Regional Business Director, Long Term Care (Great Plains)
Axsome Therapeutics
Saint Louis, MO · Posted October 22, 2026
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Where Saint Louis, MO ranks
Where Saint Louis, MO placed in our monthly rankings, month by month. Each month stays online at its own address.
November 2026
- #9Best all-round cities for new graduates in the Midwest52 / 100 · of 20
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- #11Best cities for government pay after cost of living$123k · of 18
- #11Best cities for entry-level jobs that want AI skills in the Midwest4% · of 52
- #12Best all-round cities for remote workers in the Midwest42 / 100 · of 20
Rankings about sales jobs
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- Best cities for sales pay after cost of living #1 Santa Clara ($175k)
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How AI is used in this kind of work
AI use among medical and health services managers is little observed so far. Measured exposure for medical and health services managers: 7% (little observed).
Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.
About the 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 1 st 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.