National Account Director, Government Payers —Medicaid 

Summittherapeutics
United States
Remote

Who this role is best for

A natural match if you have experience in government payer account management and oncology drug access strategies.

Best fit for

  • Candidates with 10+ years in biopharmaceutical government payer roles and oncology account management experience
    — “Minimum 10+ years of biopharmaceutical experience, with at least 5+ years in government payer, reimbursement, or policy roles.”
  • Individuals who can lead complex payer strategies and align cross-functional teams around access goals
    — “Lead discussions with internal and external partners to ensure alignment on access, coverage, and reimbursement strategies.”
  • Professionals adept at navigating state-level utilization management and reimbursement frameworks
    — “Navigate state-level utilization management: prior authorization criteria, step edits, preferred drug lists, P&T committee submissions, and state Drug Utilization Review boards.”

Things to consider

  • The role demands significant travel, up to 50% of time, which may affect work-life balance.
    — “Ability to travel up to 50% to support business priorities as needed”
  • Prior experience launching buy-and-bill oncology products in the U.S. government payer channel is required.
    — “Experience launching a buy-and-bill specialty or oncology product into the U.S. government payer channel.”

How to stand out

  • Highlight experience in Medicaid drug rebate programs and state-specific claims mechanics on your resume.
    — “Working knowledge of the Medicaid Drug Rebate Program, AMP/Best Price mechanics, and state Medicaid utilization management.”
  • Demonstrate leadership in cross-functional projects related to payer access and reimbursement strategies.
    — “Partner with field reimbursement and patient services teams to design the support infrastructure — benefits investigation, prior authorization support, denial and appeals resources.”
  • Emphasize your track record in building relationships with P&T and pharmacy directors in Medicaid accounts.
    — “Establish and maintain relationships with key decisionmakers, including P&T, Medical and Pharmacy Director, and population-based stakeholders.”
  • Showcase your ability to influence product positioning and coverage decisions with government payers.
    — “Secure appropriate access and optimal product positioning.”
Pace · Fast PacedCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • secure access and optimal product positioning
  • navigate state-level utilization management
Typical background
experience in pharmaceutical sales, managed markets, or payer account management

Skills & requirements

Required

National Account ManagementReimbursement StrategiesPayer Account ManagementManaged Markets

Preferred

OncologyPharmaceutical Sales

Stack & domain

Managed MarketsReimbursementPayer Account ManagementClinical QualityCost PerformanceCommunicationTeamworkProblem-solvingAttention To DetailAdaptabilityHealthcarePharmaceuticalsGovernment

About the role

Original posting from Summittherapeutics via Greenhouse

About Summit:

Summit Therapeutics Inc. is a biopharmaceutical oncology company with a mission focused on improving quality of life, increasing potential duration of life, and resolving serious unmet medical needs. At Summit, we believe in building a team of world class professionals who are passionate about this mission, and it is our people who drive this mission to reality. Summit’s core values include integrity, passion for excellence, purposeful urgency, collaboration, and our commitment to people. Our employees are truly the heart and soul of our culture, and they are invaluable in shaping our journey toward excellence.

Summit’s team is inspired to touch and help change lives through Summit’s clinical studies in the field of oncology. Summit has multiple global Phase 3 clinical studies, including:

Non-small Cell Lung Cancer (NSCLC)

HARMONi: Phase 3 clinical study which was intended to evaluate ivonescimab combined with chemotherapy compared to placebo plus chemotherapy in patients with EGFR-mutated, locally advanced or metastatic non-squamous NSCLC who were previously treated with a 3rd generation EGFR TKI.

HARMONi-3: Phase 3 clinical study which is intended to evaluate ivonescimab combined with chemotherapy compared to pembrolizumab combined with chemotherapy in patients with first-line metastatic NSCLC.

HARMONi-7: Phase 3 clinical study which is intended to evaluate ivonescimab monotherapy compared to pembrolizumab monotherapy in patients with first-line metastatic NSCLC.

Colorectal Cancer (CRC)

HARMONi-GI3: Phase 3 clinical study intended to evaluate ivonescimab in combination with chemotherapy compared with bevacizumab plus chemotherapy.

Ivonescimab is an investigational therapy not presently approved by any regulatory authority other than China’s National Medical Products Administration (NMPA). Summit is headquartered in Miami, Florida, and has additional offices in California, New Jersey, the UK, and Ireland.

