Senior Director National Payer Accounts- Northeast

Pacira Pharmaceuticals, Inc.

11d•Remote

About The Position

At Pacira, innovation meets purpose. Pacira BioSciences, Inc. is a pioneer in non-opioid pain management and regenerative health solutions. Today, we’re building on that legacy with next-generation innovations for chronic, postsurgical, and musculoskeletal pain. Our culture is built on collaboration, innovation, and a shared commitment to helping patients recover faster. We are redefining what’s possible in pain management—and we can’t do it without talented people like you. Why Join Us? At Pacira, every career is more than a job. Our mission drives us, and every day, we challenge ourselves to achieve the extraordinary. Integrity is at the core of who we are. We value diverse perspectives and the collective strength of a unified team. Join the team in making better possible for patients everywhere. Summary: The Senior Director, National Payer Accounts (Northeast), is responsible for negotiating coverage policies and reimbursement for designated products within assigned account areas through contracting, where necessary, and non-contracting opportunities, where possible. The incumbent will assess and diagnose the current business environment in each key account to gain positive reimbursement and coverage policies for the company portfolio with minimal restrictions. Account responsibilities include, but are not limited to: Pharmacy Benefit Managers, National/Regional Health Plans, State Medicaid, and Medicaid PBMs (i.e., Change Healthcare, Magellan, etc.).

Requirements

Bachelor’s degree in health sciences, business/marketing, or a related field required.
Minimum of 15 years of relevant experience in the pharma/biotech industry across various roles, including market access, account director, payer marketing, sales leadership, and marketing. This experience should demonstrate increasing technical and strategic responsibility or a combination of education and relevant experiences.
Minimum of 5 years in a National Payer Account Director role
Strong understanding of the US payer environment, payer market dynamics, payer marketing principles, and the market access decision-making process.
Established relationships with medical policy decision-makers at Optum, United Healthcare, Kaiser, and other West area payer accounts.
Proven track record of building strong relationships with key decision-makers.
Proven track record of securing and improving product coverage and reimbursement.
Experience in payer and pull-through activities post-contract preferred.
Experience in medical policy, medical reimbursement and buy & bill product access preferred.
National Account management experience with a successful track record within target accounts preferred.
Proven success in pharma/biotech sales and sales management preferred.
Experience in contracting, negotiating and influencing policy with Managed Care Organizations (MCOs), Pharmacy Benefit Managers (PBMs), State Medicaid decision-makers/PBMs (e.g., Change Healthcare, Magellan), Integrated Delivery Networks (IDNs), and Health Systems preferred.
Experience in both large and start-up companies preferred.
Analytical Skills: Demonstrated ability to access, analyze, and present data effectively.
Ethical Standards: High ethical values and a strong commitment to healthcare compliance.
Strategic Thinking and Execution: Utilizes resources efficiently to prioritize, plan, and make sound decisions regarding time allocation to drive business results. Regularly updates and adjusts business plans and strategies with urgency.
Patient-Focused Clinical Acumen: Develops and maintains a deep understanding of relevant patient types, treatment options, and patient flow within ecosystems relevant to promoted products.
Influence and Impact: Communicates authentically, thoughtfully, and persuasively, adhering to Pacira Principles. Conveys a professional, positive, and enthusiastic presence in all verbal and written communications.
Personal Leadership: Embraces a growth mindset and operates with grit in a fast-paced, entrepreneurial environment. Adapts readily to change, is self-directed, pursues excellence, and holds oneself accountable to timelines and commitments.
Teamwork and Collaboration: Seeks input from others to determine the best course of action. Proactively shares ideas and best practices with colleagues across the organization, particularly in alignment with cross-functional collaboration efforts.
Planning and Organizing: Able to manage the administrative aspects of the role efficiently. Proficient with Microsoft Word, Excel, PowerPoint, and other relevant software.

Nice To Haves

Master’s degree preferred.

Responsibilities

Facilitate account management by assessing protocols, contracting options, coordinating activities, and managing customer interactions through effective leadership and communication.
Eliminate or significantly reduce barriers to access and reimbursement for portfolio of products, inclusive of drug and procedural code coverage.
Responsible for the development and implementation of long term strategies for national payers, selected regional payers, Medicare, state Medicaid, and PBMs to ensure reimbursement, formulary inclusion and meaningful access.
Develop and implement partnerships with cross-functional counterparts to build a comprehensive business plan for product policy adoption. This includes, but is not limited to, comprehensive account profiles, business strategies, financial models, key result areas, information systems, inventory management strategies, competitive intelligence for each account, building physician advocacy, current resources being utilized, execution of the plan, follow-up action steps to ensure compliance, and coordination/procurement of available resources.
Establish and strengthen successful business partnerships with external partners and stakeholders, including but not limited to executive management (CEO, CFO, Director of Pharmacy Services, Contracting Directors, State Medicaid officials, and fiscal intermediaries), medical directors, key physicians, and secondary customers (pharmacists, nurses, and other healthcare professionals).
Conduct business reviews of key accounts and the marketplace on an agreed-upon, consistent basis with the Exec Director, Market Access.
Execute customer calls, consultations on regional accounts outside of assigned teams' key accounts, and specific skill-building initiatives with Account Managers on managed care selling to drive formulary pull-through.
Participate in key conventions as needed (e.g., Academy of Managed Care Pharmacy (AMCP), National Association of Managed Care Physicians (NAMCP), Pharmaceutical Care Management Association (PCMA), Asembia).
Convey an appropriate and professional image to external customers that aligns with Pacira's core values.
Adhere strictly to Pacira's code of conduct, T/E policy, and other company policies.
Assist with projects that require market access intelligence as needed.