National Strategic Accounts Executive-Payer (West)

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

National Strategic Accounts Executive-Payer (West)

Salaried - Full Time Management Remote, US

16 days ago Requisition ID: 1020

Salary Range: $225,000.00 To $245,000.00 Annually

About CG Oncology, Inc.

A re you ready to make a difference in the world and become part of our patient-centered team that is focused on Attacking Bladder Cancer for a Better Tomorrow? At CG Oncology, we believe that by having exceptionally talented individuals on our team who share our passion and enjoy working together, we can truly achieve our Vision and Mission to benefit patients around the world.

Every day we are making significant advancements across our multiple pipelines and are growing rapidly to meet the needs of our patients who cannot afford to wait to benefit from our novel immunotherapies. Please review this job posting and our Values and if they resonate with you and are what you expect from your organization and team, then we would like to hear from you.

About the role

The National Strategic Account Executive (NAE) role will contribute directly to our “best in class” Market Access team and will have leadership responsibilities for developing and implementing key Commercial Payor strategies for our organization’s first product launch. The NAE is the primary face to our access customers, and as such is responsible for promoting a positive corporate image on behalf of the organization. The principal goal of the position is to represent CG Oncology’s interest in shaping and influencing coverage decisions made by diverse stakeholders. The NAE is responsible for establishing, maintaining, and enhancing broad patient coverage, access and reimbursement across Commercial, Medicare, Medicaid and Government Payers. Key functions of this role include providing education and information to assist in the development, maintenance, and enhancement of coverage and coding healthcare policy. In addition, the NAE must have a thorough understanding of the clinical and pharmacoeconomic data, coverage, payment influencers, distribution process, Medical Benefit (Buy & Bill model). The candidate for the NAE position should have established relationships with targeted National Payors and must be strategically engaged in the coverage landscape.

Essential Functions

• 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

Qualifications

• 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.

Work Authorization: Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.

Please note that CG Oncology does not accept unsolicited information and/or resumes from search firms or agencies for our job postings. Any resumes or client information submitted to our careers page or any employee of CG Oncology by any search firm or agency without an applicable contract in place will become the property of CG Oncology and no fee(s) will be paid.

Total Rewards

CG Oncology offers very competitive and comprehensive Total Rewards, helping to support and reward our global team of high-performing employees focused on developing bladder-saving therapeutics for patients afflicted with bladder cancer.

• HIGHLY COMPETITIVE SALARIES
• ANNUAL PERFORMANCE/MERIT REVIEWS
• ANNUAL PERFORMANCE BONUSES
• EQUITY
• SPECIAL RECOGNITION

In addition to our Total Rewards, CG Oncology offers a variety of Well-Being Benefits to meet the majority of the needs of our unique and growing workforce. These benefits are designed to support our team to achieve a healthy balance between work and their personal lives to remain refreshed, engaged, and creating an environment where each person can find a deeper meaning and purpose in their work.

Well-Being Benefits eligibility begins the 1st of the month after hire. While a majority of these benefits are for our US-based workforce, we continue to assess comparable levels of benefits for our international team members that are aligned with country-specific regulations and their national programs offered.

• 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 SPENDING ACCOUNTS - HSA (with Annual Company Contribution), FSA, FSA-DC
• ILLNESS & DISABILITY PROTECTION – Company Paid LTD Coverage + Voluntary Plans
• LIFE INSURANCE – Company Paid 2x base salary + Voluntary Plans
• ADDITIONAL EXCLUSIVE BENEFITS – Voluntary Legal, Pet, Plus More

CG Oncology is an Equal Opportunity Employer :

All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. At CG Oncology, we are building a community of intelligent and passionate team members that share our Vision, Mission and Values, and while the biotechnology space can feel limited in BIPOC, non-binary and even female representation, we endeavor to make hiring decisions that will continue to grow and support our team in the direction of maintaining cultural diversity and sustainability.