1

Payer Strategy Manager Jobs in Wisconsin (NOW HIRING)

WI · On-site

$183.10 - $305.20/hr

Own and manage a portfolio of approximately 10-12 AMCs and neuromuscular specialty centers within ... payer strategy and resolve prior authorization barriers. * Coordinate with specialty pharmacy ...

$136K - $204K/yr

Regional payer policies, formulary updates, and coverage nuances. * PA/medical exception criteria ... Experience developing and executing strategic business/account plans * Demonstrated ability to ...

$136K - $204K/yr

Regional payer policies, formulary updates, and coverage nuances. * PA/medical exception criteria ... Experience developing and executing strategic business/account plans * Demonstrated ability to ...

$136K - $204K/yr

Regional payer policies, formulary updates, and coverage nuances. * PA/medical exception criteria ... Experience developing and executing strategic business/account plans * Demonstrated ability to ...

$136K - $204K/yr

Regional payer policies, formulary updates, and coverage nuances. * PA/medical exception criteria ... Experience developing and executing strategic business/account plans * Demonstrated ability to ...

Pharmacy Services Senior Director

Superior, WI · On-site

$123K - $163K/yr

... payer and pharmacy benefit manager (PBM) dynamics, wholesaler and manufacturer relationships, pharmacy contracting, and revenue cycle - and you are energized by being the strategic voice on the ...

Pharmacy Services Senior Director

Superior, WI · On-site

$123K - $163K/yr

Own pharmacy payer and PBM strategy. Serve as Essentia's primary partner with commercial payers, government payers, and pharmacy benefit managers, and build our negotiation approach to ensure we are ...

... growth strategy for Everise's largest healthcare payer and health services clients. This role ... Master's degree or equivalent executive education preferred (Business, Management, or related field ...

Showing results 21-40

Payer Strategy Manager information

What is the difference between Payer Strategy Manager vs Payer Account Manager?

AspectPayer Strategy ManagerPayer Account Manager
CredentialsBachelor's degree, healthcare or business background, sometimes an MBABachelor's degree, healthcare or business background, often with sales or account management experience
Work EnvironmentStrategic planning, market analysis, cross-functional collaborationClient relationship management, sales, contract negotiations
Employer & Industry UsageHealth insurance companies, pharmaceutical firms, healthcare consultingHealth insurance companies, managed care organizations, pharmaceutical companies

The Payer Strategy Manager focuses on developing and implementing payer strategies through market analysis and cross-functional collaboration. In contrast, the Payer Account Manager primarily manages client relationships, negotiates contracts, and maintains payer accounts. While both roles work within the healthcare payer industry, the Strategy Manager emphasizes planning and market positioning, whereas the Account Manager concentrates on client retention and sales.

What are the key skills and qualifications needed to thrive as a payer strategy manager?

To thrive as a Payer Strategy Manager, you need expertise in healthcare policy, data analysis, contract negotiation, and a background in business, healthcare administration, or a related field. Familiarity with claims management systems, financial modeling tools, and payer-provider platforms is typically required, along with relevant certifications such as Certified Professional in Healthcare Management (CPHM). Strong analytical thinking, relationship-building, and strategic communication skills help set top performers apart in this role. These capabilities are crucial for developing effective payer strategies, optimizing reimbursement, and maintaining productive partnerships with insurance payers.

What is a payer strategy manager?

A Payer Strategy Manager is a professional in the healthcare industry responsible for developing and implementing strategies related to health insurance payers, such as insurance companies, government programs, and managed care organizations. Their role involves analyzing market trends, negotiating contracts, and ensuring that products and services align with payer requirements to optimize reimbursement. They often collaborate with sales, marketing, and product teams to support business growth and maintain strong payer relationships. Payer Strategy Managers play a key role in shaping how healthcare organizations interact with payers to maximize access and profitability.

What are the primary challenges a payer strategy manager faces when aligning internal teams with payer requirements?

A Payer Strategy Manager often navigates the complex task of bridging internal cross-functional teams, such as sales, medical, and market access, with the evolving requirements of payers. This requires not only an in-depth understanding of payer policies and reimbursement landscapes but also strong communication skills to translate these requirements into actionable strategies. One common challenge is ensuring that all stakeholders remain informed and agile as payer expectations shift, which means the role demands adaptability and proactive coordination. Success often relies on building collaborative relationships and maintaining open channels of communication across departments.
What are the most commonly searched types of Payer Strategy jobs in Wisconsin? The most popular types of Payer Strategy jobs in Wisconsin are:
What are popular job titles related to Payer Strategy Manager jobs in Wisconsin? For Payer Strategy Manager jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Payer Strategy Manager jobs in Wisconsin look for? The top searched job categories for Payer Strategy Manager jobs in Wisconsin are:
What cities in Wisconsin are hiring for Payer Strategy Manager jobs? Cities in Wisconsin with the most Payer Strategy Manager job openings:
Infographic showing various Payer Strategy Manager job openings in Wisconsin as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

Neurology Account Director - South Central

Regeneron Pharmaceuticals, Inc

WI • On-site

$183.10 - $305.20/hr

Other

Posted 5 days ago


Regeneron rating

8.7

Company rating: 8.7 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

14th of 86 rated pharmaceutical


Job description

Build our Future Together

The Neurology Account Director (NAD) is a field-based institutional key account role responsible for driving the launch and ongoing commercial performance of Regeneron's C5 inhibitor for generalized myasthenia gravis (gMG) within approximately 10–12 assigned academic medical centers (AMCs) infusion centers, and neuromuscular specialty centers. The account director serves as a Regeneron commercial point of contact within targeted institutions, responsible for formulary access, infusion suite education and pull-through, and long-term institutional partnership development. The AD combines deep MG clinical acumen, institutional navigation skills, financial acumen, and cross-functional coordination to maximize patient access and revenue within their assigned territory.

