National Account Director – Government Payers, Medicaid

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $197k - $246.5k / year

⏰ Full Time

🔴 Lead

🧑‍💼 Account Executive

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Summit Therapeutics, Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2003

🏥 Healthcare

💼 Consulting

📣 Marketing

🔥 Funding within the last year

💰 $500M Post-IPO Equity - Summit Therapeutics on 2025-10

Healthcare • Consulting • Marketing

Summit Therapeutics, Inc. is a biopharmaceutical oncology company focused on the discovery, development, and commercialization of novel medicinal therapies to improve quality and duration of life for patients with serious unmet medical needs. The company is advancing ivonescimab (SMT112), a novel bispecific antibody targeting PD-1 and VEGF, through multiple Phase 3 clinical trials for non-small cell lung cancer and other solid tumors under license from Akeso. Summit emphasizes clinical development, regulatory filing strategies, and potential commercialization in its licensed territories while promoting patient- and caregiver-friendly treatment options.

📋 Description

• Lead and manage Fee-for-Service Medicaid, Managed Medicaid, Medicaid Buying Pools, and other assigned accounts • Build and maintain relationships with account decision-makers, including medical and pharmacy departments • Execute account strategies and tactics and support regional field matrix teams • Establish relationships with P&T, Medical and Pharmacy Directors, and population-based stakeholders to secure access and product positioning • Build state Medicaid access strategy across fee-for-service programs, managed care organizations, and single preferred drug list states • Navigate prior authorization criteria, step edits, preferred drug lists, P&T committee submissions, and Drug Utilization Review boards • Address state-level physician-administered drug billing requirements, NDC-to-HCPCS crosswalks, and claims mechanics • Monitor Medicaid policy developments, supplemental rebates, multi-state purchasing pools, and managed-care carve-in/carve-out dynamics • Partner with field reimbursement and patient services teams on benefits investigation, prior authorization support, denials, and appeals resources • Partner with HEOR and Medical Affairs on real-world evidence and economic analyses for Medicaid populations • Assist Regional Sales teams with pull-or-sell-through strategies based on payer coverage • Lead internal and external discussions on access, coverage, and reimbursement strategies • Foster accountability, urgency, ethical behavior, and professional development within the field team • Conduct activities in accordance with the Anti-Kickback Statute, False Claims Act, FDA promotional regulations, government price reporting requirements, PhRMA Code, and Summit compliance policies • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree required; MBA, PharmD, or other advanced degree preferred • Minimum 10+ years of biopharmaceutical experience, with at least 5+ years in government payer, reimbursement, or policy roles • Minimum 5+ years in Oncology or immuno-oncology account management experience • Demonstrated success in engaging with US Payers • Strong understanding of the US healthcare payer/access landscape and regulatory environment • Excellent strategic thinking, leadership, negotiation, and relationship management skills • Ability to work with cross-functional teams and drive complex projects to completion • Exceptional communication and presentation skills • Ability to travel to support business priorities as needed • Working knowledge of the Medicaid Drug Rebate Program, AMP/Best Price mechanics, and state Medicaid utilization management • Experience launching a buy-and-bill specialty or oncology product into the U.S. government payer channel • Ability to interpret regulation and translate it into commercial strategy for non-technical audiences • Successful record of achieving and maintaining compliance with all applicable regulatory, legal, and operational rules • Ability to work effectively in a fast-paced and dynamic environment, balancing multiple priorities and meeting deadlines • Preferred: Oncology Buy & Bill launch experience, particularly through the transitional coding period • Preferred: Prior experience working with Medicaid • Preferred: Experience building a government payer function at a pre-commercial or newly commercial company

🏖️ Benefits

• Bonus, stock, benefits and/or other applicable variable compensation may be included in the total compensation package • Equal Opportunity Employer