National Account Director
Capricor Therapeutics, Inc.About the role
Responsibilities
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Own the access and coverage strategy for an assigned set of national and regional payers, PBMs, and IDN accounts; develop and execute account-specific business plans aligned with Capricor's launch and access objectives.
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Lead value-based clinical, HEOR, and budget-impact discussions with medical directors, pharmacy directors, P&T committees, and policy teams to drive timely and appropriate medical policy positions.
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Navigate the buy-and-bill, medical-benefit, and specialty-pharmacy access pathways unique to infused cell therapies.
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Partner with the Market Access Leadership team on Pricing & Contracting appropriate to a rare-disease, cell therapy economics profile.
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Lead account-level negotiations on coverage, coding, utilization management, and contracting in coordination with Market Access leadership.
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Build and maintain trusted senior-level relationships with payer leadership across assigned accounts.
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Deliver compelling, compliant clinical, economic, and patient-centered presentations using AMCP dossiers, value decks, and approved access materials.
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Monitor coverage decisions, medical policy changes, and utilization management positions across assigned accounts; flag risks and opportunities in real time.
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Payer account (government & commercial) profiling, business plan creation, and strategic execution with top payer / customer accounts.
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Establish access goals, productivity measures, and ensure account plans are created and executed annually.
Internal Coordination & Intelligence
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Partner with Trade & Patient Services to ensure smooth coverage navigation, prior authorization, and case management for patients in the assigned geography.
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Partner with Sales, Medical Affairs, and MSLs to align account-level engagement with broader commercial and scientific activities, in full compliance with channel and engagement rules.
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