National Account Director Payer Accounts

MoonLake Immunotherapeutics US, Inc. • Miami, FL

2d

About The Position

The National Account Director is the dedicated, external-facing lead for one of the three major national PBM/GPO accounts: CVS Caremark/Zinc, Express Scripts/Ascent, or Optum Rx/Emisar. Drawing on established relationships with account decision makers, this person drives timely and favorable access for sonelokimab. The role executes the account plan, leads Pre-approval Information Exchange (PIE) and formulary discussions, supports contract negotiations and pull-through, and shares account insights to inform access, pricing, and contracting strategy.

Before launch, the Director maps the assigned account’s decision-making structure, influencers, processes, and timelines; develops and executes the account plan; deepens senior relationships across clinical, trade, and contracting functions; leads compliant PIE discussions; provides account insights for access strategy and payer materials; and works with Pricing & Contracting to prepare for potential contract requirements and scenarios.

From FDA approval through 6–12 months post-approval, the Director leads formulary review meetings and clinical presentations, supports rebate negotiations and contract execution, drives coverage pull-through with downstream health plans alongside FRMs and sales, tracks coverage policies and utilization management criteria, resolves or escalates access barriers, and reports account status, risks, and opportunities to the Payer Account Team Lead and cross-functional partners.

The role requires frequent travel to account sites and internal meetings. MoonLake describes itself as a dynamic, innovative clinical-stage biopharmaceutical company focused on sonelokimab and inflammatory diseases with significant unmet needs. It offers a supportive learning environment, impactful work, flexibility and work-life balance, and opportunities for career growth.

Requirements

• Bachelor’s degree required.
• 8+ years of U.S. market access or payer account experience, including national account management.
• Established senior relationships at one of the major PBM/GPO organizations: CVS Caremark/Zinc, Express Scripts/Ascent, or Optum Rx/Emisar.
• Deep knowledge of the assigned account’s decision processes, P&T and formulary cycles, and contracting practices.
• Experience supporting rebate negotiations and contract pull-through.
• Familiarity with PIE, AMCP dossier standards, and compliant payer interactions.
• Strong external presentation, negotiation, and relationship skills.
• Willingness to travel frequently to account sites and internal meetings.

Nice To Haves

• Advanced degree (MSc, MBA, PhD, PharmD, or MD) strongly preferred.
• Specialty or immunology launch experience preferred.

Responsibilities

• Map the assigned account’s decision-making structure, influencers, processes, and timelines, including PBM, GPO, P&T and clinical committees, and affiliated health plans.
• Develop and execute the account plan in line with the overall payer engagement and contracting strategy.
• Use and deepen existing senior relationships across clinical, trade, and contracting functions at the assigned account.
• Lead compliant Pre-approval Information Exchange (PIE) discussions with the assigned account.
• Provide account-specific insights to inform access strategy, payer value proposition, PIE decks, AMCP dossier, and contracting strategy.
• Work with Pricing & Contracting to identify likely contract requirements, key terms, and deal scenarios.
• Lead formulary review meetings and clinical presentations with the assigned account.
• Support rebate negotiations with Pricing & Contracting within approved guardrails and support contract execution.
• Drive pull-through of coverage wins with the account and downstream health plans, together with FRMs and sales.
• Track policy development, formulary tiers, and utilization management criteria, and communicate coverage updates internally.
• Escalate and resolve access barriers, including restrictive prior authorization criteria, step edits, and specialty pharmacy requirements.
• Report account status, risks, and opportunities to the Payer Account Team Lead and cross-functional partners.
• Travel frequently to account sites and internal meetings.

Benefits

• Learning and growth alongside experienced professionals in a supportive and innovative biotech environment.
• Opportunity to contribute to projects with the potential to transform global healthcare.
• Flexibility and work-life balance.
• Career progression and opportunities to take on more responsibilities.

What This Job Offers

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