Director, Government Accounts- Market Access

Categories: Commercial
Crinetics is a pharmaceutical company based in San Diego, California that develops much-needed therapies for people with rare endocrine diseases. We were founded by a dedicated team of scientists with the simple belief that better therapies developed from rigorous innovation can lead to better lives. Our work continues to make a real difference in the lives of patients. We have a prolific discovery engine and robust pipeline across preclinical and clinical development. We are driven by science with a patient-centric and team-oriented culture. This is an exciting time to join Crinetics as we shape our organization into the world’s premier fully integrated endocrine company from discovery to patients. Come join our team as we transform the lives of others.
The Director, Government Accounts will be responsible for all government payer contracting, healthcare account management, and clinical and business activities at the national and state level. Key accounts include all State and Managed Medicaids, Children’s Health Insurance Programs and Federal Government healthcare agencies (VA, DoD, PHS, TriCare). This role is responsible for the implementation of short- and long-term business plans that will optimize appropriate coverage and patient access to Crinetics products. This individual will assess sales implications of short-and long-term actions with each payer account and take action to move payer decisions in a direction that will result in continued patient access to care. Building strong relationships and partnerships with Medical and Pharmacy Directors (clinical and administrative), case managers, and other payer management members will be paramount in this role.
The Director, Government Accounts will work closely with Marketing, Finance, Legal, Compliance, Sales Leadership, and other key internal partners to ensure consistent exchange of important payer information, marketplace dynamics, and messaging. This individual will be expected to demonstrate strategic independent thought and work with minimal supervision.
These may include but are not limited to:
  • Establish and maintain effective working relationships with government payers to support timely formulary and medical management within designated target accounts to ensure patient access to Crinetics products.
  • Navigate complex payer accounts and drive product advocacy with all key stakeholders and decision makers within assigned accounts, including the executive level, to create and communicate the value of Crinetics therapies.
  • Is responsible for contract negotiation (where applicable), per corporate guidelines, to attain patient access and reimbursement for Crinetics products, while being mindful of contractual revenue
  • deductions, net sales optimization, and effects of government pricing on commercial price points
  • Execute the company’s strategic objective for obtaining formulary positioning, positive medical policy, profitable contracts, and access for Crinetics products with government accounts nationwide
  • Provide educational/clinical updates and contracting negotiations with PBMs administering Medicaid Single state or Group Purchasing Pools
  • Execute the management of the department’s strategy for obtaining positive medical policy, profitable contracts, and maximum reimbursement for our products from government accounts nationwide and their corresponding hospital systems
  • Devise plans to overcome customer resistance to price, contracting or product access
  • Establish contracting processes with Federal Government healthcare agencies such as the Veteran’s Administration and Defense Health Agency-Defense Logistics Agency
  • Utilize and assist in the creation of appropriate Managed Markets marketing materials for company’s products
  • This individual will demonstrate specific competencies through influence selling, utilizing clinical knowledge and value propositions, health economic and real-world evidence, marketing resources, executive level relationship building and leveraging and negotiating contracts
  • Participate in Medicaid Pharmacy Directors and Medical Directors conferences to address challenges and provide solutions for patient access to Crinetics’ products
  • Work collaboratively with sales, marketing, trade, medical affairs, and HEOR to execute payer marketing strategy and pull through of a products access or managed care contract
  • Create clear messages for dissemination to sales on important payer trends, reimbursement changes, and billing requirements that will affect product utilization
  • Adhere to and effectively communicate contract strategy, contract compliance, development, claims analysis, execution and ongoing tracking, management of contracts for government and commercial payers, insurers including ROI assessments and scenario planning to various levels of the organization
  • Develop and implement a system to educate sales organization on regional and national payer access and coverage
  • Support strategic plans with defined tactics and objectives to move payer decisions in a direction that continues to open access for the appropriate patients. Deliver payer insights back to the market access team and commercial leadership as appropriate to help drive strategic planning activities
  • Other duties as assigned.
