Director, National Medicaid, South Central Regional Accounts

Galderma•Boston, MA

1d•Hybrid

About The Position

The Director, National Medicaid, South Central Regional Accounts will be responsible for leading Medicaid strategy on a national level and leading and managing small key regional payer accounts to ensure favorable formulary status, overseeing all aspects of payer engagement and negotiations for their respective accounts aligned to Galderma’s broader market access strategy. Strong business acumen and relationships with key senior stakeholders at these regional payers will be critical for success in this role. The position is a field-based role supporting South Central Regional Accounts, requiring travel to customers and Galderma HQ. This newly created position is a vital and strategic role within our growing market access team. As a key member of the market access team, you will actively monitor payer, IDN, policy, competitor, market conditions and contract performance via payer segmentation to inform critical decisions and shape future access strategies. This role is primarily focused on the preparation for the launch of Galderma’s first-in-class specialty biologic treatment, for atopic dermatitis and prurigo nodularis. Specifically, you will engage with key decision makers on clinical effectiveness, formulary, health and technology assessments, communicating the value of Galderma’s products through pharmacoeconomic models, outcomes tools, and measures beyond randomized controlled trials (e.g., productivity, medical costs, etc.). You will also collaborate with cross-functional teams to implement and pull through market access strategies, gathering key insights in the field to inform business planning.

Requirements

Master’s, PharmD, MBA degree + 5 years – OR – Bachelor’s degree + 8 years of prior experience in the biotech / pharma / payer industry with a focus on payer account management and/or health systems
Prior experience working with Medicaid Pools, payers, national and/or regional health plans, state and local governments, and/or PBMs
Demonstrated strategic influencing, communication, cross-functional, and conflict resolution skills
Demonstrated track record of account planning, business planning, unstructured problem solving, and contracting skills
Strong understanding of the US payer and channel landscape, as well as market access models (e.g., budget impact and cost effectiveness models)
Technical proficiency of U.S. drug reimbursement and access (e.g., coverage, coding and payment) is required
Ability to travel up to 50% as required
Works effectively in a team-based organization, collaborates cross-functionally, and builds alignment around key objectives at all levels
Strategic planning, execution, and project-management along with excellent analytical and communication skills is required
Ability to partner closely with market access strategy, payer marketing, and other field and home office roles across the organization to drive preferred access and coverage at payer accounts
Executive presence and the ability to interact and negotiate with senior stakeholders at payer accounts

Nice To Haves

Preferred: candidates living in the territory.

Responsibilities

Develop and implement strategies and tactics to support formulary coverage and reimbursement (payment, and patient access) with Medicaid Buying Pools, regional payers and assigned Medicaid States
Drive brand growth through strategies designed to maintain or improve brand formulary access
Build relationships with and implement market access strategies with key regional payers
Deliver value proposition and educate regional payer stakeholders on product and economic benefit, demonstrating deep, comprehensive understanding of the targeted disease states
Coordinate and communicate with other commercial functions (e.g., marketing, sales, etc.) to ensure all market access needs are met across the organization within the region
Develop and lead the implementation of account-specific business plans while collaborating closely with legal/compliance and other market access colleagues on contract negotiations
Serves as a strategic partner to other market access partners, sharing business insights on accounts and market trends
Inform and advise brand and sales leadership on key updates in the payer landscape
Proactively identify and resolve any potential issues and challenges in collaboration with cross-functional partners
Collaborate with cross functional colleagues to pull through processes, policies, and protocols that have been established by payers
Assist in training field partners on payer knowledge and formulary/processes for reimbursement
Ensure all activities are consistent with all regulations, laws, and company’s compliance policies