Strategic IDN Account Representative

Crinetics PharmaceuticalsHeadquarters, KY
$142,000 - $177,000Remote

About The Position

The Strategic IDN Account Representative serves as the single-threaded enterprise account owner for Kaiser Permanente, Crinetics’ most critical integrated delivery network (IDN), while supporting a select group of additional national and regional IDNs. This role leads enterprise-level strategy and execution, ensuring formulary access translates into real-world adoption, pathway integration, and sustained patient access. The role partners cross-functionally to deliver measurable commercial and patient outcomes.

Requirements

  • Bachelor’s degree in Business, Science, or a related field.
  • Eight (8) or more years of rare disease pharmaceutical sales experience or five (6) or more years of IDN / key account experience.
  • Deep understanding of U.S. healthcare systems, reimbursement, formulary access, and pharmacy operations.
  • Direct experience working with Kaiser Permanente or similar integrated delivery networks.
  • Experience across Sales, Marketing, Commercial Operations, Market Access, and Medical Affairs.
  • Rare disease expertise.
  • Proven ability to drive growth, lead without authority, and manage multiple priorities in a biopharmaceutical environment.
  • Valid U.S. driver’s license.

Responsibilities

  • Lead enterprise-wide strategy, planning, and execution across Kaiser Permanente regions and decision-making bodies.
  • Own formulary access, P&T committee engagement, coverage policy, and utilization management workflows.
  • Drive pathway, protocol, and EMR/EHR integration following access decisions to ensure durable system adoption.
  • Build trusted relationships with executive-level stakeholders, including health system leadership, pharmacy, medical, and operations teams.
  • Assess downstream operational and commercial impact of access decisions and proactively addresses barriers to adoption.
  • Develop and executes access strategies across integrated payer-provider systems, payer-owned IDNs, MCOs, and PBMs.
  • Partner closely with Market Access leadership and National Account counterparts on contracting strategy, financial analysis, and access positioning.
  • Translate payer and system insights into actionable field, medical, and marketing plans.
  • Support additional national and regional IDNs based on business needs and strategy.
  • Prioritize secondary accounts based on access risk, enterprise opportunity, and launch phase.
  • Ensure consistency in enterprise planning, messaging, and execution across systems.
  • Serve as the enterprise quarterback, aligning Sales, Market Access, Medical Affairs, Marketing, Field Access Managers, HUB services, and Commercial Operations.
  • Lead effectively in a matrix environment, influencing with and without direct authority to deliver aligned execution.
  • Share insights, trends, and competitive intelligence to inform leadership decisions and enterprise strategy.
  • Establish enterprise account objectives, access milestones, and revenue targets.
  • Monitor performance, identifies risks and opportunities, and adjusts strategy as needed.
  • Ensure full compliance with all applicable laws, regulations, and company policies.
  • Collaborate with Commercial Operations to ensure optimal data capture for analytics and operational execution
  • Perform other duties as assigned.

Benefits

  • discretionary annual target bonus
  • stock options
  • ESPP
  • 401k match
  • medical insurance
  • dental insurance
  • vision insurance
  • basic life insurance
  • 20 days of PTO
  • 10 paid holidays
  • winter company shutdown
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