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National Account Director, Medicaid, Global Rare Diseases - Midwest 1

Chiesi
remote work
United States, North Carolina, Cary
175 Regency Woods Place (Show on map)
Oct 20, 2026

About Us

Based in Parma, Italy, Chiesi is an international research-focused biopharmaceutical group with 90 years' experience, operating in 31 countries. More than 8,000 employees across the group are united by a singular purpose: promoting a healthier world for our people, patients, and the planet. This is what drives us as we research, develop, and market innovative drugs across our main therapeutic areas. Discover more here.

At Chiesi we are thinking generations ahead, driving sustainable innovation with purpose. This fosters a culture of reliability, transparency, and ethical behaviour at every level. As a Benefit Corporation and a certified B Corp, we have embedded sustainability in our bylaws and continuously measure our impact.

Diversity, inclusion, and equal opportunity are at the heart of who we are. We believe our differences make us stronger. We are a vibrant ecosystem of passionate, talented individuals united by strong values, each bringing unique perspectives that help us to continuously challenge the status quo for the better.

Chiesi Global Rare Diseases

Chiesi Global Rare Diseases is a Chiesi Group's business unit established in February 2020 and focused on research, development and commercialization of treatments and patient support services for rare and ultra-rare disorders, many of whom have limited or no treatments available.

This unit is based in Boston, Massachusetts, with a strong synergy with the headquarters in Parma.

Rare unit has a focus on research and product development for lysosomal storage diseases, rare hematology, ophthalmology disorders and rare immunodeficiencies. The unit is also a dedicated partner with global leaders in scientific research, patient advocacy and care. Discover more here.

Who we are looking for

This is what you will do

Reporting to the Head, USMarketAccess National & Government Accounts, the National Account Director (NAD) will execute strategic and tactical initiatives to obtain optimal coverage, reimbursement, and patient & HCP access for the Chiesi Global Rare Disease portfolio within select and aligned business channels (Payers & PBMs) within the United States.



The role also requires contract negotiation and execution experience with US payer's business lines in multiple therapeutic areas along with understanding the evolving changing payer and policy landscape and ability to work effectively within it.

You'll be responsible for:

  • Serve as a primary Chiesi Global Rare Diseases contact for assigned U.S. accounts and contribute to the company's success by executing the GRD Market Access strategy. Build strategic relationships and secure favorable portfolio placement and medical policy access to support appropriate patient access within assigned accounts.
  • Leverage experience across payer segments, Patient Services, reimbursement and medical teams, specialty pharmacies, and hub services to identify and address adjudication and reimbursement challenges. Collaborate closely with the Market Access Field Reimbursement team, Patient Services, and Chiesi Total Care to support effective issue resolution.
  • Collaborate with National Account Directors and Field Reimbursement teams to achieve market access objectives. Partner with the field sales organization and other cross-functional stakeholders to advance Chiesi Global Rare Diseases business priorities.
  • Design, implement, and operationalize pull-through programs across national and regional health plans. Evaluate and negotiate payer contracts for selected current and future products in alignment with organizational objectives.

You will need to have

  • BS/BA required. Graduate or Pharmacy degree preferred.
  • A minimum of 10 years of relevant experience in the pharmaceutical or biotechnology industry is required, preferably including at least seven years in payer-facing roles supporting rare or orphan products across both pharmacy and medical benefits.
  • Demonstrated Commercial contract negotiation and execution experience of at least five years with US Payers is required
  • Established relationships and a record of successful collaboration with national and key regional payers are required.
  • Experience working within Rare Disease/Orphan/Specialty products preferred
  • Demonstrated initiative, creativity and strategic relationship building
  • Demonstrated ability to develop, communicate, and implement successful strategic initiatives
  • Proven leadership skills, strong collegial communication skills, and strong business acumen


  • Effective executive level negotiation skills
  • Well-developed relationship management and consultative sales skills with US Payers
  • Demonstrated Commercial contract negotiation and execution experience of at least five years with US Payers
  • Self-directed and confident, with developed ability to build teamwork centered on shared commitment and goals to achieve high standards of performance
  • Ability to successfully manage multiple tasks and multifunctional resources concurrently while maintaining high attention to detail while responding to rapidly changing priorities and aggressive deadlines.
  • Proficient in MS Office (Word, Excel, Project, Outlook, TEAMs) Adobe. Additional experience working with payer data access platforms and other data driven interactive dashboards.

We would prefer for you to have

  • Graduate or Pharmacy degree.
  • Additional experience in sales, marketing, payer marketing or contracting.
  • Experience working within Rare Disease/Orphan/Specialty products preferred.

Location

Field-Based/Remote position, up to 75% travel as necessary to meet job requirements. #LI-Remote

Compensation

The annual base pay for this position ranges from $187,830 to $240,000. Hourly and salaried non-exempt employees will also be paid overtime pay when working qualifying overtime hours. Base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. If hired, the employee will be in an "at-will position" and the Company reserves the right to modify base pay (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

What we offer

No matter where your path starts at Chiesi, it leads to inspiring possibilities. Your future is our focus, and we are committed to nurturing your development in our dynamic, friendly environment with access to resources and training every step of the way.

We provide top-class benefits, including comprehensive healthcare programs, work-life balance initiatives, and robust relocation support. Our salary package is competitive, comprising a basic salary, performance bonuses, and benefits benchmarked against the external market. Additionally, we offer flexible working arrangements, remote work options, and tax assistance services for foreign colleagues, all designed to help you thrive.

Chiesi USA is an equal opportunity employer committed to hiring a diverse work force at all levels of our business. All qualified applicants receive consideration for employment without regard to race, national origin, age, sex, religion, disability, marital status, veteran status, or any other basis protected by local, state or federal law. This policy applies with regard to all aspects of one's employment, including hiring, transfer, promotion, compensation, eligibility for benefits and termination.


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