Director, Specialty Pharmacy and Payer Accounts

About the Role

This is a Market Access enterprise account director role within the Specialty Pharmacy and Payer enterprise account team, accountable for commercial performance across interconnected segments. The role coordinates closely with other teams to ensure payer access gains translate into Specialty Pharmacy (SP) pull-through execution, and SP performance data informs payer engagement strategy. The Director will manage health plan commercial relationships, drive specialty pharmacy pull-through performance, coordinate with PBM and GPO segment owners, and provide segment-level performance intelligence and access barrier analysis.

Responsibilities

• Own the commercial health plan account relationship, engaging pharmacy directors, medical directors, and clinical policy leadership on formulary tier positioning, prior authorization criteria, step therapy design, and coverage policy across the portfolio.
• Monitor and respond to health plan coverage decisions, tracking formulary updates, utilization management changes, and clinical policy shifts that affect portfolio access, and coordinate rapid responses with the enterprise team and leadership.
• Drive SP pull-through performance by managing the commercial account relationship, executing against performance scorecards covering time-to-fill, dispense rates, hub handoff quality, patient persistence, and REMS compliance.
• Translate payer access outcomes at the health plan into SP pull-through priorities, ensuring formulary wins are activated at the dispensing level and SP performance gaps are connected back to upstream payer access barriers.
• Coordinate with the Enterprise Team on enterprise messaging alignment.
• Lead regular business reviews with stakeholders, presenting portfolio performance data, reporting on joint commitments, and aligning on pull-through initiatives.
• Build and maintain segment-level performance dashboards tracking formulary access status, SP dispense performance, co-pay utilization, and patient access metrics across all segments.
• Identify and escalate access failures—such as prior authorization denials, step therapy barriers, and SP dispensing gaps—to the enterprise team lead and leadership with root cause analysis and recommended responses.

Requirements

• Bachelor’s degree required.
• 10+ years of pharmaceutical commercial experience.
• 4+ years in payer access managed care account management or specialty pharmacy channel management roles.
• Experience managing a health plan or managed care account, engaging pharmacy directors, medical directors, or clinical policy teams on formulary access and utilization management.
• Experience managing specialty pharmacy account relationships and driving SP pull-through performance against measurable scorecards.

Preferred Qualifications

• MBA or advanced degree in Business, Health Economics, or Healthcare Administration.
• Prior Director-level managed care or specialty pharmacy account experience at a top-tier pharmaceutical or large biotech company.
• Ability to connect payer access strategy with SP pull-through execution, understanding how formulary decisions upstream shape dispensing outcomes downstream.
• Track record of working effectively within a cross-functional or team-based enterprise account structure.
• Strong analytical skills, with the ability to build and present segment-level performance analyses to senior internal and external stakeholders.
• Oncology or specialty therapeutic area experience preferred, including familiarity with REMS programs, LDD products, and specialty benefit channel mechanics.

Location

Field Based (National)

Benefits

GSK offers a comprehensive benefits program for US employees. Visit the GSK US Benefits Summary to learn more.

Skills

• Account Management
• Cross-Functional Work
• Data to Insights
• Digital Fluency
• Omnichannel
• Scientific Literacy