When & Where
  • Remote role
  • Location: South Central (Texas, Arkansas and Louisiana)
  • Travel: Up to 60–70%, including overnight travel within assigned territory
Discover Your Role Institutional Account Management
  • Own and manage a portfolio of approximately 10–12 AMCs and neuromuscular specialty centers within an assigned U.S. region, serving as the institutional commercial lead.
  • Develop and execute comprehensive account plans for each institution, including formulary strategy, stakeholder mapping, competitive positioning, and patient access pathways.
  • Navigate complex institutional buying environments including P&T committees, pharmacy contracting, hospital administration, and infusion center operations.
  • Build and maintain deep, trust-based relationships with neurology department heads, treating neurologists, clinical pharmacists, infusion nurses, and medical directors.
Formulary & Market Access Pull-Through
  • Lead formulary and pathway submissions and P&T committee presentations at targeted institutions, positioning the C5 inhibitor for preferred or unrestricted formulary status.
  • Partner with Market Access National and Payer Account Directors to align institutional contracting with broader payer strategy and resolve prior authorization barriers.
  • Coordinate with specialty pharmacy partners and Patient Services hub to ensure seamless reimbursement workflows for buy-and-bill infusion products.
  • Track formulary status, pull-through metrics, and access barriers across all assigned accounts; escalate systemic issues with data-driven recommendations.
Stakeholder & KOL Engagement
  • Identify, develop, and maintain relationships with key opinion leaders (KOLs) in neuromuscular medicine within assigned territory, in coordination with Medical Affairs.
  • Represent Regeneron at national and regional neurology congresses (AAN, MGFA), medical education events, and institutional grand rounds as appropriate.
Analytics, Planning & Reporting
  • Maintain detailed CRM records and account intelligence; leverage IQVIA/Symphony Health data for prescriber-level targeting and performance measurement.
  • Track and report on KPIs including accounts engaged, formulary inclusions achieved, patient switches, revenue per account, and competitive share of voice.
  • Prepare and present quarterly business reviews to the Executive Director, highlighting account progress, barriers, competitive dynamics, and resource needs.
  • Contribute to territory realignment recommendations and Year 2 expansion planning based on field-level market intelligence.
This Role Requires
  • Bachelor's degree required; PharmD, RN, or advanced degree in life sciences strongly preferred.
  • Minimum 10–12+ years institutional sales, market access, or account management experience in pharmaceutical/biotech.
  • Demonstrated experience with hospital/AMC formulary processes, P&T committee engagement, and institutional buy‑and‑bill contracting.
  • Track record of success in rare disease, neurology, or specialty biologic sales/account management, ideally including launch experience.
  • Strong clinical acumen with the ability to engage physicians, pharmacists, and medical directors in scientifically rigorous conversations.
  • Experience executing competitive switch or conversion strategies in institutional settings.
  • Proficiency with CRM systems and commercial analytics platforms (IQVIA, Symphony Health, specialty pharmacy data).
  • Ability to manage complex, multi‑stakeholder account relationships independently with minimal supervision.
  • Willingness to travel 60–70% within assigned territory, including overnight travel.
  • Candidates must reside within the assigned territory.
Preferred
  • Experience in complement biology, neuromuscular disease, or C5/FcRn inhibitor markets.
  • Existing relationships with neurology KOLs or MGFA‑recognized center‑of‑excellence leadership.
  • Prior experience with infusion biologic launches in hospital/outpatient infusion settings.
  • Knowledge of specialty pharmacy hub operations, patient assistance programs, and prior authorization workflows.
  • Understanding of medical benefit (Part B) reimbursement, ASP pricing dynamics, and buy‑and‑bill economics.
Core Competencies
  • Clinical Credibility – Translates C5 mechanism of action, dosing differentiation, and clinical evidence into compelling value propositions that resonate with treating physicians and institutional decision‑makers.
  • Institutional Account Navigation – Expertly engages across all levels of AMC hierarchies, from neurology fellows to C‑suite administrators, pharmacy directors to infusion center leadership.
  • Strategic Account Planning – Builds data‑driven, multi‑quarter account strategies that address formulary access, competitive positioning, and patient journey barriers.
  • Patient Journey Management – Coordinates cross‑functionally with Patient Services, specialty pharmacy, and market access to remove barriers and ensure seamless treatment initiation and continuation.
  • Relationship Building – Develops deep, trust‑based institutional partnerships that create long‑term competitive advantages in rare neuromuscular disease.
  • Results Orientation – Drives measurable outcomes through disciplined account planning, KPI tracking, and relentless follow‑through on formulary wins.

$183,100.00 - $305,200.00

Regeneron is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion or belief (or lack thereof), sex, nationality, national or ethnic origin, civil status, age, citizenship status, membership of the Traveler community, sexual orientation, disability, genetic information, familial status, marital or registered civil partnership status, pregnancy or parental status, gender identity, gender reassignment, military or veteran status, or any other protected characteristic in accordance with applicable laws and regulations. The Company will also provide reasonable accommodation to the known disabilities or chronic illnesses of an otherwise qualified applicant for employment, unless the accommodation would impose undue hardship on the operation of the Company's business.

#J-18808-Ljbffr

What Regeneron employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom