Sanofi Group National Account Director - Medical Policy- Tzield West in Providence, Rhode Island
This position reports to the Head, US Market Access General Medicines Account Management, East/West, and is responsible for serving as the medical policy/product expert for their defined geography (East/West) They will be responsible to assist in establishing and leveraging credible relationships within all overlapping assigned accounts which may include, but not limited to, national payers, specialty pharmacies, PBMS, health plans, Medicare Health plans, to achieve and maintain appropriate access for TZield.
This individual will be responsible for engaging in frequent and compliant discussions with key decision makers, to manage, assess and, if appropriate, impact change of existing policies to align with internal strategies for assigned products. This individual will assess sales implications of short- and long-term actions with each payer customer and take action to move payer decisions in a direction that continue to open patient access to care with Sanofi products. The National Account Director will demonstrate strong relationships with Trade/Industry Relations, Medical and Pharmacy Directors (clinical and administrative), Case Managers, Medical Benefit Managers, and other key decisions makers with support of the primary account director. Efforts will include partnering with the primary Sanofi account director to work with national headquarters of managed care organizations and executing pull-through and contracting strategies to local offices of the national organizations, as well as initiatives with other large and local managed care organizations.
This individual will work closely with Sanofi value and access, case management, medical, marketing, regional and national account management, business relations, government, and sales leadership teams to ensure consistent exchange of important payer insights and messaging.
This National Account Director in conjunction with the primary account leads will support the development of periodic market updates to Sales Management and other internal teams regarding important payer and health care reform trends and issues.
In conjunction with the primary account director, implements strategies and tactics to support appropriate formulary placement, reimbursement (coverage, coding, payment, and patient access), pathways across payer customers
Negotiates appropriate medical policy coverage in conjunction with the primary account lead enabling access to our products by providers and their patients
Maintains responsibility for positive business outcomes within overlapping accounts
Assists in creating clear messages for dissemination to sales on important payer trends, reimbursement changes, and billing requirements that will affect product utilization
Represents the Market Access organization, with professionalism and integrity, at national payer organizations meetings and internally with various departmental and leadership teams
Work with the various product call centers, case managers, pathways to assure accurate coverage determinations and resolve customer issues
Bachelor's degree required; Master’s/advanced degree preferred
Minimum 8 years field-based pharmaceutical/biotech Sales and/or Marketing experience with at least 3 years of direct managed care experience
In conjunction with the primary account lead, establish relationships with Pharmacy Directors, Medical Directors, and other key personnel within assigned accounts
Demonstrated knowledge of payer decision-making for formulary processes, coverage, coding, billing, pathway development and patient access to drugs, biologicals, medical devices
Experience in Specialty Pharmacy, patient support services and medical benefit products
Therapeutic experience in Multiple Sclerosis, Immunology, Oncology, Rare Diseases and/or Rare Blood Disorders
Exceptional communication skills that include verbal, written and presentation abilities
Demonstrated problem-solving capabilities
Experience negotiating contracts, medical policy and agreements
Outstanding consultative and networking capabilities
Excellent project management skills, with the ability to handle multiple tasks at one time
Ability to skillfully negotiate in tough situations with both internal and external groups
Understanding of organizational behavior, culture and be able to flourish in a complex and rapidly evolving workplace
Skill to successfully lead account teams through collaboration with other members within and across sales, marketing, reimbursement, and other business groups to improve overall effectiveness
Requires greater than 50% travel
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
Candidates must complete all fleet safety training and must maintain an acceptable driving record regarding accidents and incidents.
At Sanofi diversity and inclusion is foundational to how we operate and embedded in our Core Values. We recognize to truly tap into the richness diversity brings we must lead with inclusion and have a workplace where those differences can thrive and be leveraged to empower the lives of our colleagues, patients and customers. We respect and celebrate the diversity of our people, their backgrounds and experiences and provide equal opportunity for all.