Vice President – Managed Markets

Liquidia is deeply passionate and committed to the discovery, engineering, and development required to bring novel therapies to patients who need them most, and to the healthcare providers who care for them. Our current drive is toward improving the treatment of pulmonary hypertension (PH). We will continue to combine our proprietary, innovative PRINT® Technology with new and established medications, offering the potential for both better precision and improved clinical outcomes. Our team members include some of the industry’s top scientists, clinicians, business strategists, engineers, and pharmaceutical executives. We work together to help people lead longer, healthier, and happier lives. 

Job Summary
The VP, Managed Markets is responsible for Liquidia's managed care strategy and for leading the payer contracting, account management, and pull-through that secure and maintain patient access to Yutrepia across Commercial, Medicare, and Medicaid plans. Reporting to the SVP, Market Access, the VP leads a team of Account Directors responsible for national PBM, GPO, and regional health plan relationships, owns the annual bid and contracting cycle across all books of business, and is accountable for formulary position, rebate spend, and gross-to-net performance by account. The VP serves as Liquidia's senior executive contact for payer customers and ensures all contracting activities meet regulatory and compliance requirements, including the federal Anti-Kickback Statute, government price reporting obligations, and Medicare Part D program requirements.

Responsibilities

• Develop and lead the managed care strategy for Yutrepia, including access objectives, formulary positioning, and contracting priorities by book of business and account, aligned to brand strategy.
• Lead, coach, and develop a team of Account Directors, setting account plans, performance objectives, and contracting guardrails, and plan for additional account coverage as the business grows.
• Own the annual bid and RFP cycle across national PBMs, GPOs and rebate aggregators, and regional health plans for Commercial, Medicare, and Medicaid, including bid strategy, offer development, and internal pricing and contracting approval.
• Lead the negotiation of rebate, price protection, administrative fee, and parity, preferred, and exclusive formulary agreements, including rebate-free and point-of-sale discount models, and keep contract terms consistent across the portfolio.
• Partner with Pricing and Access Analytics on deal modeling, gross-to-net forecasting, and the government pricing impact of proposed terms, including AMP and Best Price, before offers are made.
• Partner with Legal and outside counsel on contract drafting, redlines, and amendments, and oversee implementation of executed agreements, including formulary placement, utilization management criteria, and claims and utilization data feeds.
• Oversee contract operations, including rebate invoice validation, formulary compliance and utilization audits, dispute resolution, and timely and accurate rebate payment.
• Monitor coverage and formulary position across Commercial, Medicare, and Medicaid plans, ensure formulary data sources reflect contracted positions, and drive correction of discrepancies.
• Own the Managed Markets scorecard of coverage, lives, rebate spend, and gross-to-net by book and account, and translate results into recommendations for Commercial leadership.
• Monitor the payer and policy environment, including IRA changes to Medicare Parts B and D, PBM reform, utilization management trends, and competitor contracting activity, and incorporate the implications into contracting strategy.
• Partner with Marketing and Medical Affairs on payer value propositions, account materials, and clinical and economic evidence for P&T committee reviews, and manage these materials through promotional review.
• Partner with Field Reimbursement and Sales on pull-through of contracted coverage, including communication of formulary wins, criteria changes, and plan-specific access requirements to the field.
• Partner with Trade and Distribution to inform them of any impact that payer agreements may have on Liquidia's specialty pharmacy network.
• Partner with Patient Support Programs on payer-driven access barriers, including prior authorization criteria, exception processes, and copay accumulator and maximizer programs.
• Serve as Liquidia's senior executive contact for payer customers, leading escalations, executive business reviews, and relationship strategy for priority accounts.
• Partner with Finance on rebate accruals, forecasting, and the Managed Markets budget.
• Collaborate cross-functionally with internal Liquidia teams, including Pricing and Access Analytics, Trade and Distribution, Field Reimbursement, Patient Support Programs, Sales, Marketing, Medical Affairs, Finance, Legal, and Compliance.
• Act with urgency when addressing payer issues that may impact patient access, product initiation, or continuity of therapy.
• Exercise sound judgment and oversight to ensure integrity and compliance with company policies, the federal Anti-Kickback Statute, OIG guidance, and government price reporting requirements in all contracting activities and communications.
• Participate in company-sponsored meetings, trade shows, and industry conferences as requested by management.
• Follow all company compliance policies, procedures, and training requirements.

Requirements

Education and Experience:

• Bachelor's degree required. 
• 12+ years of experience in managed markets, market access, or payer account management within a pharmaceutical or biotechnology manufacturer.
• 5+ years of experience negotiating and executing rebate agreements with national PBMs, GPOs, and health plans.
• 5+ years of people leadership experience, including managing national or regional account teams.
• Demonstrated experience launching or growing a specialty product through payer contracting.
• Experience in access for a pharmacy benefit specialty product required, including Commercial, Medicare, and Medicaid. Medical benefit or buy-and-bill experience preferred but not required.
• Working knowledge of gross-to-net, government pricing (AMP and Best Price), and Medicare rebate and inflation rebate provisions.
• Demonstrated understanding of healthcare compliance frameworks, including the federal Anti-Kickback Statute, the discount safe harbor, and OIG guidance.
• Ability to travel up to 50% of the time for direct engagement with payer customers and partners.

Preferred Qualifications:

• Experience in rare disease or orphan product commercialization.
• Familiarity with pulmonary hypertension.
• Experience with rebate-free and point-of-sale discount models and delinked PBM fee structures.
• Established relationships with decision-makers at national PBMs, GPOs, and regional health plans.
• Experience building or scaling a managed markets or contract operations function.
• Experience with formulary data platforms and payer analytics.
• Experience working in a smaller or growth-stage biopharmaceutical environment.

Knowledge, Skills, and Abilities:

• In-depth understanding of the payer landscape, including PBM, GPO, and rebate aggregator business models, formulary development, P&T processes, and utilization management.
• Strong negotiation skills, with the ability to structure agreements that balance access, net price, and contract risk.
• Strong financial acumen, with the ability to model contract terms and interpret rebate, gross-to-net, and government pricing impacts.
• Strong executive communication and presentation skills, with the ability to influence cross-functionally in a highly matrixed environment and with external executives.
• Proven ability to build, lead, and develop high-performing account teams.
• High levels of organization, attention to detail, and accuracy, particularly in contract language and terms.
• Proactively identifies issues and drives solutions with urgency.
• Demonstrated ability to thrive in a smaller, entrepreneurial organization.
• Proficiency in Microsoft Office applications (Outlook, Word, Excel, PowerPoint).

Benefits

Liquidia offers a competitive compensation package as well as a comprehensive benefits package that includes Medical, Dental, Vision, STD, LTD, 401(k) Savings Retirement Plan, ESPP, and more!
 
Liquidia is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions of this position.
 
Recruiting Agencies, Please Note:
Liquidia will not accept unsolicited assistance from recruiting/search agencies for this employment opportunity. Please, no phone calls or emails. All resumes submitted by recruiting or search agencies to any employee at Liquidia via email, the Internet or in any form and/or method without a valid written search/recruitment agreement in place for this position will be deemed the sole property of Liquidia. No fee will be paid in the event the candidate is hired by Liquidia as a result of the referral or through other means.