Associate Director, Field Reimbursement – West/Mountain West

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

📋 Description

• Enhance referral-to-ship rates and turnaround times by identifying and implementing improvements that boost program performance.

• Increase adherence and persistency rates through the identification and implementation of strategies that enhance program effectiveness.

• Act as the reimbursement expert while collaborating with sales and marketing teams.

• Resolve critical referral pull-through challenges, such as missing referral details, unresponsive cases, and authorization delays.

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

• Provide education to healthcare providers (HCPs) regarding prescription enrollment, Liquidia Access Programs, insurance coverage, prior authorization protocols, clinical criteria, medical necessity, and appeals processes.

• Manage urgent and non-urgent workflows effectively.

• Ensure timely follow-up with accounts on outstanding issues.

• Support training initiatives for sales and marketing teams on access programs, coverage landscapes, specialty pharmacy operations, and reimbursement processes.

• Monitor and evaluate product coverage, referrals, pull-through challenges, and referral trends.

• Address issues impacting product access and program performance through escalation.

• Stay updated on 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 collaboration with stakeholders.

• Diagnose and monitor trends related to adherence and persistence.

• Work with internal stakeholders to address Market Access requirements.

• Ensure compliance with company policies and procedures.

⛳️ Requirements

• A Bachelor’s degree is mandatory.

• Knowledge 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 preferred.

• Strong analytical and problem-solving skills are essential.

• Outstanding verbal and written communication skills, with proven capabilities in presentation and training.

• Highly organized, self-motivated, and able to work independently with strong multitasking abilities.

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

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

• Preferred: Experience in the pulmonary hypertension disease state.

• Preferred: PACS (Prior Authorization Certification Specialist).

• Ability to navigate complex business situations effectively.

• Capability to collaborate 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)

• Reasonable accommodations for qualified individuals with disabilities