Madrigal is a biopharmaceutical company focused on developing therapies for metabolic dysfunction‑associated steatohepatitis (MASH), a serious liver disease that can progress to cirrhosis, liver failure, and premature mortality.
The Senior Director, National Accounts (ESI/Cigna) – MASH leads engagement with key national payer and PBM accounts to optimize patient access and support business objectives across the MASH portfolio. This senior strategic partner reports to the Executive Director, National Accounts and collaborates with cross‑functional teams.
Responsibilities
- Lead strategy and execution for priority national payer and PBM accounts, developing short‑ and long‑term account plans aligned to brand, access, and financial objectives.
- Serve as primary point of contact for assigned national accounts, engaging pharmacy, medical, formulary, population health, quality, and economic decision‑makers.
- Build trusted customer relationships that enable effective collaboration, negotiation, contracting discussions, and issue resolution.
- Monitor account performance against contracted expectations, business plans, access objectives, and financial assumptions to identify risks, gaps, and opportunities.
- Partner with the Executive Director, Pricing and Contracting, Value and Access, and Legal to support contracting strategy, rebate accuracy, contract alignment, gross‑to‑net performance, and financial reconciliation.
- Analyze payer performance, utilization management, coverage quality, formulary alignment, pull‑through, and operational access barriers to identify trends and systemic opportunities.
- Partner closely with National Account Directors, Regional Account Directors, Sales, Trade, and Patient Support Services to translate payer wins into field‑level execution and remove barriers to patient access.
- Develop national account performance updates, executive briefings, strategic recommendations, and customer‑facing business reviews.
- Share customer and market insights to inform messaging, tools, resource development, access strategy, and cross‑functional execution plans.
- Provide leadership, guidance, and best‑practice sharing across National Accounts and cross‑functional partners while demonstrating strong executive presence, accountability, and compliance.
Qualifications
- Bachelor’s degree required; advanced degree such as MBA, MPH, PharmD, or related discipline preferred.
- 12+ years relevant pharmaceutical or healthcare‑related work experience.
- 6+ years of experience in Market Access, payer strategy, national account management, contracting, finance, analytics, or related roles.
- Demonstrated experience managing national or large regional payer accounts, including PBMs and/or large commercial plans.
- Strong understanding of the U.S. payer landscape: formulary management, utilization management, payer contracting, rebate structures, gross‑to‑net, specialty pharmacy, reimbursement, and patient access pathways.
- Proven ability to manage complex customer relationships, influence cross‑functional stakeholders, and translate data and market insights into actionable strategies.
- Experience supporting product launches, access strategy execution, business reviews, performance scorecards, and cross‑functional reporting processes preferred.
- Strong executive communication, analytical rigor, financial and contracting acumen, collaboration, project management, and follow‑through skills.
- Proficiency with Microsoft Office applications, including Excel and PowerPoint; familiarity with payer data, claims, CRM, specialty pharmacy, or access analytics platforms preferred.
- Role requires up to 30% domestic travel.
- Passion for Madrigal’s vision and mission.
Benefits
- Competitive total rewards strategy, including base salary, bonus, equity, and a generous benefits package.
- Compensation ranges from $264,000 to $323,000 per year, based on qualifications, experience, and market demands.
- Benefits include flexible paid time off, medical, dental, vision, life/disability insurance, 401(k) with traditional, Roth, and employer match, supplemental life insurance, legal services, and mental health benefits through an Employee Assistance Program.
Madrigal is an Equal Opportunity Employer. All employment is decided on the basis of qualifications, merit, and business need. Applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, protected veteran status, or other characteristic protected by applicable federal, state, or local law.
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