Director, National Payer Accounts (South)

Pacira BioSciences, Inc.; United States; Remote; USD 90,000 - 150,000; Full time

Job summary

Join an established industry player in the healthcare sector as a Director of National Payer Accounts. In this pivotal role, you will negotiate coverage policies and reimbursement strategies for a portfolio of innovative products. Your expertise will help eliminate barriers to access and foster partnerships with key stakeholders in the payer landscape. This position offers the chance to make a significant impact on patient care and contribute to a culture that values collaboration and growth. If you are passionate about improving healthcare outcomes and thrive in a dynamic environment, this opportunity is for you.

Benefits

Medical, Prescription, Dental, Vision Coverage

Flexible Spending Account & Health Savings Account with Company match

Employee Assistance Program

Mental Health Resources

Disability Coverage

Life insurance

Critical Illness and Accident Insurance

Legal and Identity Theft Protection

Pet Insurance

401(k) with company match

Flexible Time Off (FTO) and 11 paid holidays

Paid Parental Leave

Qualifications

• 10+ years in pharma/biotech with experience in market access and account management.
• Strong understanding of US payer environment and market dynamics.

Responsibilities

• Negotiate coverage policies and reimbursement for designated products.
• Develop partnerships for product policy adoption and manage customer interactions.

Skills

Analytical Skills

Strategic Thinking

Influence and Impact

Patient-Focused Clinical Acumen

Teamwork and Collaboration

Education

Bachelor’s degree in health sciences, business/marketing

Master’s degree

Job description

Overview

About Pacira

Pacira BioSciences, Inc. is a leading provider of non-opioid pain management and regenerative health solutions dedicated to improving outcomes for health care practitioners and their patients. Our in-depth knowledge of non-opioid pain management, coupled with our passion for advancing patient care, drives our commitment to providing solutions that address unmet medical needs and improve clinical results.

Why work with us?

Rarely do you have an opportunity to do work that really matters. What drives us is our mission. What makes us successful are our people. At Pacira, you are part of an inclusive culture that fosters collaboration, growth, and innovative thinking - a place where you can make an impact and help change the standard of care in non-opioid pain management. Be part of our movement, let’s pursue excellence together.

Summary:

The Director, National Payer Accounts (South), is responsible for negotiating coverage policies and reimbursement for designated products within assigned account areas through contracting, where necessary, and non-contracting opportunities, where possible. The incumbent will assess and diagnose the current business environment in each key account to gain positive reimbursement and coverage policies for the company portfolio with minimal restrictions. Account responsibilities include, but are not limited to: Pharmacy Benefit Managers, National/Regional Health Plans, State Medicaid, and Medicaid PBMs (i.e., Change Healthcare, Magellan, etc.).

Responsibilities

Essential Duties & Responsibilities:

The following statements are intended to describe the general nature and level of work being performed by an individual assigned to this job. Other duties may be assigned.

• Facilitate account management by assessing protocols, contracting options, coordinating activities, and managing customer interactions through effective leadership and communication.
• Eliminate or significantly reduce barriers to access and reimbursement for portfolio of products, inclusive of drug and procedural code coverage.
• Develop and implement partnerships with cross-functional counterparts to build a comprehensive business plan for product policy adoption.
• Establish and strengthen successful business partnerships with external partners and stakeholders, including executive management, medical directors, key physicians, and secondary customers.
• Conduct business reviews of key accounts and the marketplace on an agreed-upon, consistent basis with the Exec Director, Market Access.
• Execute customer calls, consultations on regional accounts outside of assigned teams' key accounts, and specific skill-building initiatives with Account Managers on managed care selling to drive formulary pull-through.
• Participate in key conventions as needed (e.g., Academy of Managed Care Pharmacy (AMCP), National Association of Managed Care Physicians (NAMCP), Pharmaceutical Care Management Association (PCMA), Asembia).
• Convey an appropriate and professional image to external customers that aligns with Pacira's core values.
• Adhere strictly to Pacira's code of conduct, T/E policy, and other company policies.
• Assist with projects that require market access intelligence as needed.

Qualifications

Education and Experience:
• Bachelor’s degree in health sciences, business/marketing, or a related field required.
• Master’s degree preferred.
• Minimum of 10 years of relevant experience in the pharma/biotech industry across various roles, including market access, account director, payer marketing, sales leadership, and marketing.
• Strong understanding of the US payer environment, payer market dynamics, payer marketing principles, and the market access decision-making process.
• Established relationships with medical and pharmacy policy decision-makers at various South area payer accounts.
• Proven track record of building strong relationships with key decision-makers.
• Experience in payer and pull-through activities post-contract preferred.
• Experience in medical policy, medical reimbursement and buy & bill product access preferred.
• National Account management experience with a successful track record within target accounts preferred.
• Proven success in pharma/biotech sales and sales management preferred.
• Experience in contracting, negotiating and influencing policy with Managed Care Organizations (MCOs), Pharmacy Benefit Managers (PBMs), and State Medicaid decision-makers preferred.
• Experience in both large and start-up companies preferred.

Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Knowledge, Skills, and Abilities:

• Analytical Skills: Demonstrated ability to access, analyze, and present data effectively.
• Ethical Standards: High ethical values and a strong commitment to healthcare compliance.
• Strategic Thinking and Execution: Utilizes resources efficiently to prioritize, plan, and make sound decisions regarding time allocation to drive business results.
• Patient-Focused Clinical Acumen: Develops and maintains a deep understanding of relevant patient types, treatment options, and patient flow within ecosystems relevant to promoted products.
• Influence and Impact: Communicates authentically, thoughtfully, and persuasively, adhering to Pacira Principles.
• Personal Leadership: Embraces a growth mindset and operates with grit in a fast-paced, entrepreneurial environment.
• Teamwork and Collaboration: Seeks input from others to determine the best course of action.
• Planning and Organizing: Able to manage the administrative aspects of the role efficiently.

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to sit, talk, move between spaces, reach with hands and arms and stoop.

Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Position will be based remotely. Employee will work from his/her home office setting and occasionally from a Pacira Corporate office setting.

Benefits

Benefits:

• Medical, Prescription, Dental, Vision Coverage
• Flexible Spending Account & Health Savings Account with Company match
• Employee Assistance Program
• Mental Health Resources
• Disability Coverage
• Life insurance
• Critical Illness and Accident Insurance
• Legal and Identity Theft Protection
• Pet Insurance
• Fertility and Maternity Assistance
• 401(k) with company match
• Flexible Time Off (FTO) and 11 paid holidays
• Paid Parental Leave

EEO Statement

EEO Statement: Pacira is proud to be an Equal Opportunity Employer and does not discriminate against applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age (40 or older), veteran status, disability or genetic information, or any other characteristic protected under applicable federal, state, or local law. At Pacira we are committed to intentionally cultivating a culture of inclusion where all feel welcomed and valued for their background, perspectives, and experiences.