Remote National Account Director – Government Payer Access

Chiesi Farmaceutici S.p.A.; United States; Hybrid; USD 188,000 - 240,000; Full time

Benefits offered by this job

Comprehensive healthcare programs

Relocation support

Flexible working arrangements

Remote work options

Job summary

Chiesi Farmaceutici S.p.A. seeks a National Account Director, Government Accounts to drive access for GRD products in the US. Remote field-based role with up to 75% travel, reporting to the Head of National and Government Accounts.

You will build strategic payer relationships, negotiate payor contracts, and align with Market Access, Patient Services, and sales teams to reach access goals in diverse government channels.

Qualifications

• Bachelor degree required in a relevant field.
• 7+ years in payer-facing roles with rare/orphan products preferred.
• Experience with State Medicaid Directors and Federal agencies (CMS/VA/DoD).

Responsibilities

• Lead government accounts and secure formulary access for GRD products.
• Negotiate contracts with US payers and navigate payer policies.
• Collaborate with Market Access, Patient Services, and Sales to meet access goals.
• Maintain relationships with government channels and HUB services.

Skills

Payer landscape expertise

Leadership

Relationship management

Strategic thinking

Multi-tasking

MS Office proficiency

Education

BS/BA required

Pharmacy degree preferred

Tools

MS Office Suite

Adobe

Job description

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National Account Director, Medicaid, Global Rare Diseases - Midwest

Date: Oct 9, 2026

Job Type: Direct Employee

Business Area: Mktg, Market Access, Bus. Excellence & Med. Affair

Contract Type: Permanent

Location:

Indiana, US

About Us

Based in Parma, Italy, Chiesi is an international research-focused biopharmaceutical group with 90 years’ experience, operating in 31 countries. More than 8,000 employees across the group are united by a singular purpose: promoting a healthier world for our people, patients, and the planet. This is what drives us as we research, develop, and market innovative drugs across our main therapeutic areas. Discover more here.

At Chiesi we are thinking generations ahead, driving sustainable innovation with purpose. This fosters a culture of reliability, transparency, and ethical behaviour at every level. As a Benefit Corporation and a certified B Corp, we have embedded sustainability in our bylaws and continuously measure our impact.

Diversity, inclusion, and equal opportunity are at the heart of who we are. We believe our differences make us stronger. We are a vibrant ecosystem of passionate, talented individuals united by strong values, each bringing unique perspectives that help us to continuously challenge the status quo for the better.

Chiesi Global Rare Diseases

Chiesi Global Rare Diseases is a Chiesi Group’s business unit established in February 2020 and focused on research, development and commercialization of treatments and patient support services for rare and ultra-rare disorders, many of whom have limited or no treatments available.

This unit is based in Boston, Massachusetts, with a strong synergy with the headquarters in Parma.

Rare unit has a focus on research and product development for lysosomal storage diseases, rare hematology, ophthalmology disorders and rare immunodeficiencies. The unit is also a dedicated partner with global leaders in scientific research, patient advocacy and care. Discover more here .

Who we are looking for

This is what you will do

Reporting to the Head, National and Government Account Team, the National Account Director, Government Accounts (NAD) will execute strategic and tactical initiatives to obtain optimal coverage, reimbursement, and patient access for the Chiesi Global Rare Disease products within National, State, and local government channel within the United States.

The role also requires contract negotiation and execution experience with US payer’s business lines in multiple therapeutic areas along with understanding the evolving changing payer and policy landscape and ability to work effectively within it.

You’ll be responsible for:

• The National Account Director, Government Accounts contributes to the company success by working within the team matrix and by being one of CHIESI's GRDs lead contacts with assigned Government accounts in United States. The NAD plays a critical role in executing Chiesi Market Access strategy by building strategic relationships, along with securing formulary and/or medical policy access for Chiesi GRD products for patients within his/her assigned accounts.
• Experience working previously with Patient Services teams, Specialty Pharmacy vendors, infusion centers, facility purchasing teams, GPOs, field reimbursement teams, and HUB services is required to ensure that any reimbursement issues are addressed in conjunction with the Market Access Field Reimbursement team, Patient Services, and Chiesi Total Care.
• This role with work with existing National Account Director(s) and Field Reimbursement team to deliver access goals. It will also work closely and in conjunction with sales organization to achieve company results for Chiesi GRD.
• This position may also be responsible for evaluating and negotiating the contracting of select existing and/or future products with US payers and government related entities.

You will need to have

• BS/BA required.
• 10 years related experience in the pharmaceutical/biotech industry preferably with 7+ years’ experience in Payer facing role(s) with rare/orphan products.
• Previous experience of minimum of 5 years working with State Medicaid Pharmacy Directors, Medical Pharmacy Benefit Administrators, and Federal agencies such as CMS, VA, DoD, Tricare, Indian Health.
• Expert knowledge of current US payer environment and dynamics, including payers and their formulary, utilization management, and benefit management strategies including buy/bill and medical.
• Existing relationships with key personnel within government channels.
• In-depth knowledge and understanding of current reimbursement trends and Specialty Pharmacy/HUB services.
• Demonstrated initiative, creativity and strategic relationship building.
• Demonstrated ability to develop, communicate, and implement successful strategic initiatives.
• Proven leadership skills and strong business acumen, experience with office and presentation tools.
• Well-developed relationship management and consultative sales skills
• Self-directed and confident, with developed ability to build teamwork centered on shared commitment and goals to achieve high standards of performance.
• Ability to successfully manage multiple tasks and multifunctional resources concurrently while maintaining high attention to detail while responding to rapidly changing priorities and aggressive deadlines.
• Proficient in MS Office (Word, Excel, Project, Outlook) Adobe. Additional experience working with payer formulary access platforms and other data driven interactive dashboards.

We would prefer for you to have

• Graduate or Pharmacy degree.
• Additional experience in sales, marketing, payer marketing or contracting.
• Experience working within Rare Disease/Orphan/Specialty products preferred.

Location

Field-Based/Remote position, up to 75% travel as necessary to meet job requirements; Midwest territory. #LI-Remote

Compensation

The annual base pay for this position ranges from $187,830 to $240,000. Hourly and salaried non-exempt employees will also be paid overtime pay when working qualifying overtime hours. Base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. If hired, the employee will be in an “at-will position” and the Company reserves the right to modify base pay (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

What we offer

No matter where your path starts at Chiesi, it leads to inspiring possibilities. Your future is our focus, and we are committed to nurturing your development in our dynamic, friendly environment with access to resources and training every step of the way.

We provide top-class benefits, including comprehensive healthcare programs, work-life balance initiatives, and robust relocation support. Our salary package is competitive, comprising a basic salary, performance bonuses, and benefits benchmarked against the external market. Additionally, we offer flexible working arrangements, remote work options, and tax assistance services for foreign colleagues, all designed to help you thrive.

Chiesi USA is an equal opportunity employer committed to hiring a diverse work force at all levels of our business. All qualified applicants receive consideration for employment without regard to race, national origin, age, sex, religion, disability, marital status, veteran status, or any other basis protected by local, state or federal law. This policy applies with regard to all aspects of one’s employment, including hiring, transfer, promotion, compensation, eligibility for benefits and termination.

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