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Sr Director, Government Accounts

5 hours, 27 minutes ago
Anywhere
Full-time
Lead
Account Manager
Sales and Business Development
Apply Now
Definium Therapeutics

Definium Therapeutics

Definium Therapeutics is dedicated to advancing psychiatry by developing accessible treatments that leverage the therapeutic potential of psychedelic medicine, guided by scientific rigor and a commitment to addressing the root causes of mental health i...

Health Care Providers & Services
51-250
Founded 2019
View All Jobs 7

Description

  • Implement government access strategy across Medicaid fee-for-service, Medicaid managed care, and other priority public payer channels.
  • Develop account plans that address state review timelines, policy requirements, coverage pathways, and reimbursement considerations.
  • Build and maintain relationships with state Medicaid agencies, Medicaid MCOs, policy leaders, and public payer stakeholders.
  • Identify and address access barriers related to policy criteria, utilization management, reimbursement, benefit design, and operational readiness.
  • Partner with Government Affairs to monitor federal and state policy developments affecting access, coverage timing, and payer review.
  • Support Kaiser Permanente and similar integrated payer-provider planning as assigned.
  • Collaborate with Finance, Legal/Compliance, HEOR, Medical Affairs, and Value & Access on launch readiness and access planning.
  • Generate customer insights and market intelligence to inform account planning and leadership decisions.
  • Operate as a player/coach by supporting account planning and directly engaging priority accounts where senior-level expertise is required.

Requirements

  • Bachelor's degree required; advanced degree preferred.
  • Minimum 10 years of experience in government/public payer market access, including Medicaid, managed Medicaid/MCOs, Medicare, and/or state health programs.
  • Expertise navigating state-level policy, legislative, and regulatory processes affecting drug access and reimbursement.
  • Experience with Medicaid PDLs, supplemental rebates, and state P&T or DUR processes.
  • Track record of contributing account-level insights and recommendations to government affairs or market access planning.
  • Working knowledge of public payer access considerations, Medicaid policy requirements, and state-level coverage and reimbursement processes.
  • Ability to synthesize state-by-state policy variation into clear account and national recommendations.
  • Experience with Kaiser Permanente or similar integrated payer-provider organizations preferred.
  • Cross-functional collaboration experience with government affairs, policy, legal/compliance, HEOR, medical, finance, and commercial operations teams.
  • People/team leadership experience and willingness to travel 50%+.
  • Knowledge of compliance requirements including the anti-kickback statute, False Claims Act, and state-specific transparency laws.

Benefits

  • Starting base pay range of $220,000 to $280,000.
  • Eligible for additional compensation including bonus and equity.
  • 100% paid medical, dental, and vision coverage for employees and dependents.
  • 401(k) program with company match and vesting after the first month.
  • Flexible time off.
  • Generous parental leave.
  • Additional fringe perks.

Interested in this position?

Apply directly on the company website

Apply Now

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