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National Account Manager - Medicaid/Medicare

Role overview

Qualifications

  • Bachelor degree in life science, business or marketing, or equivalent education and experience
  • 12+ years of experience in Market Access or National Accounts within pharmaceutical, biotech, or medical device industries
  • Demonstrated success negotiating contracts with PBMs and health plans
  • Familiarity with digital health and connected medical technologies

Responsibilities

  • Lead contract negotiations and execution with PBMs and health plans
  • Drive execution of pharmacy access strategies in collaboration with sales and marketing teams
  • Build and maintain senior-level relationships within PBMs and health plans
  • Monitor market trends and provide strategic input into market access strategies

Key facts

Hard skills

Other skills

  • Communication
  • Collaboration
  • Analytical Thinking
  • Problem Solving
  • Influencing Skills

About the company

Tandem Diabetes Care logo

Tandem Diabetes Care

Medical Devices & Equipment

Tandem Diabetes Care, Inc., a global insulin delivery and diabetes technology company based in San Diego, California, creates new possibilities for people living with diabetes, their loved ones, and healthcare providers through a positively different experience. The company’s human-centered approach to design, development, and support delivers innovative products and services for people who use insulin. Tandem manufactures and sells the t:slim X2 insulin pump with Control-IQ technology. The t:slim X2 is the #1 rated insulin pump and the #1 rated automated insulin delivery system (dQ&A US Patient Panel Q1 2023). For more information, visit tandemdiabetes.com. SAFETY INFORMATION Please note that this account is not intended to be used for product support or medical advice. If you are having a medical emergency, please dial 911. If you are having an issue with one of our products and need immediate assistance, please call our 24 hour customer support team at 877-801-6901 and press 1 twice. RX ONLY. BOXED WARNING: Should not be used by people under age 6, or who use less than 10 units of insulin/day, or who weigh less than 55 lbs. For boxed warning and safety information, see tandemdiabetes.com/safetyinfo.

Company details

Company typeLarge
IndustryMedical Devices & Equipment
Company size1001 - 5000

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Job description

GROW WITH US:
Tandem Diabetes Care creates new possibilities for people living with diabetes, their loved ones, and their healthcare providers through a positively different experience. We’d love for you to team up with us to “innovate every day,” put “people first,” and take the “no-shortcuts” approach that has propelled us to become a leader in the diabetes technology industry.


STAY AWESOME:
Tandem Diabetes Care is proud to manufacture and sell the Tandem Mobi system and t:slim X2 insulin pump with Control-IQ+ technology — an advanced predictive algorithm that automates insulin delivery. But we’re so much more than that. Our company’s human-centered approach to design, development, and support delivers innovative products and services for people who use insulin. Because many of our own team members live with diabetes, or have a loved one impacted by diabetes, the work is personal, and we are committed to the cause. Learn more at tandemdiabetes.com

A DAY IN THE LIFE:

This National Account Manager will have a strong focus on Medicaid and Medicare Advantage (Part C). Other responsibilities will include managing strategic relationships in the Durable Medical Equipment (DME) and Pharmacy Distribution channels including Pharmacy Benefit Managers (PBMs), specialty and retail pharmacy networks, Health Plans, and related access stakeholders. This individual will lead contract negotiations, manage access strategies, and drive execution with a focus on pharmacy benefit access, pull-through, and data-driven performance. The role requires cross-functional collaboration, value-based selling, and field sales partnership to ensure broad patient access and business growth.

The NAM at Tandem is also responsible for:


  • Access Strategy & Contracting
    • Leads contract negotiation and execution with PBMs, Health Plans, Medicaid Plans, Medicare Advantage MCOs, and Large Employers
    • Delivers tailored value propositions using financial modeling, claims analytics, medical information, and health economic data.
    • Secures pharmacy formulary coverage, distribution agreements, and reimbursement pathways aligned to product lifecycle and channel strategy.
    • Maintains Durable Medical Equipment relationships and contracts.
    • Partners with internal legal, pricing, and finance teams to structure pharmacy agreements that balance growth and profitability.
  • Pull-Through & Execution
    • Drives execution of pharmacy access strategies through collaboration with field sales, inside sales, marketing, and market access teams.
    • Translates formulary placement into actionable tools and messaging for field sales to optimize pull-through.
    • Develops and executes training, playbooks, and co-branded resources in partnership with marketing and sales training.
    • Serves as lead point of contact for assigned accounts, ensuring operational execution, service level adherence, and issue resolution.
  • Relationship Management
    • Builds and maintains senior-level relationships within PBMs, Health Plans, Medicaid Accounts, Medicare Advantage MCOs, Large Employers and Payer Organizations to influence formulary and utilization management policy.
    • Represents the organization in business reviews, renegotiation cycles, and quarterly performance meetings with assigned accounts.
    • Collaborates with patient services, reimbursement, and distribution teams to optimize pharmacy fulfillment through limited distribution channels.
  • Market Intelligence & Strategy
    • Monitors market trends, competitor access, and policy shifts that impact pharmacy distribution and reimbursement and Durable Medical Equipment contrats.
    • Informs Market Access Strategy with insights into payer mix, pharmacy benefit adoption, step-edits, and tiering.
    • Provides strategic input into brand planning and pricing.
    • Supports the evolution of hybrid (medical + pharmacy) access models as the landscape shifts toward simpler, scalable solutions.
  • Cross-Functional Leadership
    • Collaborates with Trade & Distribution, Reimbursement, Patient Support, Legal, Marketing, and Medical Affairs to align and implement pharmacy strategy.
    • Partners with sales leadership to ensure timely and coordinated pull-through across geographies.
    • Serves as subject matter expert in internal working groups and field-facing strategy sessions.

