H-1B Visa National Sales Representative Jobs
H-1B visa jobs for National Sales Representative roles require employers to structure the position around degree-level duties in business, marketing, or a related field. Sponsoring companies file a Labor Condition Application with DOL and an I-129 petition with USCIS, covering your status for up to three years with extension possible to six.
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Job Title: National Payer Account Executive
Job Requisition ID: 2573
Posting Start Date: 11/5/26
At Daiichi Sankyo, we are united by a single purpose, to improve lives around the world through innovative medicines. With a legacy of innovation since 1899, a presence in more than 30 countries, and more than 19,000 employees, we are advancing breakthrough therapies in oncology, cardiovascular disease, rare diseases, and immune disorders. Guided by our 2030 vision to "be an innovative global healthcare company contributing to the sustainable development of society", we are shaping a healthier, more hopeful future for patients, their families, and society.
Job Summary
The primary responsibility of the National Payer Accounts Executive (NPAE) is to develop and execute strategy and tactics for key national and select regional accounts. The NPAE will position DSI products for optimal access and usage within select market segments to drive growth and market share. This individual will have complete business ownership for assigned national and select regional accounts and facilitate access and reimbursement for DSI products across multiple channels (commercial, Medicare, Medicaid, Federal). This individual would serve as the primary point of contact responsible for: developing deep customer knowledge, communicating key customer insights and creating new innovative business opportunities for DSI. In conjunction with the Director, Payer Accounts, the NPAE is the single DSI point of contact within these assigned key accounts responsible for gaining and protecting access, driving growth of existing products, and maximizing the value and potential of new launch products and indications.
Responsibilities
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Develop, maintain, and enhance business relationships with assigned national and select regional accounts to ensure access and medical policy coverage that accomplishes company objectives for DSI’s existing portfolio, new launches, and indication expansions. The primary focus is on payer pharmacy decision maker and influencer relations, contract negotiations, and delivery of clinical and economic value. It also includes having the capability to network and build relationships with key influencers outside of pharmacy to obtain key payer insights/knowledge in order to identify and impact potential opportunities.
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Serve as a primary point/liaison between DSI and the assigned payer customer (i.e. clinical, medical, provider relations, marketing, contracting and other departments). Develop a comprehensive business plan which includes objectives, goals and tactics for assigned accounts. Maintain an accurate account profile of all key customer contacts and an overall profile of the account including; competitive messaging and contracting, key business priorities/insights, unique or innovative contract offerings, and sphere of influence/associations within the payer marketplace.
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Perform detailed account planning analysis to assess profitability and desirability of potential customer agreements before entering contractual relationships. Partner internally with Strategic Pricing and Contracting team to ensure payer insights are assessed and appropriately incorporated into payer pricing strategy and contract development.
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Understand the customers’ business needs and deliver product value propositions and key resources in order to secure and grow/maintain product portfolio and indication access. Demonstrate expertise as the subject matter expert on the assigned key payer accounts and serve in that capacity with internal DSI stakeholders.
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Master the market landscape, disease state, product clinical value, competition value, pricing, buy & bill end user provider business and reimbursement, payer and provider pathway impact and patient financial responsibilities and assistance programs impacting market access for DSI products. Use this mastery to appropriately build access through impact on policies, pathways, guidelines, and contracts.
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Partner with HOL Team and US Medical Team to engage customers with HEOR, PIE and product pipeline data to support DSI value propositions and identify potential value-based concepts for appropriate innovative contract discussions.
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Collaborate and consult with internal colleagues as appropriate on key payer or US Healthcare landscape issues that impact market access for commercial sale.
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Partner with Regional Oncology Account Directors (ROADs) and Managers (ROAMs), Field Reimbursement Managers (FRMs) and FRM Directors, Sales Leadership, Market Access and Brand Marketing, Commercial Operations, and Market Access Training as appropriate to ensure proper and effective implementation of all company and customer initiatives.
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Communicate and collaborate effectively and consistently in the CARE Team model to support key payer account knowledge and product access opportunities/challenges. Monitor and analyze account utilization and market share data for DSI products relative to competitors and develop tactics to enhance approach. Collaborate with key cross-functional stakeholders to develop strategic revenue access opportunities for national implementation. Use analytics and market insight tools to drive strategy and tactics.
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Track performance of existing initiatives and make sound business decisions to maximize efforts.
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Coordinate and manage the entire process for assigned key accounts at various stages of development and growth. Collaborate with internal stakeholders to identify and facilitate pull through initiatives to increase utilization of DSI products.
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Collaborate with other National Payer Accounts Executives to share best practices and address new market issues that key customers are responding to as a result of health care reform or government policy.
