Director, Specialty Pharmacy and Payer Accounts

Scorpion Therapeutics; Durham (NC); On-site; USD 150,000 - 190,000; Full time

Job summary

Scorpion Therapeutics is seeking a senior payer access leader to manage health plan relationships, formulary strategy, and coverage policy. You will drive SP pull-through, coordinate cross-functional teams, and monitor performance against scorecards to optimize patient access.

You will lead regular business reviews, translate plan outcomes into actionable priorities, and align enterprise messaging across channels. Strong track record in oncology or specialty channels is preferred.

Qualifications

• Bachelor’s degree required.
• 10+ years pharmaceutical commercial experience.
• 4+ years payer access managed care/account management or specialty pharmacy channel management.

Responsibilities

• Own payer (health plan) commercial account relationships; engage leadership on formulary tier positioning, prior authorization, step therapy, and coverage policy.
• Monitor/respond to health plan coverage decisions and coordinate rapid responses.
• Drive specialty pharmacy pull-through performance across SP partners; manage scorecards.

Skills

Account management

Cross-functional work

Data to insights

Digital fluency

Omnichannel

Scientific literacy

Education

Bachelor’s degree

Job description

Responsibilities:

• Own payer (health plan) commercial account relationships; engage pharmacy/medical leadership on formulary tier positioning, prior authorization, step therapy, and coverage policy.
• Monitor/respond to health plan coverage decisions (formulary, utilization management, clinical policy) and coordinate rapid responses.
• Drive specialty pharmacy (SP) pull-through performance: manage account relationships and performance scorecards (time-to-fill, dispense rates, hub handoff quality, patient persistence, REMS compliance) across SP partners.
• Translate payer access outcomes into SP pull-through priorities; connect SP performance gaps back to upstream payer access barriers.
• Coordinate enterprise messaging alignment.
• Lead regular business reviews; present portfolio performance data and align on pull-through initiatives.
• Build/maintain segment-level dashboards (formulary access status, SP dispense performance, co-pay utilization, patient access metrics).
• Identify/escalate access failures (PA denials, step therapy barriers, SP dispensing gaps) with root cause analysis and recommended responses.

Qualifications:

• Required: Bachelor’s degree; 10+ years pharmaceutical commercial experience; 4+ years payer access managed care account management or specialty pharmacy channel management; experience managing health plan/managed care accounts; experience managing specialty pharmacy accounts and driving SP pull-through against scorecards.
• Preferred: MBA/advanced degree; Director-level managed care/specialty experience at pharma/biotech; ability to link payer strategy to SP execution; strong cross-functional/enterprise track record; strong analytical skills; oncology/specialty experience; familiarity with REMS, LDD products, and specialty benefit channel mechanics.

Skills:

• Account management
• Cross-functional work
• Data to insights
• Digital fluency
• Omnichannel
• Scientific literacy

Application:

Submit resume and a brief note describing a payer or specialty pharmacy negotiation you led and the impact delivered.