National Strategic Account Executive

Role Overview

• Collaborate with commercial leadership and senior management to develop and refine our corporate National Payor access strategies and provide input on contracting, pricing, and service offerings.
• Develop and implement account specific business plans (roadmap, segmentation…) and tactics to support formulary placement, reimbursement (coverage, coding, payment, and patient access) pathways aligning to CG Oncology’s overall goals of securing patient access with National Payors.
• Drive favorable access across assigned National Payors ensuring medical coverage policies are consistent with FDA approved prescribing information.
• Initiate, lead and manage relationships with National Payors to appropriately influence the formulary review process, including the coordination of resources from Medical Affairs, Health Economics, and other cross-functional SMEs.
• Develop, maintain, and execute pre-launch, and post-launch business and account plans across National Payor segments (Commercial/Medicare/Medicaid) including IDN’s in geographical region.
• Leverage existing and/or established relationships at strategic National Payor Accounts, including the C
• suite level, to create and communicate our value proposition.
• Lead pricing and contracting negotiations with National Payors to ensure optimal market access, while delivering our value proposition and educating National Payor stakeholders on disease state, product, economic benefits, and reimbursement.
• Broaden and deepen account relationships with C-Suite, Vice President of Network Management, Chief Medical Officer, Medical Director(s), Vice President of Pharmacy, Pharmacy Director(s) Clinical Managers and Case Managers.
• Develop relationships away from transactional to valued business partnerships.
• Serve as the internal subject matter expert and primary point of contact for all National Account related issues, trends, market insights, risks, and opportunities; ensure relevant and timely payor coverage information is communicated to appropriate internal and external stakeholders.
• Collaborate closely with Medical, Marketing, Patient Services and Distribution to develop support programs that will enhance our value proposition, removing barriers to access and assisting HCPs with understanding the National coverage environment providing appropriate patients a path to product and mitigating any access barriers.
• Partner with Marketing, Patient Support Services, Medical and Sales to develop and communicate clear and effective customer pull through strategies and initiatives that support formulary placement and coverage.
• Collaborate with field teams (Field Sales, FRM’s, Medical Affairs) to monitor the payer access environment to identify key trends, access barriers and partner with colleagues to mitigate.
• Partner with HEOR to develop and execute our therapeutic value proposition messages that resonate with our National Payers.

Requirements

• Bachelor's Degree required, MBA or other advanced degree preferred.
• Minimum 10+ years in Managed Markets/Market Access
• Minimum of 8+ years of demonstrated success in National Account roles across commercial and government payors.
• Previous market access account responsibility for Biotech/Pharmaceutical launch required.
• Strong launch experience with pre-PDUFA market preparation & planning.
• Demonstrated knowledge Medicare B and Buy & Bill payment models.
• Extensive National Account relationships with a strong understanding of market access, reimbursement, and pricing landscape for pharmaceutical products.
• Including a strong knowledge and working relationships with Commercial/Medicare/Medicaid and other government and specialty segments.
• Comprehensive understanding of the current and evolving payor landscape for complex therapies from both a Medical and Pharmacy benefit perspective.
• Established customer relationships with Pharmacy Directors, Medical Directors, and other key personnel at National Payors.
• Strong negotiation skills and a proven track record of engaging National Accounts at all relevant levels of the organization leading to successful attainment of desired formulary position.
• Deep understanding of customer-specific review, approval, and reimbursement processes.
• Strong analytic acumen, displaying the ability to assess and identify business opportunities and challenges.
• Experience developing and executing payer pull-through strategies in collaboration with field sales, sales leadership, medical, marketing, patient services, trade and distribution.
• Highly accountable for the results and outcomes of their responsibilities and understands the impact of their efforts, results, and attitudes on others.
• Forward thinking mindset with the ability to manage multiple projects and identify and resolve issues.
• Urology and/or Oncology experience preferred.

Benefits

• HIGHLY COMPETITIVE SALARIES
• ANNUAL PERFORMANCE/MERIT REVIEWS
• ANNUAL PERFORMANCE BONUSES
• EQUITY
• SPECIAL RECOGNITION
• FULLY REMOTE WORK ENVIRONMENT
• REST AND RECHARGE BENEFITS
• Unlimited Flexible Time Off
• HOLIDAYS –In 2025 we will observe 14 holidays
• RETIREMENT – 401K with 100% company Safe Harbor match up to 4% of base salary
• HEALTH (MEDICAL, DENTAL, VISION) – PPO & HDHP – Cigna/Principal
• HEALTH SPENDING ACCOUNTS
• HSA (with Annual Company Contribution), FSA, FSA-DC
• ILLNESS & DISABILITY PROTECTION – Company Paid LTD Coverage + Voluntary Plans
• LIFE INSURANCE – Company Paid 1 x base salary + Voluntary Plans
• ADDITIONAL EXCLUSIVE BENEFITS – Voluntary Legal, Pet, Plus More