National Account Director Payer Accounts

Moonlaketx; Miami (FL); On-site; USD 180,000 - 260,000; Full time

Benefits offered by this job

Learning environment

Impactful work

Flexible work-life balance

Career progression

Job summary

MoonLake is seeking a National Account Director to serve as the external lead for a major PBM/GPO account in the U.S. market. You will drive access for sonelokimab, lead PIE and formulary discussions, and support contract negotiations while bringing actionable account insights into strategy.

You will map decision structures across PBMs, P&T, and health plans, develop account plans, oversee pull-through, and ensure coverage tracking. Willingness to travel is required.

Qualifications

• Bachelor's degree required.
• Advanced degree (MBA, PhD, PharmD, or MD) strongly preferred.
• 8 years of U.S. market access or payer account experience.

Responsibilities

• Lead external-facing management for a top PBM/GPO account.
• Drive Pre-approval Information Exchange (PIE) and formulary discussions.
• Support contract negotiations and pull-through; translate account insights into strategy.
• Map account decision processes and timelines; develop and execute the account plan.
• Lead formulary review meetings and clinical presentations with the account.
• Escalate and resolve access barriers with the account; report risks and opportunities.

Skills

Market access

Relationship building

Presentation skills

Travel willingness

Rebate negotiations

Education

Bachelor's degree

Advanced degree

Job description

Job Purpose

The National Account Director is the dedicated, external-facing lead for one of the big three national PBM/GPO accounts (e.g., CVS Caremark/Zinc, Express Scripts/Ascent, Optum Rx/Emisar). Drawing on established relationships with decision makers at that account, this individual drives timely and favorable access for sonelokimab. The role executes the account plan, leads Pre-approval Information Exchange (PIE) and formulary discussions, supports contract negotiations and pull-through, and brings account insights back into the access, pricing and contracting strategy.

Your profile

Major Accountabilities

• Pre-Launch (FDA -24 to 0 months)
• Account mapping: Map the decision-making structure, influencers, processes and timelines of the assigned account, including PBM, GPO, P&T and clinical committees, and key affiliated health plans
• Account plan: Develop and execute the account plan in line with the overall payer engagement and contracting strategy
• Relationship building: Use and deepen existing senior relationships across clinical, trade and contracting functions at the assigned account
• PIE engagement: Lead compliant PIE discussions with the assigned account
• Account insights: Feed account-specific insights into the access strategy, payer value proposition, PIE decks, AMCP dossier and contracting strategy
• Contract preparation: Work with Pricing & Contracting to identify the account's likely contract requirements, key terms and deal scenario
• Launch & Post-Approval (FDA approval to 6-12 months post)
• Formulary review: Lead formulary review meetings and clinical presentations with the assigned account
• Contract negotiation support: Support rebate negotiations with Pricing & Contracting, within approved guardrails, and support contract execution
• Pull-through: Drive pull-through of coverage wins with the account and its downstream health plans, together with FRMs and sales
• Coverage tracking: Track policy development, formulary tiers and utilization management criteria at the account, and communicate coverage updates to internal teams
• Issue resolution: Escalate and resolve access barriers such as restrictive PA criteria, step edits and specialty pharmacy requirements with the account
• Account reporting: Report on account status, risks and opportunities to the Payer Account Team Lead and cross-functional partners

Job Requirements

Education:

• Bachelor's degree required
• Advanced degree (MSc, MBA, PhD, PharmD, or MD) strongly preferred

Experience:

• 8 years of U.S. market access or payer account experience, including national account management
• Established, senior relationships at one of the big three PBM/GPO organizations (CVS Caremark/Zinc, Express Scripts/Ascent or Optum Rx/Emisar)

Skills/knowledge/behavioural competencies:

• Deep knowledge of the assigned account's decision processes, P&T and formulary cycles, and contracting practices
• Experience supporting rebate negotiations and contract pull-through
• Specialty or immunology launch experience preferred
• Familiarity with PIE, AMCP dossier standards and compliant payer interactions
• Strong external presentation, negotiation and relationship skills
• Willingness to travel frequently to account sites and internal meetings

Why us?

An exciting job opportunity awaits you!

MoonLake is a dynamic and innovative company pushing the boundaries of possibility, and we are looking for passionate individuals to join our stellar team.

What we offer:

Learning Environment: An opportunity to learn and grow alongside experienced professionals in a supportive and innovative biotech environment.

Impactful Work: Contribute to ground-breaking projects that have the potential to transform global healthcare.

Flexibility and Balance: Enjoy a healthy work-life balance while making meaningful contributions to our team.

Career Growth: A clear path for career progression, with the chance to take on more responsibilities as you develop your skills.