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Remote Payer Strategy Jobs in Washington (NOW HIRING)

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Remote Payer Strategy information

What is a remote payer strategy?

A Remote Payer Strategy role involves developing and implementing plans to manage relationships with healthcare payers, such as insurance companies and government programs, from a remote location. Professionals in this position analyze payer trends, negotiate contracts, and ensure that healthcare services are reimbursed efficiently and accurately. They collaborate with internal teams and payers to optimize reimbursement rates and compliance, while working remotely to provide flexibility and broader geographic reach. The position typically requires knowledge of healthcare reimbursement, payer policies, and strong analytical and communication skills.

How does a remote payer strategy professional typically collaborate with cross-functional teams to achieve organizational goals?

As a Remote Payer Strategy professional, you will routinely collaborate with teams such as sales, marketing, medical affairs, and data analytics to develop and execute market access strategies. This collaboration often involves virtual meetings, sharing payer insights, and aligning on tactics to optimize reimbursement and formulary inclusion. Effective communication and adaptability are essential, as you’ll bridge the needs of internal stakeholders with payer expectations, ensuring that the organization’s products gain and maintain favorable access in a dynamic healthcare landscape.

What are the key skills and qualifications needed to thrive as a remote payer strategy professional, and why are they important?

To excel in Remote Payer Strategy, you need a strong understanding of healthcare reimbursement models, payer contract negotiation, and data analysis, typically supported by a degree in healthcare administration, business, or a related field. Familiarity with payer management systems, claims processing software, and sometimes certifications like Certified Professional in Healthcare Quality (CPHQ) are highly valued. Exceptional communication, strategic thinking, and relationship-building skills set professionals apart in this role. These skills ensure the effective development and execution of reimbursement strategies that optimize revenue and maintain positive payer relationships in a remote environment.

What is the difference between Remote Payer Strategy vs Remote Healthcare Analyst?

AspectRemote Payer StrategyRemote Healthcare Analyst
Required CredentialsBachelor's degree in healthcare, business, or related field; experience in payer or insurance industryBachelor's or master's in healthcare, statistics, or related field; analytical skills
Work EnvironmentFocus on payer strategies, insurance plans, and reimbursement modelsData analysis, reporting, and healthcare data interpretation
Employer & Industry UsageInsurance companies, healthcare payers, healthcare consulting firmsHealthcare providers, research organizations, consulting firms

Remote Payer Strategy professionals focus on developing and implementing strategies related to insurance reimbursement and payer relationships, while Remote Healthcare Analysts analyze healthcare data to inform decision-making. Both roles require healthcare knowledge but differ in their core functions and industry focus.

What are the most commonly searched types of Payer Strategy jobs in Washington?

The most popular types of Payer Strategy jobs in Washington are:

What are popular job titles related to Remote Payer Strategy jobs in Washington?

For Remote Payer Strategy jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Remote Payer Strategy jobs in Washington look for?

The top searched job categories for Remote Payer Strategy jobs in Washington are:

What cities in Washington are hiring for Remote Payer Strategy jobs?

Cities in Washington with the most Remote Payer Strategy job openings:

Executive Long-Term Care Sales Specialist - Washington, D.C.

ACADIA Pharmaceuticals

Waldorf, MD • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Position Summary

Responsible for driving sales, developing business, and addressing customer needs within an assigned long-term care (LTC) territory. Manages relationships with prescribers, pharmacists, facility decision-makers, and other members of the LTC care team to ensure appropriate patients are identified, started, and maintained on therapy.

Primary Responsibilities

  • Build and maintain strong relationships with all members of the LTC resident care team, including physicians, physician-extenders (NP/PA), consultant pharmacists, dispensing pharmacists, and nursing facility leadership/staff.
  • Promote Acadia products by delivering compliant clinical, disease state, and reimbursement education tailored to customer needs.
  • Identify and address customer questions, concerns, and objections with advanced selling skills.
  • Develop deep knowledge of customers, practices, and local/regional market trends; apply this insight to business planning.
  • Create and execute quarterly territory business/action plans, leveraging data to maximize reach, frequency, and impact within budget.
  • Provide guidance on pricing, reimbursement, and LTC-specific profitability parameters; act as liaison between customers and Acadia for access-related questions.
  • Collaborate with sales management, territory teammates, and cross-functional partners (e.g., managed markets, marketing, operations, training) to address business needs.
  • Represent Acadia at conferences, exhibits, product launches, and training sessions; contribute to regional and national initiatives.
  • Mentor and train new/junior Sales Specialists; share field insights and participate in cross-functional projects.
  • Maintain compliance with all regulatory requirements, company policies, and LTC regulations affecting medication use and resident care.