  • Bachelor’s degree required. Advanced degree in healthcare related field preferred. Equivalent combination of education and applicable job experience may be considered
  • A minimum of 12 years of relevant work experience within the biotech, payer or pharmaceutical industry plus 8+ years in a supervisory role
  • A minimum of 8 years of excellence in Account Management and/or Managed Care or demonstrated equivalent leadership experience
  • A minimum of 5 years in the oncology/endocrinology marketplace preferred. Equivalent orphan drug experience may be considered
  • Delivers and implements Business Account plans for all assigned customers and outlines required financial results
  • Ability to skillfully negotiate in tough/complex situations with both internal and external groups
  • Established and current relationships with Pharmacy Directors and Medical Directors within assigned accounts
  • Clearance/access to Federal Government healthcare facilities
  • Specific Managed Markets experience including a thorough understanding of government accounts and a demonstrated ability to lead multiple plan level pull-through initiatives
  • Possesses broad based and in-depth understanding of reimbursement issues, payer segments, use of specialty pharmacies, the J-Code application process, managed market customers state Medicaid, Medicare Part B and D, VA/DOD, PBM’s, Employers, IDNs, etc.
  • Demonstrated knowledge of payer decision-making for formulary processes, coverage, coding, billing, and patient access to drugs, biologicals, medical devices
  • Experience in successfully negotiating contracts and agreements
  • Requires the ability to lead effective large and small group presentations
  • Excellent collaborating and project management skills, with the ability to handle multiple competing priorities and tasks at once
  • Prior experience with planning, presenting financial models, and changing plan formularies
  • Well organized with the ability to multitask, prioritize, and manage shifting responsibilities and complexity in a dynamic, cross-functional teamwork environment
  • Strong interpersonal and organizational skills and excellent verbal and written communication skills are required
  • Role models behaviors consistent with the company vision, mission, values
Equipment:   PC, scanners, voice mail and e-mail systems, and common office machines, or ability to be trained.  Knowledge of other equipment required:
Software Knowledge:  Windows, MS Office (Outlook, Word, Excel, PowerPoint).  Knowledge of other software required:
Physical Activities:  On a continuous basis, sit at desk for a long period of time; intermittently answer telephone and write or use a keyboard to communicate through written means. Some walking and lifting up to 25 lbs. may be required.  The noise level in the work environment is usually low to moderate.  The physical demands described above are representative of those that must be met by an employee to successfully perform the essential functions and responsibilities of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and responsibilities.
Travel may be required up to 5% of your time.
The Anticipated Base Salary Range is : 201,000- 235,000
In addition to your base pay, our total rewards program consists of a discretionary annual target bonus, stock options, ESPP, and 401k match. We also provide top-notch health insurance plans for employees (and their families) to include medical, dental, vision and basic life insurance, 20 days of PTO, 10 paid holidays, and a winter company shutdown.
The final salary offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and length of experience and education. Crinetics Pharmaceuticals is a multi-state employer, and this salary range may not reflect positions that work in other states. Your recruiter can share more about the specific salary range during the hiring process.
Equal Opportunity Employer: Crinetics is proud to be an Equal Opportunity Employer. We provide equal employment opportunities to all employees and employment applicants without regard to unlawful considerations of sex, sexual orientation, gender (including gender identity and/or expression), pregnancy, race, color, creed, national or ethnic origin, citizenship status, religion or similar philosophical beliefs, disability, marital and civil union status, age, genetic information, veteran status or any personal attribute or characteristic that is protected by applicable local, state or federal laws Vaccination requirement: Following extensive monitoring, research, consideration of business implications, and advice from internal and external experts,
Vaccination Requirement
Crinetics requires that all employees and contractors be fully vaccinated and have received the COVID-19 vaccines as a condition of employment. “Full vaccination” is defined as two weeks after both doses of a two-dose vaccine or two weeks since a single-dose vaccine has been administered. Anyone unable to be vaccinated, either because of a sincerely held religious belief or a medical condition or disability that prevents them from being vaccinated, can request a reasonable accommodation.