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Regional Business Director, Long Term Care (Great Plains)

Axsome Therapeutics

Company websiteaxsome.com (Axsome Therapeutics, opens in new tab)

Base salary $195K  to $235K

Employer-published annual base salary, USD. Advertised base range in Saint Louis, MO

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  • LocationSaint Louis, MO
  • WorkplaceWorkplace not stated
  • Status at last checkSource accepting applications when checked
  • Last checked (2 h ago) · observed since

About this job

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, agitation associated with dementia due to Alzheimer’s disease, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, as well as multiple novel product candidates addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X.

About This Role

Axsome Therapeutics is currently searching for a Regional Business Director (RBD), Long Term Care (LTC) to lead LTC commercial activities for an assigned geography, establish a team of LTC Account Managers, execute marketing strategies, and ensure a successful launch. The RBD will be primarily responsible for the supervision and leadership of an industry shaping, uniquely structured LTC-focused account management team leveraging the use of a highly sophisticated digital infrastructure. All account managers will be aligned to geographical boundaries.  

The RBD is responsible for LTC sales performance at a Region level and is expected to be a product champion and exhibit the business knowledge of the local landscape to assess key stakeholders plus future trends within the marketplace. This is a cross-functional front-line leader role. The position is field-based and will require travel as needed to develop internal and external relationships.  

Job Responsibilities and Duties include, but are not limited to, the following:

  • Responsible for supervising LTC focused operations of the Region which includes: driving results, hiring and coaching, account manager development, performance management, and the assignment of key "priority" accounts in LTC settings 
  • Develop and implement strategic plans for the Region including the right balance of live/virtual interactions and the prioritization of efforts by the team 
  • Plan, organize and drive performance to achieve the business potential of the region through coaching and influence of direct reports 
  • Partner closely with the Market Access account team to ensure appropriate pull through, knowledge and expertise of market access dynamics in LTC settings, as well as effective coordination and communication
  • Support development of assigned accounts, including pharmacies, while delivering high-quality customer service and promoting appropriate diagnosis and product use
  • Identify key account decision makers and initiate opportunities to engage with Axsome HQ 
  • Maintain required technical expertise in order to respond accurately to all questions regarding products, marketing, policies, and business-related issues from customers and account managers 
  • Work with direct reports to understand and consistently execute established expectations. 
  • Consistently exemplify the ability to help account managers improve on their selling skills, product knowledge and capabilities needed for success through coaching and counsel. Lead by example through coaching direct reports both in live and virtual engagements. 
  • Effectively plan and conduct plan of action and other meetings with members of the Region and Market Access teams  
  • Develop and implement LTC Region business plan, manage Region budget and overall responsibility for P&L at Region level in alignment with Regional and National expectations 
  • Have a complete understanding of all relevant compliance laws, policies and processes and ensure actions of self and team are fully compliant 
  • Overnight travel as indicated by the needs of the business 
  • Additional responsibilities as assigned 

Qualifications / Requirements 

  • BA or BS required. Advanced degree preferred 
  • 5 years or more of field leadership experience and/or payer account management and/or demonstrated sales success with increasing responsibility and organizational leadership 
  • Previous pharmaceutical, biotech, or medical marketing/sales experience preferred with at least three to five years spent in a position with demonstrated 1st line leadership groups 
  • Proven performance history in the ability to lead others to success through your coaching influence 
  • Successful LTC/hospital/health system sales leadership experience required
  • Demonstrated experience delivering outstanding results and developing others to their potential  
  • Proven track record in attracting and retaining top talent 
  • Current or recent Psychiatry disease experience strongly preferred 
  • Successful launch experience strongly preferred 
  • Experience to strategize within teams using differential resources to reach business goals 
  • Proven ability to run multiple tasks concurrently under aggressive timelines in a dynamic environment 
  • Must live within the territory’s geography 
  • Comfortable with uncertainty and high expectations 
  • Market access experience a plus 
  • Strong digital marketing aptitude 
  • Strong interpersonal and presentation skills  

Salary & Benefits

The anticipated salary range for this role is $195,000 - $235,000. The salary offer will be based on a variety of factors, including experience, qualifications, internal equity and location. Axsome offers a competitive employment package that includes an annual bonus, significant equity and a generous benefits package.

Axsome is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, sexual orientation, gender identity, ancestry, citizenship, marital status, physical or mental disability, medical condition, veteran status, genetic information, or any other characteristic protected by federal, state, or local law.

Axsome Therapeutics does not accept unsolicited resumes from recruiters or third-party recruitment agencies and will not pay placement fees for unsolicited candidates that are sent to hiring managers, the HR team or other Axsome team members. Only approved vendors who have been explicitly asked to support a specific search will receive access to our Applicant Tracking System to submit candidates for consideration.

Source: Axsome Therapeutics on Greenhouse · View original posting (opens in new tab)

Pay in context

This role's base floor ($195,000) is above 85% of the 4,291 Sales roles nationwide listed on this site; 10 others list the same floor. Their median floor is $141,500; the middle half runs from $120,000 to $170,000.

Only jobs on this site count, and each one publishes a base salary of $100,000 or more, so this compares six-figure jobs with each other, not with the whole market. Computed Nov 8, 2026.

This range next to 6 other live Axsome Therapeutics roles with the nearest advertised base floor
Chart as a table
This range next to 6 other live Axsome Therapeutics roles with the nearest advertised base floor
RolePublished base
Regional Business Director, Long Term Care (Great Plains) (this listing)$195K - $235K
Director, IT Operations$195K - $225K
Director, Market Access Deal Analytics$190K - $215K
Key Account Manager, Long Term Care (Great Lakes Region)$190K - $210K
Associate Director/Director, Biostatistics$185K - $230K
Associate Director, HEOR Analytics$175K - $195K
Associate Director/Director, Payer Marketing$175K - $225K

Same $100K to $400K scale as every card. All Axsome Therapeutics roles · How to read the bar

Observed changes

  1. First observed on the employer's board
  2. Began meeting the published-salary criteria
Observed since
Employer-stated posting date
2026-10-22
Where this pay comes from

Location as the employer wrote it: Saint Louis, MO

The anticipated salary range for this role is $195,000 - $235,000. The salary offer will be based on a variety of factors, in

Method
Employer text, read with fixed rules and re-verified
Checked
Rule set
us-base-v2

The pay passage appears in the employer's own job text. Fixed, deterministic rules located it, and the passage below was checked against the stored copy of the posting.

What we verified

  • The pay figures come from the employer's own listing, quoted exactly above.
  • The pay is an annual base salary in US dollars with a minimum of at least $100,000.
  • The role was publicly listed on the employer's job board when last checked.

We do not verify what the employer will actually offer, whether the employer is still recruiting for the role, or anything beyond what the employer published. Full methodology.

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