VP, Managed Markets

Liquidia•,

10d

About The Position

The VP, Managed Markets is responsible for Liquidia’s managed care strategy and for leading payer contracting, account management, and pull-through to secure and maintain patient access to Yutrepia across Commercial, Medicare, and Medicaid plans. Reporting to the SVP, Market Access, this executive leads Account Directors responsible for national PBM, GPO, and regional health plan relationships. The role owns the annual bid and contracting cycle across all books of business and is accountable for formulary position, rebate spend, and gross-to-net performance by account. The VP serves as Liquidia’s senior executive contact for payer customers and ensures contracting activities comply with applicable regulatory and compliance requirements, including the federal Anti-Kickback Statute, government price reporting obligations, and Medicare Part D requirements. The role works cross-functionally with Pricing and Access Analytics, Trade and Distribution, Field Reimbursement, Patient Support Programs, Sales, Marketing, Medical Affairs, Finance, Legal, and Compliance. It also monitors payer and policy developments, leads responses to payer issues affecting patient access, and participates in company-sponsored meetings, trade shows, and industry conferences as requested.

Requirements

Bachelor’s degree required.
12+ years of experience in managed markets, market access, or payer account management within a pharmaceutical or biotechnology manufacturer.
5+ years of experience negotiating and executing rebate agreements with national PBMs, GPOs, and health plans.
5+ years of people leadership experience, including managing national or regional account teams.
Demonstrated experience launching or growing a specialty product through payer contracting.
Experience in access for a pharmacy benefit specialty product, including Commercial, Medicare, and Medicaid.
Working knowledge of gross-to-net, government pricing (AMP and Best Price), and Medicare rebate and inflation rebate provisions.
Demonstrated understanding of healthcare compliance frameworks, including the federal Anti-Kickback Statute, the discount safe harbor, and OIG guidance.
Ability to travel up to 50% of the time for direct engagement with payer customers and partners.
In-depth understanding of the payer landscape, including PBM, GPO, and rebate aggregator business models, formulary development, P&T processes, and utilization management.
Strong negotiation skills and ability to structure agreements that balance access, net price, and contract risk.
Strong financial acumen, including ability to model contract terms and interpret rebate, gross-to-net, and government pricing impacts.
Strong executive communication and presentation skills, with ability to influence cross-functionally in a highly matrixed environment and with external executives.
Proven ability to build, lead, and develop high-performing account teams.
High levels of organization, attention to detail, and accuracy, particularly in contract language and terms.
Ability to proactively identify issues and drive solutions with urgency.
Demonstrated ability to thrive in a smaller, entrepreneurial organization.
Proficiency in Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint.

Nice To Haves

Medical benefit or buy-and-bill experience.
Experience in rare disease or orphan product commercialization.
Familiarity with pulmonary hypertension.
Experience with rebate-free and point-of-sale discount models and delinked PBM fee structures.
Established relationships with decision-makers at national PBMs, GPOs, and regional health plans.
Experience building or scaling a managed markets or contract operations function.
Experience with formulary data platforms and payer analytics.
Experience working in a smaller or growth-stage biopharmaceutical environment.

Responsibilities

Develop and lead the managed care strategy for Yutrepia, including access objectives, formulary positioning, and contracting priorities by book of business and account, aligned with brand strategy.
Lead, coach, and develop a team of Account Directors; establish account plans, performance objectives, and contracting guardrails, and plan for additional account coverage as the business grows.
Own the annual bid and RFP cycle across national PBMs, GPOs, rebate aggregators, and regional health plans for Commercial, Medicare, and Medicaid, including bid strategy, offer development, and internal pricing and contracting approval.
Lead negotiations of rebate, price protection, administrative fee, and parity, preferred, and exclusive formulary agreements, including rebate-free and point-of-sale discount models; maintain consistency of contract terms across the portfolio.
Partner with Pricing and Access Analytics on deal modeling, gross-to-net forecasting, and the government pricing impact of proposed terms, including AMP and Best Price, before offers are made.
Partner with Legal and outside counsel on contract drafting, redlines, and amendments, and oversee implementation of executed agreements, including formulary placement, utilization management criteria, and claims and utilization data feeds.
Oversee contract operations, including rebate invoice validation, formulary compliance and utilization audits, dispute resolution, and timely and accurate rebate payment.
Monitor coverage and formulary position across Commercial, Medicare, and Medicaid plans; ensure formulary data sources reflect contracted positions and drive correction of discrepancies.
Own the Managed Markets scorecard for coverage, lives, rebate spend, and gross-to-net by book and account, and translate results into recommendations for Commercial leadership.
Monitor the payer and policy environment, including IRA changes to Medicare Parts B and D, PBM reform, utilization management trends, and competitor contracting activity, and incorporate implications into contracting strategy.
Partner with Marketing and Medical Affairs on payer value propositions, account materials, and clinical and economic evidence for P&T committee reviews; manage these materials through promotional review.
Partner with Field Reimbursement and Sales on pull-through of contracted coverage, including communication of formulary wins, criteria changes, and plan-specific access requirements to the field.
Partner with Trade and Distribution to communicate the impact payer agreements may have on Liquidia’s specialty pharmacy network.
Partner with Patient Support Programs on payer-driven access barriers, including prior authorization criteria, exception processes, and copay accumulator and maximizer programs.
Serve as Liquidia’s senior executive contact for payer customers, leading escalations, executive business reviews, and relationship strategy for priority accounts.
Partner with Finance on rebate accruals, forecasting, and the Managed Markets budget.
Collaborate cross-functionally with Liquidia teams, including Pricing and Access Analytics, Trade and Distribution, Field Reimbursement, Patient Support Programs, Sales, Marketing, Medical Affairs, Finance, Legal, and Compliance.
Act with urgency when addressing payer issues that may affect patient access, product initiation, or continuity of therapy.
Exercise sound judgment and oversight to ensure contracting activities and communications comply with company policies, the federal Anti-Kickback Statute, OIG guidance, and government price reporting requirements.
Participate in company-sponsored meetings, trade shows, and industry conferences as requested by management.
Follow all company compliance policies, procedures, and training requirements.