Associate Director, Field Reimbursement – Gulf Coast/Southeast

This is a fully remote position, open to applicants in United States.

📋 Description

• Enhance referral-to-ship rates and turnaround times by pinpointing and executing changes that boost program performance.

• Increase adherence and persistency rates through the identification and implementation of program performance enhancements.

• Serve as the reimbursement expert in collaboration with sales and marketing teams.

• Tackle critical referral pull-through challenges, including missing referral details, unresponsive parties, and delays in authorization.

• Build relationships with key accounts through both in-person and virtual meetings.

• Educate healthcare providers on the prescription enrollment process, Liquidia Access Programs, insurance coverage, prior authorization protocols, clinical criteria, medical necessity, and appeals procedures.

• Manage urgent and non-urgent workflows effectively.

• Ensure prompt follow-up with accounts regarding outstanding items.

• Support training initiatives for sales and marketing on access programs, insurance coverage, specialty pharmacy processes, and product reimbursement.

• Monitor and evaluate data related to coverage, referrals, pull-through, and referral trends.

• Raise issues that impact product access and program efficacy.

• Stay informed about insurance coverage, reimbursement, and clinical policies.

• Utilize company communication platforms to share referral pull-through updates with stakeholders.

• Analyze and track pending referral cases in coordination with relevant stakeholders.

• Assess and diagnose trends in adherence and persistence.

• Collaborate with internal stakeholders to address Market Access requirements.

• Ensure compliance with company policies and procedures.

⛳️ Requirements

• A Bachelor’s degree is mandatory.

• Understanding of reimbursement principles, including pharmacy benefit design, prior authorization, and appeals processes.

• Over 5 years of experience in field reimbursement or sales within the rare disease sector, patient access, prior authorizations, specialty pharmacy, or other relevant fields.

• Familiarity with specialty pharmacies and/or HUBs is essential.

• A patient-centric approach and a collaborative team spirit are required.

• Strong analytical and problem-solving capabilities.

• Excellent verbal and written communication skills, with demonstrated proficiency in presentation and training.

• Highly organized, self-motivated, and capable of working independently while managing multiple tasks efficiently.

• Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint) and Customer Relationship Management (CRM) systems.

• Willingness to travel up to 50% of the time.

• Experience in the pulmonary hypertension disease state is preferred.

• Prior Authorization Certification Specialist (PACS) certification is preferred.

• Ability to navigate complex business environments.

• Capacity to work collaboratively across functions with both internal and external customers.

🏝️ Benefits

• Competitive compensation package

• Medical insurance

• Dental insurance

• Vision insurance

• Short-term disability (STD)

• Long-term disability (LTD)

• 401(k) Savings Retirement Plan

• Employee Stock Purchase Plan (ESPP)

• Equal opportunity employment

• Reasonable accommodation for qualified individuals with disabilities