National Account Manager – Medicaid, Medicare

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $174k - $221k / year

⏰ Full Time

🟠 Senior

🔴 Lead

💰 Account Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Tandem Diabetes Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🏭 Manufacturing

🔧 Hardware

Healthcare • Manufacturing • Hardware

Tandem Diabetes Care is a medical device company that designs and manufactures insulin pumps and automated insulin delivery systems powered by its Control-IQ+ predictive algorithm. Its products, including the t:slim X2 and Tandem Mobi, integrate with continuous glucose monitors and compatible smartphones, support remote software updates, and are accompanied by mobile and cloud-based applications, training, and 24/7 support to help people manage insulin therapy.

📋 Description

• Manage strategic relationships in Durable Medical Equipment and Pharmacy Distribution channels, including PBMs, specialty and retail pharmacy networks, health plans, and access stakeholders • Lead contract negotiations, manage access strategies, and drive execution focused on pharmacy benefit access, pull-through, and data-driven performance • Collaborate cross-functionally with value-based selling and field sales teams to expand patient access and business growth • Lead contract negotiation and execution with PBMs, health plans, Medicaid plans, Medicare Advantage MCOs, and large employers • Develop tailored value propositions using financial modeling, claims analytics, medical information, and health economic data • Secure pharmacy formulary coverage, distribution agreements, and reimbursement pathways • Maintain DME relationships and contracts • Partner with legal, pricing, and finance teams to structure pharmacy agreements • Drive execution of pharmacy access strategies with field sales, inside sales, marketing, and market access teams • Translate formulary placement into field-sales tools and messaging • Develop and execute training, playbooks, and co-branded resources • Serve as lead point of contact for assigned accounts and resolve operational issues • Build and maintain senior-level relationships with payer organizations and influence formulary and utilization management policy • Represent the organization in business reviews, renegotiation cycles, and quarterly performance meetings • Collaborate with patient services, reimbursement, and distribution teams to optimize pharmacy fulfillment • Monitor market trends, competitor access, and policy shifts • Inform market access strategy with payer mix, pharmacy benefit adoption, step-edits, and tiering insights • Provide strategic input into brand planning and pricing • Support hybrid medical and pharmacy access models • Collaborate with Trade & Distribution, Reimbursement, Patient Support, Legal, Marketing, and Medical Affairs • Partner with sales leadership to coordinate pull-through across geographies • Serve as subject matter expert in internal working groups and field-facing strategy sessions

🎯 Requirements

• Bachelor degree, preferably in life science, business, or marketing, or a combination of equivalent education and applicable job experience • 12+ years of experience in Market Access, National Accounts, or Managed Markets within pharmaceutical, biotech, or medical device industries • Demonstrated success negotiating contracts with PBMs, health plans, Medicaid Accounts, and Medicare Advantage (Part C) MCOs • Prior experience with a pharmacy-first or limited distribution model preferred • Familiarity with digital health and connected medical technologies preferred • Deep understanding of pharmacy benefits, PBM contracting, pharmacy reimbursement, Medicaid, Medicare, specialty distribution, and DME contracting • Strong analytical acumen and ability to turn data sets into actionable account strategies • Proven negotiation and influencing skills with C-suite and senior executives • Experience in patient access programs, co-pay assistance models, and limited distribution networks • Ability to translate formulary placement and utilization management criteria into field-ready messaging • Ability to navigate ambiguity in a high-growth, evolving access model environment • Ability to travel up to 50% • Ability to work from a home office • Must maintain a valid driver’s license, required auto insurance, and a good driving record • Ability to travel by car or airplane up to 50% of the time • Must be authorized to work for any employer in the U.S.; no employment visa sponsorship available • Successful completion of pre-employment drug test and background check

🏖️ Benefits

• Incentive compensation and bonus • Medical, dental, and vision benefits available the first day • Health savings accounts • Flexible spending accounts • 11 paid holidays per year • Minimum of 20 days of paid time off, with accrual starting on day 1 • 401(k) plan with company match • Employee Stock Purchase Plan • Equipment provided • Virtual training • Remote work arrangement • Employee well-being and growth support