Senior Manager, Pharmacy Access & Operations, Specialty Pharmacy

About Sequel 

Sequel, headquartered in Manchester, New Hampshire, is a company developing the next generation of transformative drug-delivery advancements starting with diabetes. Sequel’s approach is to look at diabetes management holistically to advance systems that make living with diabetes simpler and easier for all. Sequel’s flagship product, the twiist Automated Insulin Delivery (AID) System, launched in July 2025 for people with type 1 diabetes providing them with personalized diabetes management.  

Job Overview 

The Senior Manager, Pharmacy Access & Operations is a critical leader within the Market Access & Trade team, responsible for managing the daily execution and long-term strategy of the company’s specialty pharmacy and distribution network. This role serves as the operational and account management lead for trade and channel partners, ensuring seamless product availability, high-quality patient access, and excellence in operational performance. 

This individual will own partner pharmacy relationships, coordinate cross-functional efforts across supply chain, finance, commercial, and patient services, and lead initiatives that support compliant and efficient product distribution. 

• Serve as the primary point of contact for specialty pharmacy partners in the company’s limited distribution network (LDN) 
• Oversee onboarding and implementation of new pharmacy partners 
• Monitor partner performance (e.g., dispense turnaround, call center metrics, patient adherence) and lead performance improvement initiatives 
• Lead ongoing business reviews with partners and internal stakeholders 
• Manage operational execution of partner pharmacy strategy, including order fulfillment, inventory visibility, and returns 
• Collaborate with Supply Chain to ensure product availability and efficient distribution to partner pharmacies 
• Support accurate and timely processing of chargebacks, rebates, and distribution-related financial transactions 
• Maintain and optimize pharmacy operations processes and standard operating procedures (SOPs) 
• Manage Day to Day operations with Customer Care, Market Access, Commercial, and teams to ensure alignment across the patient access journey 
• Partner with Finance to track distribution costs, partner invoicing, and chargeback reconciliations 
• Contribute to the development of key performance indicators (KPIs) and analytics dashboards related to pharmacy and trade operations 
• Ensure all pharmacy operations adhere to regulatory, legal, and compliance standards 
• Support audit readiness and documentation for pharmacy and distribution programs 
• Maintain detailed documentation of operational processes and partner performance 

• Bachelor’s degree, or equivalent combination of education and experience 
• 7+ years of experience in market access, trade & distribution, pharmacy account management, or supply chain within the pharmaceutical, biotech or medical device industries 

• Proven experience working with specialty pharmacy and/or limited distribution networks 
• Deep understanding of product access, reimbursement pathways, and channel operations 
• Strong project management, problem-solving, and analytical skills 
• Excellent communication and relationship management skills 
• Experience launching or managing specialty products in early-stage or growth-stage companies a plus 
• Working knowledge of government pricing, chargeback processing, and 3PL coordination 
• Familiarity with CRM and analytics tools (e.g., Salesforce, Power BI, Excel) 

Sequel Med Tech provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

At Sequel, we believe that when you thrive, we thrive. That’s why our benefits package is designed to support you from day one. You’ll be automatically enrolled in our 401k plan, featuring a 6% company match and 100% immediate vesting. We’re committed to your well-being and understand the unique needs of employees and families living with diabetes, so we offer capped out-of-pocket insulin costs and GLP-1 coverage across all plans. You’ll have access to a variety of Meritain health insurance plans to suit your needs and can also take advantage of Flexible Spending Accounts (FSAs) or Health Savings Account (HSA). Our comprehensive benefits package includes vision and dental coverage, plus voluntary options such as long-term disability, accident, critical illness, hospital indemnity, and even discounts for pet care. In addition, we provide employer-paid short-term disability and life insurance for extra peace of mind.

We know the importance of taking time to rest and recharge. That’s why Sequel offers flexible PTO, generous paid holidays, and Flex Time options to help you balance work and life when you need it most. Our team enjoys a culture built on hard work, fun, and genuine support. At Sequel, you’re not just starting a job, you’re building a rewarding career and a brighter future. Join us, and let’s thrive together!

Environmental/Safety/Physical Work Conditions 

Ensures environmental consciousness and safe practices are exhibited in decisions 

Use of computer and telephone equipment and other related office accessories/devices to complete assignments 

May work extended hours during peak business cycles 

Physical requirements such as lifting specific weights 

Some travelling is expected