Director, National Accounts

Director, National Accounts – (Optum/United)

Position Summary

Responsible for ensuring national payer accounts deliver a seamless, high-quality access experience supporting provider choice and appropriate patient care across the MASH portfolio.
Key Responsibilities

Lead analytics for national payer and PBM accounts (coverage quality, utilization management, approval rates, time to therapy, abandonment, pull-through).
Monitor performance vs. contracts, forecasts, and access objectives; identify gaps, risks, and opportunities.
Oversee rebate validation, contract performance, and downstream analytics to ensure alignment with financial/contractual terms.
Partner with Pricing & Contracting on accruals, forecasting, reconciliation, and gross-to-net; resolve discrepancies with recommendations.
Develop/maintain dashboards, QBRs, executive updates, formulary trackers, and standardized reporting.
Conduct root-cause analyses of access challenges across payer, provider, field, patient support, specialty pharmacy, and claims data.
Collaborate with Field Reimbursement, Specialty Pharmacy, Trade, RADs, KADs, Sales to convert payer wins into real-world access.
Support pre-deal analytics and scenario modeling; translate complex data into actionable insights.
Support payer/PBM/GPO engagements with performance insights and business reviews.
May directly manage a select payer account.
Qualifications

Bachelor’s degree required; advanced degree (MBA/MPH/PharmD or similar) preferred.
10+ years relevant pharmaceutical/healthcare experience; 5+ years in market access, payer strategy, account management, analytics, contracting, or finance.
Strong knowledge of payer contracting, rebates, formulary management, prior authorization, specialty pharmacy, and gross-to-net.
Proficiency in Excel and PowerPoint required; payer/claims data platforms preferred.
Up to 30% domestic travel.
Application Instructions

Apply via Madrigal Careers site (ongoing basis).

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