VP, Managed Markets

Posted 4hrs ago

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Job Description

Liquidia VP leading payer contracting, formulary access, and pull-through for Yutrepia, its pulmonary hypertension therapy. Managing account teams, rebates, and cross-functional managed markets strategy.

Responsibilities:

  • Develop and lead the managed care strategy for Yutrepia, including access objectives, formulary positioning, and contracting priorities
  • Lead, coach, and develop a team of Account Directors
  • Own the annual bid and RFP cycle across national PBMs, GPOs, rebate aggregators, and regional health plans for Commercial, Medicare, and Medicaid
  • Negotiate rebate, price protection, administrative fee, parity, preferred, and exclusive formulary agreements
  • Partner on deal modeling, gross-to-net forecasting, and government pricing impact analysis
  • Partner with Legal and outside counsel on contract drafting, redlines, amendments, and implementation of executed agreements
  • Oversee contract operations, rebate invoice validation, formulary compliance and utilization audits, dispute resolution, and rebate payment
  • Monitor coverage and formulary position across Commercial, Medicare, and Medicaid plans
  • Own the Managed Markets scorecard of coverage, lives, rebate spend, and gross-to-net by book and account
  • Monitor payer and policy developments, including Medicare, PBM reform, utilization management, and competitor contracting activity
  • Partner on payer value propositions, account materials, and clinical and economic evidence for P&T committee reviews
  • Partner with Field Reimbursement and Sales on pull-through of contracted coverage
  • Inform Trade and Distribution about payer agreement impacts on the specialty pharmacy network
  • Partner with Patient Support Programs on payer-driven access barriers
  • Serve as Liquidia's senior executive contact for payer customers, leading escalations, executive business reviews, and relationship strategy
  • Partner with Finance on rebate accruals, forecasting, and the Managed Markets budget
  • Collaborate cross-functionally with Pricing and Access Analytics, Trade and Distribution, Field Reimbursement, Patient Support Programs, Sales, Marketing, Medical Affairs, Finance, Legal, and Compliance
  • Address payer issues that may impact patient access, product initiation, or continuity of therapy
  • Ensure compliance 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
  • Follow company compliance policies, procedures, and training requirements

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 required, 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
  • In-depth understanding of PBM, GPO, and rebate aggregator business models, formulary development, P&T processes, and utilization management
  • Strong negotiation skills
  • Strong financial acumen and ability to model contract terms and interpret rebate, gross-to-net, and government pricing impacts
  • Strong executive communication and presentation skills
  • Proven ability to build, lead, and develop high-performing account teams
  • High levels of organization, attention to detail, and accuracy
  • Ability to proactively identify issues and drive solutions
  • Demonstrated ability to thrive in a smaller, entrepreneurial organization
  • Proficiency in Microsoft Office applications (Outlook, Word, Excel, PowerPoint)

Benefits:

  • Competitive compensation package
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Short-term disability (STD)
  • Long-term disability (LTD)
  • 401(k) Savings Retirement Plan
  • Employee Stock Purchase Plan (ESPP)
  • Equal opportunity employment
  • Reasonable accommodation for qualified individuals with disabilities