National Account Director, Payer – ESI

Neurocrine Biosciences • US CA Home Office, CA

1d • Remote

About The Position

Responsible for securing and optimizing access for Neurocrine brands across assigned payer accounts, including National and Regional Managed Care Organizations, PBMs, and State Medicaid programs. Builds and sustains strategic relationships that advance patient access, reimbursement, and utilization while optimizing gross-to-net performance, aligned with Neurocrine’s enterprise and brand objectives. The National Account Director, Payer applies deep expertise in the U.S. payer landscape, including formulary decision-making, reimbursement dynamics, and population health management. This role collaborates closely with cross-functional partners (Market Access Marketing, Pricing & Contracting, HEOR, Patient Services, Field Sales, and Medical) to design and execute access strategies that balance access, affordability, and financial sustainability. Ensures all strategies are aligned with Neurocrine’s strategic priorities and executed in compliance with company policies, legal, and regulatory requirements.

Requirements

• BS/BA degree in Business, Marketing, or Scientific Field and 12+ years of experience managing national/regional payer accounts, including Managed Care, PBMs, and/or Medicaid types in the behavioral health setting is highly preferred. OR Master's degree or MBA preferred and 10+ years of similar experience noted above
• Payer Account Management & Strategic Leadership: Demonstrated ability to establish and lead strategic relationships with national and regional payer organizations, including Managed Care, PBMs, and State Medicaid
• Proven success engaging formulary decision-makers, including P&T committees, medical/pharmacy directors, and executive stakeholders
• Deep experience navigating complex payer accounts and reimbursement and policy environments
• Market Access Strategy & Execution: Proven track record of securing and optimizing formulary access and reimbursement for specialty pharmaceutical products
• Advanced capability in developing and executing integrated payer strategies aligned with brand and enterprise objectives
• Deep understanding of and experience leading contracting strategy, rebate negotiations, implementation of access agreements, and ensuring effective execution of contract terms
• Financial Acumen & Gross-to-Net Optimization: Strong understanding of pharmaceutical gross-to-net dynamics, including rebates, discounts, fees, and payer mix implications
• Proven ability to evaluate trade-offs between access, utilization, and net revenue to drive sustainable brand performance
• Experience partnering with Pricing, Finance, and Market Access leadership to inform contracting and access strategy decisions
• Ability to interpret financial models and apply insights to real-world payer strategy and negotiations
• Industry Expertise & Market Insight: Deep understanding of U.S. payer landscape, including Medicare Part D, Medicaid, and commercial markets
• Expertise in formulary decision-making processes, utilization management (PA/ST), and reimbursement policy development
• Strong knowledge of healthcare policy, pricing, compliance, and evolving regulatory considerations
• Ability to translate HEOR, clinical, and real-world evidence into compelling payer value propositions
• Executive Communication & Influence: Exceptional ability to communicate and influence senior/executive stakeholders internally and externally
• Advanced negotiation, presentation, and account leadership skills
• Analytics & Performance Management: Strong ability to leverage data, analytics, and payer insights to inform strategy and optimize access and financial outcomes
• Experience monitoring and managing KPIs including formulary status, restriction changes, utilization trends, and gross-to-net impact
• Data-driven approach to identifying opportunities and continuously improving account performance
• Cross-Functional Leadership: Proven ability to translate complex clinical, economic, and financial data into clear, impactful narratives
• Proven success partnering across Market Access, HEOR, Marketing, Patient Services, Sales, Medical, Compliance, Legal, Pricing, and Finance
• Ability to operate effectively in a highly matrixed organization and lead without direct authority
• Strong collaboration skills to align stakeholders around shared access, patient, and financial objectives

Nice To Haves

• behavioral health setting is highly preferred

Responsibilities

• Cultivates and maintains strategic, long-term relationships with key payer stakeholders by developing a comprehensive understanding of customer organizational structure, clinical and economic priorities, and decision-making processes
• Develops and executes comprehensive, account-specific business plans aligned to national and regional strategies; monitors formulary status, contract performance, patient access, and financial performance across all assigned accounts
• Serves as the primary conduit between national accounts and internal stakeholders, proactively communicating contract changes, market access dynamics, and payer-driven requests; translates complex account insights into actionable recommendations, including the underlying rationale for requested contract modifications and their business impact ensuring alignment across Pricing & Contracting, Market Access, Finance, and other relevant cross-functional teams
• Partners with Pricing & Contracting to develop, negotiate, and implement payer contracting strategies that optimize access while preserving gross-to-net performance, balancing rebate investment with expected utilization and payer mix
• Evaluates and manages trade-offs between formulary access, utilization management (PA/ST), and rebate structures to ensure optimal patient access and sustainable net revenue outcomes
• Identifies and implements non-contracting solutions to address access barriers, including payer policy engagement, exception pathways, and targeted education strategies
• Provides ongoing analysis of account performance, including formulary positioning, utilization management criteria, claims trends, competitive dynamics, and gross-to-net impact; adjusts strategies to optimize both access and financial outcomes
• Monitors and manages account performance against key metrics, including access, utilization, rebate spend, and net revenue contribution, ensuring disciplined and efficient investment
• Delivers regular, insights-driven updates to Market Access leadership on payer landscape changes, account performance, financial implications, risks, and emerging opportunities
• Collaborates cross-functionally to ensure aligned execution of payer strategies, including pull-through with field teams and integration with patient support programs
• Presents payer insights, access dynamics, and financial trade-offs during internal business reviews, brand planning, and national/regional meetings; contributes to brand strategy development
• Monitors and analyzes healthcare policy, reimbursement, and market access trends (including Medicare Part D, Medicaid, and PBM dynamics); translates insights into actionable recommendations that inform access and pricing strategy
• Accountable for measurable outcomes including formulary access, restriction management, utilization, and gross-to-net performance across assigned accounts

Benefits

• retirement savings plan (with company match)
• paid vacation, holiday and personal days
• paid caregiver/parental and medical leave
• health benefits to include medical, prescription drug, dental and vision coverage

What This Job Offers

• Job Type: Full-time
• Career Level: Senior