National Account Director – Payer
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Job Description
National Account Director managing payer relationships and access strategies for Neurocrine Biosciences. Collaborating across teams to optimize patient access and reimbursement in the U.S. market.
Responsibilities:
- 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.
- Applies deep expertise in the U.S. payer landscape, including formulary decision-making, reimbursement dynamics, and population health management.
- Collaborates closely with cross-functional partners 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
- 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
- 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
- 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
- Ability to interpret financial models and apply insights to real-world payer strategy and negotiations
- 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
- Exceptional ability to communicate and influence senior/executive stakeholders internally and externally
- Advanced negotiation, presentation, and account leadership skills
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
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