Knowledge & Expertise

  • In-depth knowledge of neuroscience, LTC market dynamics, payer systems (Part A, Part D), specialty distribution, and applicable LTC regulations.
  • Ability to position Acadia as a valued partner in the LTC community, earning recognition as a subject-matter expert.
  • Proficiency in Microsoft Office and virtual engagement platforms (e.g., Zoom, WebEx).

Qualifications

  • Bachelor's degree required, with an emphasis in the life sciences preferred.
  • To qualify for Sales Specialist requires 3 years of sales experience with at least 1 year in pharmaceutical, and/or other related healthcare sales, with an emphasis on neuroscience preferred.
  • To qualify for Sr. Specialist level, requires a minimum of 8 years of healthcare sales with at least 2 years of experience in complex or account-based selling environments is required.
  • To qualify for Executive level, requires a minimum of 12 years of healthcare sales with at least 3 years of experience in complex or account-based selling environments is required.
  • Proven leadership, mentorship, and role-model capabilities at a regional level.
  • Strong business acumen, organization, and self-motivation with a business ownership mentality.
  • Must reside within the territory (or within 30 miles of its border) and, if required, within reasonable proximity to a major airport.
  • Valid driver's license with acceptable driving record; ability to drive a company vehicle daily and travel independently by air. Travel may be up to 80%, including overnight stays and occasional after-hours work.
  • Must meet vaccination and facility access requirements for customer visits and event participation.

Scope

Operates with a high degree of autonomy and expertise, addressing complex business challenges with creativity and sound judgment. Shapes territory strategy, influences regional initiatives, and acts as a trusted partner to internal and external stakeholders.

Physical Requirements:

This role involves regular standing, walking, sitting, and the use of hands for handling or operating equipment. The employee may also need to reach, climb, balance, stoop, kneel, crouch, and maintain visual, verbal, and auditory communication both in a standard office environment and while working independently from remote locations. Employee must occasionally lift and/or move up to 20 pounds. This position requires the ability to travel independently overnight and/or work after hours as required by travel schedule or business needs.

Must reside within the territory (or within 30 miles of its border) and, depending on territory needs, within reasonable proximity to a major airport. Requires eligibility to drive a company vehicle and ability to travel independently by air. Travel may be up to 80% of the time, including occasional after-hours work based on business needs.

Position levels:

  • Sales Specialist: $115,000.00-requires 1-2 years of sales experience with at least 1 year in pharmaceutical, and/or other related healthcare sales, with an emphasis on neuroscience preferred.
  • Sr. Sales Specialist: $135,000.00- requires a minimum of 5 years of healthcare sales with at least 2 years of experience in complex or account-based selling environments is required.
  • Executive Sales Specialist: $155,000.00- requires a minimum of 12 years of healthcare sales with at least 3 years of experience in complex or account-based selling environments is required.

What we offer US-based Employees:

  • Competitive base, bonus, new hire and ongoing equity packages
  • Medical, dental, and vision insurance
  • Employer-paid life, disability, business travel and EAP coverage
  • 401(k) Plan with a fully vested company match 1:1 up to 5%
  • Employee Stock Purchase Plan with a 2-year purchase price lock-in
  • 15+ vacation days
  • 13 -15 paid holidays, including office closure between December 24th and January 1st
  • 10 days of paid sick time
  • Paid parental leave benefit
  • Tuition assistance

EEO Statement (US-based Employees): Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications in the exact way they are described in job postings. We are committed to building a diverse, equitable, inclusive, and innovative company, and we are looking for the BEST candidate for the job. That candidate may be one who comes from a less traditional background or may meet the qualifications in a different way. We strongly encourage you to apply, especially if the reason you are the best candidate isn't exactly what we describe here.

It is the policy of Acadia to provide equal employment opportunities to all employees and employment applicants without regard to considerations of race, including related to hairstyle, color, religion or religious creed, sexual orientation, gender, gender identity, gender expression, gender transition, country of origin, ancestry, citizenship, age, physical or mental disability, genetic information, legally-protected medical condition or information, marital status, domestic partner status, family care status, military caregiver status, veteran or military status (including reserve status, National Guard status, and military service or obligation), status as a victim of domestic violence, sexual assault or stalking, enrollment in a public assistance program, or any basis protected under federal, state or local law.

As an equal opportunity employer, Acadia is committed to a diverse workforce. If you are a qualified individual with a disability or a disabled veteran, you have the right to request a reasonable accommodation. Furthermore, you may request additional support if you are unable or limited in your ability to use or access Acadia's career website due to your disability, along with any accommodations throughout the interview process. To request or inquire about your reasonable accommodation, please complete our Reasonable Accommodation Request Form or contact us at talentacquisition@acadia-pharm.com or 858-261-2923.

Please note that reasonable accommodations granted throughout the recruiting process are not guaranteed to be the same accommodations given if hired. A new request will need to be submitted for any ADA accommodations after starting employment.