Overview of Role: 

The National Accounts Director, Government Payers –Medicaid will be responsible for leadership and management of Fee-for-Service Medicaid, Managed Medicaid, and Medicaid Buying Pools and other assigned accounts. This is a critical customer-facing role helping to ensure broad access, reimbursement, and patient affordability.    

The Director will be responsible for building and maintaining strong relationships with decision makers within the accounts, including medical and pharmacy departments. This role involves executing strategies and tactics within each account, while also providing support to the regional field matrix teams when necessary.  A strong understanding of managed markets, reimbursement, and payer account management is essential.   

Role and Responsibilities: 

Medicaid — Fee-for-Service and Managed Medicaid   

Establish and maintain relationships with key decisionmakers, including P&T, Medical and Pharmacy Director, and population-based stakeholders to secure appropriate access and optimal product positioning.   

Build the state Medicaid access strategy across fee-for-service programs, Medicaid managed care organizations, and single preferred drug list states, prioritizing oncology volume, coverage restrictiveness and state dynamics.  

Navigate state-level utilization management: prior authorization criteria, step edits, preferred drug lists, P&T committee submissions, and state Drug Utilization Review boards. 

Address physician-administered drug billing requirements at the state level, including NDC-to-HCPCS crosswalk requirements and state-specific claims mechanics that create access friction for buy-and-bill products.  

Monitor Medicaid policy developments — state budget pressure, supplemental rebate arrangements, multi-state purchasing pools, and the Medicaid managed care carve-in/carve-out landscape for oncology drugs.  

Cross-Functional Leadership  

Partner with field reimbursement and patient services teams to design the support infrastructure — benefits investigation, prior authorization support, denial and appeals resources — that Medicaid patients will require at launch.  

Partner with HEOR and Medical Affairs to define the evidence government payers will require, including real-world evidence and economic analyses relevant to Medicaid populations, P&T, DUR Reviews.  

Assist Regional Sales teams with pull-or-sell through strategies based on payer coverage.   

Lead discussions with internal and external partners to ensure alignment on access, coverage, and reimbursement strategies.   

Foster a high-performance culture within the field team by promoting accountability, urgency, ethical behavior, and professional development.  

Compliance  

Conduct all activities in strict accordance with the Anti-Kickback Statute, the False Claims Act, FDA promotional regulations, government price reporting requirements, the PhRMA Code, and Summit's compliance policies. 

All other duties as assigned. 

Experience, Education and Specialized Knowledge and Skills: 

Bachelor's degree required; MBA, PharmD, or other advanced degree preferred.  

Minimum 10+ years of biopharmaceutical experience, with at least 5+ years in government payer, reimbursement, or policy roles.  

Minimum of 5+ years in Oncology or immuno-oncology account management experience.   

Demonstrated success in engaging with US Payers  

Strong understanding of the US healthcare payer/access landscape and regulatory environment  

Excellent strategic thinking, leadership, negotiation, and relationship management skills  

Ability to work with cross-functional teams and drive complex projects to completion  

Exceptional communication and presentation skills  

Ability to travel up to 50% to support business priorities as needed  

Working knowledge of the Medicaid Drug Rebate Program, AMP/Best Price mechanics, and state Medicaid utilization management.  

Experience launching a buy-and-bill specialty or oncology product into the U.S. government payer channel.  

Ability to interpret regulation and translate it into commercial strategy for non-technical audiences.  

Successful record of achieving and maintaining compliance with all applicable regulatory, legal, and operational rules.  

The ability to work effectively in a fast-paced and dynamic environment, balancing multiple priorities and meeting deadlines.  

Preferred Qualifications include: 

Oncology Buy & Bill launch experience, particularly through the transitional coding period.  

Prior experience working with Medicaid  

Experience building a government payer function at a pre-commercial or newly commercial company. 

This is the pay for this position

Pay Transparency$197,000—$246,500 USD 

Actual compensation packages are based on several factors that are unique to each candidate, including but not limited to skill set, depth of experience, certifications, and specific work location. This may be different in other locations due to differences in the cost of labor. The total compensation package for this position may also include bonus, stock, benefits and/or other applicable variable compensation.

Summit does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact Summit’s Talent Acquisition team at recruiting@smmttx.com to obtain prior written authorization before referring any candidates to Summit.

Summit Therapeutics Inc. is an Equal Opportunity Employer and takes pride in creating and maintaining diverse environment. We do not discriminate in recruitment, hiring, training or promotion or any other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected status.

Source: Summittherapeutics careers (Greenhouse)

Similar roles

More roles at Summittherapeutics