Senior Director Payer Account Lead

Moonlake; Northern (KY); Hybrid; USD 180,000 - 240,000; Full time

Job summary

MoonLake is seeking a Payer Account Lead to drive engagement with U.S. GPOs, PBMs, payers, and IDNs to ensure timely access for sonelokimab. You will shape pre- and post-approval payer strategies and serve as the primary external contact for priority payer accounts.

The role requires deep knowledge of the U.S. payer landscape, PIE/AMCP familiarity, and a track record with major accounts and launches in specialty or rare diseases.

Qualifications

• Bachelor’s degree is required.
• Advanced degree (MBA, MSc, PhD, PharmD, or MD) strongly preferred.
• 10+ years of U.S. Market Access or Payer Account experience.
• Senior relationship with at least one of the big 3 accounts.
• Experience with product launches in specialty or rare disease preferred.

Responsibilities

• Lead engagement with U.S. GPOs, PBMs, payers, and IDNs to ensure timely access.
• Develop and execute pre- and post-approval payer strategies and value propositions.
• Serve as primary external-facing contact with priority payer accounts.
• Map and prioritize payer/channel accounts and drive engagement strategy.
• Lead or support formulary review meetings and pull-through with plans and PBMs.
• Track payer policy development, formulary tiers, and utilization criteria; coordinate with FRMs and sales.
• Partner with Pricing/Contracting to support and execute rebate agreements as needed.

Skills

Payer landscape expertise

PIE/AMCP familiarity

Pricing & contracting input

Cross-functional leadership

Education

Bachelor’s degree

Advanced degree preferred

Job description

The Payer Account Lead will be responsible for leading the engagement with U.S. GPOs, PBMs, payers, and IDNs to ensure timely and sustainable access for sonelokimab. This role will help drive pre- and post-approval payer strategies, support value proposition development, and serve as the primary external-facing contact with priority payer accounts.

Your profile

Major Accountabilities

• Pre-Launch (FDA -24 to 0 months):
  • Payer mapping: Map and prioritize key payer and channel accounts (GPOs, PBMs, national / regional payers, government entities, IDNs)
  • Engagement strategy:Execute U.S. payer engagement strategy in alignment with overall market access and pricing strategy
  • IC: Implement incentives and compensation plan for access account team
  • PIE engagement: Lead compliant Pre-approval Information Exchange (PIE) discussions with selected payers
  • Operational input:Cross-functional input based on intelligence gathered from payer discussions:
    • Access strategy incl. formulary positioning and pricing at a payer level
    • Payer value proposition, PIE decks and AMCP dossiers
    • Contracting strategy incl. key terms / requirements and deal analytics
  • Leadership: Account team build-up and management (incl. performance)
    
• Launch & Post-Approval (FDA approval to 6 - 12 months post):
  • Continued engagement:Lead or support formulary review meetings and pull-through strategy with GPOs, commercial plans and PBMs
  • Coverage tracking: Track payer policy development, formulary tiers, and utilization management criteria and work with cross-functional teams (FRMs, sales) to communicate current coverage
  • Operational input: Partner with Pricing/Contracting to support and execute rebate agreements as needed

Job Purpose

The Payer Account Lead will be responsible for leading the engagement with U.S. GPOs, PBMs, payers, and IDNs to ensure timely and sustainable access for sonelokimab. This role will help drive pre- and post-approval payer strategies, support value proposition development, and serve as the primary external-facing contact with priority payer accounts.

Your profile

Major Accountabilities

• Pre-Launch (FDA -24 to 0 months):
  • Payer mapping: Map and prioritize key payer and channel accounts (GPOs, PBMs, national / regional payers, government entities, IDNs)
  • Engagement strategy:Execute U.S. payer engagement strategy in alignment with overall market access and pricing strategy
  • IC: Implement incentives and compensation plan for access account team
  • PIE engagement: Lead compliant Pre-approval Information Exchange (PIE) discussions with selected payers
  • Operational input:Cross-functional input based on intelligence gathered from payer discussions:
    • Access strategy incl. formulary positioning and pricing at a payer level
    • Payer value proposition, PIE decks and AMCP dossiers
    • Contracting strategy incl. key terms / requirements and deal analytics
  • Leadership: Account team build-up and management (incl. performance)
    
• Launch & Post-Approval (FDA approval to 6 - 12 months post):
  • Continued engagement:Lead or support formulary review meetings and pull-through strategy with GPOs, commercial plans and PBMs
  • Coverage tracking: Track payer policy development, formulary tiers, and utilization management criteria and work with cross-functional teams (FRMs, sales) to communicate current coverage
  • Operational input: Partner with Pricing/Contracting to support and execute rebate agreements as needed

Job Requirements

Education

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

Experience

• 10+ years of U.S. Market Access or Payer Account experience
• Senior relationship with at least 1 of the big 3 accounts
• Experience with product launches in specialty or rare disease preferred

Skills/knowledge/behavioural competencies

• Deep knowledge of the U.S. payer landscape (commercial, government, PBMs, IDNs)
• Familiarity with PIE, AMCP dossier standards, and compliant payer interactions
• Strategic mindset to give input into pricing & contracting strategy, payer value prop, etc.
• Strong cross-functional leadership and external engagement skills

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.