Regional Account Manager - Great Lakes

The Regional Account Manager - Market access is responsible for establishing and managing strategic relationships with regional health plans, health systems, pharmacy benefit managers (PBMs), State health plans, Medicaid plans, and other related stakeholders that influence their geography. This individual will lead contract negotiations, manage access strategy, and drive execution with a focus on pharmacy benefit access, pull-through, and data-driven performance. The role requires cross-functional collaboration, value-based discussions, and field enablement to ensure broad patient access and business growth. This is a remote role and the ideal candidate will reside in the Detroit, Chicago, Indy, Milwaukee, or Cleveland area.

Responsibilities

Establish and manage strategic relationships with regional health plans, health systems, PBMs, State health plans, Medicaid plans, and other related stakeholders; Lead contract negotiation and execution with regional and downstream PBMs, health plans, employers and specialty/retail pharmacy networks; Develop tailored value propositions using financial modeling, claims analytics, and health economic data; Secure pharmacy formulary coverage, distribution agreements, and reimbursement pathways; Partner with internal legal, pricing, and finance teams to structure pharmacy agreements; Drive execution of pharmacy access strategies across field sales, inside sales, and market access teams; Translate contract terms into actionable tools and messaging for the field; Serve as lead point of contact for assigned accounts, ensuring operational execution, service level adherence, and issue resolution; Build and maintain senior-level relationships within PBMs, specialty pharmacies, employers and payer organizations; Represent the organization in business reviews, renegotiation cycles, and quarterly performance meetings; Collaborate with patient services, reimbursement, and distribution teams; Monitor market trends, competitor access, and policy shifts; Inform access strategy with insights into payer mix, pharmacy benefit adoption, biosimilar dynamics, step-edits, and tiering; Provide strategic input into brand planning, pricing, and evidence generation needs; Support the evolution of hybrid (medical + pharmacy) access models; Collaborate with Trade & Distribution, Reimbursement, Patient Support, Legal, and Medical Affairs; Partner with sales leadership to ensure timely and coordinated pull-through across geographies

Requirements

Bachelor's degree, preferably in a life science, business or marketing, or a combination of equivalent education and applicable job experience; 8+ years of experience in Market Access, Regional Accounts, or Managed Markets within the pharmaceutical, biotech, or medical device industries; Demonstrated success negotiating contracts with PBMs, health plans, or specialty pharmacy networks; Deep understanding of the pharmacy benefit landscape, PBM contracting, pharmacy reimbursement, and specialty distribution; Strong analytical acumen with the ability to leverage data sets and turn them into actionable account strategies; Proven negotiation and influencing skills with C-suite and senior executives within payer and pharmacy organizations; Experience in hub services, patient access programs, and co-pay assistance models; Ability to travel up to 50% as required; must maintain valid driver's license, required auto insurance, and good driving record; Must be authorized to work for any employer in the U.S. (no visa sponsorship)

Nice to have

Prior experience working in a company with a strong pharmacy-first or hybrid distribution model

Benefits

Medical, dental, and vision coverage available from day one; Health savings accounts and flexible spending accounts; 11 paid holidays per year; Minimum of 20 days of paid time off (accrual starting day 1); 401k plan with company match; Employee Stock Purchase plan; Bonus and incentive compensation; Equipment provided for the role; Virtual training