Director, National Accounts – Payer Access & Value

AstraZeneca GmbH; Wilmington (DE); On-site; USD 192,000 - 288,000; Full time

Job summary

AstraZeneca GmbH in the United States seeks a Director, National Accounts – Kaiser Permanente to develop and execute access strategies for Alexion medicines within Kaiser Permanente’s integrated care model.

You will lead national and regional negotiations, coordinate cross-functional teams, and educate stakeholders on coverage policies and value of the portfolio. This role requires deep payer knowledge, strong relationships with Kaiser Permanente leaders, and travel up to 60%.

Qualifications

• Bachelor’s degree in a relevant area of study.
• 10+ years’ experience in Market Access in the biopharmaceutical/pharmaceutical industry.
• 5+ years’ experience in an account management role with responsibility for national payer, integrated delivery network, health system, PBM, specialty pharmacy, or vertically integrated payer customers.
• Experience in an account management role with responsibility for Kaiser Permanente, integrated delivery networks, vertically integrated payers, national payer organizations, or PBM customers.
• Established relationships or demonstrated ability to build relationships with Kaiser Permanente national and regional medical, pharmacy, formulary, contracting, and population health stakeholders.
• Experience negotiating contracts with payers, integrated delivery systems, PBMs, specialty pharmacies, or regional health plans.
• Expert knowledge of U.S. managed markets, including commercial and government payers, integrated delivery networks, medical benefit management, pharmacy benefit management, and formulary decision‑making.
• Demonstrated success securing appropriate coverage for specialty medicines covered under the medical benefit and pharmacy benefit, including in organizations with integrated pharmacy, care delivery, and population health models.
• Excellent collaboration, written, and verbal communication skills, with the ability to translate complex clinical and economic evidence for payer, pharmacy, medical, and internal audiences.
• Travel requirements: Willing to travel at least 60% of the time, including significant overnight and occasional weekend travel, to support Kaiser Permanente national and regional engagement.
• Valid driver’s license and clean driving record.

Responsibilities

• Implementing Kaiser-specific access strategies that reflect Kaiser Permanente’s integrated health plan, care delivery, pharmacy, specialty pharmacy, and regional operating model to support appropriate patient access to Alexion’s medicines
• Leading negotiations and account planning with Kaiser Permanente national and regional stakeholders to secure favorable access and contracting outcomes aligned to brand and portfolio strategy
• Driving execution of brand access strategies across Kaiser Permanente affiliates and regions, recognizing differences in formulary, medical policy, specialty pharmacy, and site‑of‑care processes
• Maintaining and fostering relationships with senior Kaiser Permanente medical, pharmacy, formulary, contracting, population health, and benefit leaders by leveraging expert knowledge of the customer’s organizational structure, clinical priorities, and evidence‑based decision‑making processes
• Leveraging internal resources and subject matter experts, including HEOR, Medical, field sales, contracting, patient services, and brand teams, to communicate the value of Alexion’s medicines in ways that align with Kaiser Permanente’s emphasis on quality, affordability, total cost of care, and appropriate utilization
• Developing holistic customer strategies that account for Kaiser Permanente’s integrated model, including health plan coverage, Permanente Medical Group clinical pathways, formulary review, specialty pharmacy operations, infusion or provider‑administered drug processes, and member experience
• Educating internal cross‑functional teams on Kaiser Permanente coverage policies, regional variation, formulary processes, medical benefit management, pharmacy benefit management, utilization management, and exception pathways to enhance strategic planning and execution
• Promoting cross‑functional collaboration with internal stakeholders to align strategies and optimize access solutions for Kaiser Permanente patients, providers, and care teams
• Developing tailored solutions for the field force and access teams to address Kaiser‑specific product access, referral, authorization, reimbursement, site‑of‑care, coding, or care coordination challenges
• Collaborating with market access, patient services, brand, medical, TLL, and patient advocacy colleagues to identify threats and opportunities within Kaiser Permanente and ensure coordinated execution against regional and national account priorities
• Engaging Kaiser Permanente stakeholders to present product value, conduct disease state education for pipeline products, perform pre‑approval information exchange engagements, and negotiate contract agreements in line with contract strategy and compliance requirements
• Conducting periodic business reviews with Kaiser Permanente stakeholders to evaluate contract performance, access outcomes, policy implementation, utilization trends, mutual goals, and opportunities for improved patient access
• Providing insights to internal stakeholders, including access strategy teams, Market Access colleagues and sales leadership on Kaiser Permanente priorities, evidence needs, regional decision‑making dynamics, and emerging access risks
• Engaging cross‑functional stakeholders, including HEOR and Medical, in Kaiser Permanente meetings to ensure comprehensive, compliant, and account‑relevant communication
• Gathering information and creating analyses to strengthen the organization’s understanding of Kaiser Permanente market dynamics, integrated delivery network priorities, biosimilar and affordability strategies, utilization management approaches, competitive behavior, and potential business impacts

Skills

Market access

Payer negotiations

Stakeholder management

Strategic planning

Cross-functional collaboration

Communication

Travel readiness

Education

Bachelor’s degree in a relevant area

MBA/MPH/PharmD or other advanced degree

Job description

AstraZeneca GmbH in the United States seeks a Director, National Accounts – Kaiser Permanente to develop and execute access strategies for Alexion medicines within Kaiser Permanente’s integrated care model.

You will lead national and regional negotiations, coordinate cross-functional teams, and educate stakeholders on coverage policies and value of the portfolio. This role requires deep payer knowledge, strong relationships with Kaiser Permanente leaders, and travel up to 60%.