Director, National Accounts

Director, National Accounts (CVS/Aetna)
Responsible for ensuring national payer accounts deliver a seamless, high‑quality access experience that supports provider choice and appropriate patient care across the MASH portfolio. Reports to the Executive Director, National Accounts and partners with account leaders to translate complex data, contract structures, and market dynamics into actionable insights that remove barriers to access.
Responsibilities

Lead analytics for national payer and PBM accounts, including coverage quality, utilization management, approval rates, time to therapy, abandonment, and pull‑through.
Monitor performance against contracts, forecasts, and access objectives; identify gaps, risks, and opportunities.
Oversee rebate validation, contract performance, and downstream analytics to ensure alignment with financial and contractual terms.
Partner with Pricing & Contracting on accruals, forecasting, reconciliation, and gross‑to‑net performance; resolve discrepancies with clear recommendations.
Develop and maintain dashboards, QBRs, executive updates, formulary trackers, and standardized reporting tools.
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, and Sales to convert payer wins into real‑world access.
Support pre‑deal analytics and scenario modeling to ensure future contracts align with access, operational, and financial goals.
Translate complex data into clear, actionable insights for leadership and cross‑functional teams.
Support payer, PBM, and 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 or healthcare experience.
5+ years of experience in market access, payer strategy, account management, analytics, contracting, finance, or related roles.
Strong understanding of payer contracting, rebates, formulary management, prior authorization, specialty pharmacy, and gross‑to‑net.
Proven ability to synthesize complex data into clear insights and execution plans.
Experience developing dashboards, business reviews, and performance reporting.
Strong communication, analytical, and cross‑functional collaboration skills.
Proficiency in Excel and PowerPoint required; experience with payer or claims data platforms preferred.
Role requires up to 30% domestic travel.
Compensation & Benefits

Base salary: $223,000 to $271,000 per year.
Equity available to all employees.
Comprehensive benefits package including medical, dental, vision, life, disability, and 401(k) with employer match.
Additional voluntary benefits such as supplemental life insurance and legal services.
Flexible paid time off and mental health benefits through the 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 or disabled status, or other characteristic protected by applicable federal, state, or local law.

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