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Partner with Contract Pricing & Strategy team to conduct financial modeling that supports sound business cases and develop appropriate PCSC requests in conjunction with contracting managers to support those key business cases.
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Attend national and regional DSI sales and Market Access meetings to deliver key payer account updates and insights. Attend key national and/or regional conferences/conventions to connect, network, and engage with national/regional account customers. Develops and maintains contacts within the industry to provide key payer account insights and information, understand the competitive landscape and gather information on specific laws, regulations or legislation. Perform routine administrative duties and special assignments properly and on a timely basis while maintaining compliance with all DSI policies and procedures. Consistently use the DSI CRM, Veeva, to appropriately record customer engagements; update customer key contacts, account information, business insights and account call progression objectives; and provide continuity of information flow for internal business account management and updates.
Qualifications
Successful candidates will be able to meet the qualifications below with or without a reasonable accommodation.
Education Qualifications
Bachelor's Degree required
MBA preferred
Experience Qualifications
7 or More Years Overall related experience required
4 or More Years Pharmaceutical Experience preferred
4 or More Years Account Management Experience and/or Sales Management Experience preferred
4 or More Years Payer Market Knowledge preferred
Travel Requirements
Ability to travel up to 40% of the time. May include some weekends due to conferences
Salary Range:
USD$192,800 - $289,200
Daiichi Sankyo, Inc. is an equal opportunity/affirmative action employer. Qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in National Sales Representative
Frame your degree for specialty occupation
Pull your O*NET profile for National Sales Representative and map your bachelor's degree field directly to its knowledge domains. Employers filing an I-129 need a clear degree-to-role connection in the petition, so build that argument before interviews start.
Target companies with multi-state LCA history
If your territory spans multiple states, each worksite needs its own certified LCA. Search for employers who have filed multi-location LCAs before, since those companies already have internal processes for handling distributed sales territories under H-1B visa.
Find verified H-1B sponsors on Migrate Mate
Filter National Sales Representative roles by employers who have active H-1B sponsorship history. Migrate Mate surfaces that DOL Labor Condition Application data so you can prioritize outreach to companies already familiar with the filing process for this occupation.
Verify prevailing wage tier before negotiating
Use the OFLC Wage Search to look up the Level I through Level IV wage for your target metro before you discuss compensation. Your employer's LCA must certify a wage at or above the prevailing rate, and knowing the tier prevents offer gaps that delay certification.
Clarify territory scope during the offer stage
Ask explicitly whether your assigned territory will require travel to worksites not listed on the initial LCA. USCIS and DOL treat short-term placements differently from permanent secondary worksites, and getting that scope defined in writing protects both you and your employer.
Document quota-exempt employer eligibility early
Universities, nonprofit research organizations, and certain government entities are cap-exempt, meaning the H-1B cap selection rules don't apply. If any of your target employers fall into those categories, confirm their exempt status with their HR team before the selection cycle opens.
H-1B Visa National Sales Representative: Frequently Asked Questions
Does a National Sales Representative role qualify as an H-1B specialty occupation?
Not automatically. A National Sales Representative position qualifies as a specialty occupation only when the employer structures it to require at least a bachelor's degree in a directly related field such as business administration, marketing, or a discipline tied to the product being sold. Employers who consistently hire degreed candidates and document that requirement in the job description are the ones successfully filing H-1B petitions for this role.
How do I find National Sales Representative employers who actively sponsor H-1B visas?
Start with Migrate Mate, which lists employers with verified H-1B Labor Condition Application filing history searchable by role and location. This tells you which companies have already navigated the DOL and USCIS process for sales positions, so you're not waiting to find out during offer negotiations whether sponsorship is even on the table.
What happens to my H-1B status if my sales territory changes after I'm approved?
If the change adds a new worksite not covered by your original certified LCA, your employer must file a new LCA with DOL and an amended I-129 with USCIS before you work at that location. Short-term travel for sales meetings typically falls under a DOL short-term placement allowance, but a permanent territory expansion requires a separate LCA certification.
Can I switch from one National Sales Representative employer to another on H-1B?
Yes, through H-1B portability. Once USCIS receives a new I-129 petition from your prospective employer, you can begin working for them while that petition is pending, as long as your previous H-1B was approved and you've been in lawful status. The new employer must certify a fresh LCA covering your new worksite and wage before filing.
How long does H-1B sponsorship last for a National Sales Representative position?
USCIS initially grants H-1B status for up to three years, and your employer can file an extension for an additional three years, bringing the total to a six-year maximum under standard rules. Extensions beyond six years are possible only if you have an approved I-140 immigrant petition or a PERM labor certification that has been pending for at least 365 days.