WHAT YOU’LL NEED:

  • Bachelor degree, preferably in a life science, business or marketing or a combination of equivalent education and applicable job experience.
  • 12+ years of experience in Market Access, National Accounts, or Managed Markets within the pharmaceutical, biotech, or medical device industries.
  • Demonstrated success negotiating contracts with PBMs, health plans, Medicaid Accounts, and Medicare Advantage (Part C) MCOs.
  • Prior experience working in a company with a strong pharmacy-first or limited distribution model preferred.
  • Familiarity with digital health and connected medical technologies preferred.
  • Deep understanding of the pharmacy benefit landscape, PBM contracting, pharmacy reimbursement, Medicaid, Medicare, specialty distribution, and DME contracting.
  • Strong analytical acumen with the ability to leverage data sets and turn them into actionable account strategies.
  • Proven negotiation and influencing skills with C-suite and senior executives within commercial payers, Medicaid, Medicare, and Large Employers.
  • Experience in patient access programs, co-pay assistance models, and limited distribution networks.
  • Skilled communicator with the ability to translate formulary placement and utilization management criteria into field-ready messaging.
  • Comfortable navigating ambiguity in a high-growth, evolving access model environment.
  • Ability to travel up to 50% as required and work from a home office; must maintain valid driver’s license and required auto insurance as well as good driving record, per company policy.
  • Ability to travel by car or airplane up to 50% of the time.

WHEN & WHERE YOU’LL WORK:

Remote with Travel: This position is fully remote and open to candidates within the United States. Equipment for the role will be provided and training will occur virtually. 


COMPENSATION & BENEFITS:

The starting base pay range for this position is $174,000 - $221,000 annually plus incentive compensation (commission-based compensation is based on the achievement of goals).  Base pay will vary based on job-related knowledge, skills, experience and may also fluctuate depending on candidate’s location and the overall job market. In addition to base pay, Tandem offers a competitive compensation package that includes bonus and a robust benefits package. 


Tandem offers health care benefits such as medical, dental, vision available your first day, as well as health savings accounts and flexible saving accounts.  You’ll also receive 11 paid holidays per year, a minimum of 20 days of paid time off (with accrual starting on day 1) and you will have access to a 401k plan with company match as well as an Employee Stock Purchase plan.  Learn more about Tandem’s benefits here!


YOU SHOULD KNOW: 

Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable state and local Fair Chance laws and regulations. A conditional offer of employment from Tandem is contingent upon successful completion of a pre-employment screening process comprised of a drug test (excluding marijuana) and background check, which includes a review of criminal history information.


Tandem has good cause to conduct a review of criminal history information of candidates for this position, as this role may involve access to proprietary, sensitive and/or confidential information, including customer protected health information. This review is required to ensure that individuals in such roles uphold high standards of trust and integrity so as to protect the interests of our customers, employees, and stakeholders.


SPONSORSHIP:  

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. 

WHY YOU’LL LOVE WORKING HERE:
At Tandem, we believe joy fuels excellence. That's why we've built a workplace that celebrates your achievements and  supports your well-being. Our team thrives on pushing boundaries and fostering growth, all while maintaining a spirit of fun and camaraderie.  This is just one of the ways we stay awesome! Explore the benefits and reasons to love Tandem at https://www.tandemdiabetes.com/careers.

BE YOU, WITH US!

We embrace the value that every single one of us brings to the table.  But sometimes we forget that when we don’t meet 100% of a job description’s criteria – maybe you’re feeling that way right now? We encourage you to apply anyway.  Because we want you to be you, with us. 

Tandem is firmly committed to being an equal opportunity employer and does not discriminate on the basis of age, disability, sex, race, religion or belief, gender identity or expression, marriage/civil partnership, pregnancy/maternity, or sexual orientation.  We are an inclusive organization, and we welcome applications from a wide range of candidates.  Selection for roles will be based on individual merit alone. 

REFERRALS:
We love a good referral! If you know someone who would be a great fit for this position, please share! 

APPLICATION DEADLINE: 
The position will be posted until a final candidate is selected for the requisition or the requisition has a sufficient number of applications.

Make a move that matters. Join Tandem Diabetes Care, where we're turning challenges into triumphs every day and where your talents will help shape a healthier, happier tomorrow. 

#LI-Remote #LI-DW1

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Marcus Rivera

Chief Revenue Officer

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