5k - $179.9k / year

đź’° $75M Private Equity Round on 2014-08

⏰ Full Time

đźź  Senior

đź‘” Director