Director, Field Reimbursement – National

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

📋 Description

• Overseeing and directing the FRM team to ensure effective execution of reimbursement strategies, facilitating patient access to products across all regions.

• Formulating and executing reimbursement strategies to ensure proper coverage and accessibility for the company's products.

• Collaborating closely with healthcare providers, payers, and patients to confirm that products are included in insurance plans.

• Evaluating and authorizing complex reimbursement cases while aiding FRM team members in addressing coverage challenges and issues.

• Keeping track of changes in payer policies to ensure alignment with product reimbursement strategies and collaborating with internal teams to mitigate any potential obstacles.

• Assessing payer trends, pinpointing areas for enhancement, and modifying strategies to ensure the ongoing success of reimbursement initiatives.

• Partnering with external teams to identify and establish funding or financial assistance programs that facilitate patient access to treatments.

• Assisting the team in managing prior authorizations, appeals, and denials, ensuring all essential documentation is submitted promptly and in compliance.

• Analyzing patient-specific cases, identifying challenges, and proposing solutions in partnership with healthcare providers and internal teams.

• Performing both quantitative and qualitative assessments of FRM team activities and delivering comprehensive reports to the VP of Access Operation.

• Based on performance analysis, identifying and implementing enhancements to optimize team performance and improve the overall reimbursement process.

⛳️ Requirements

• A bachelor's degree in business, healthcare, or a related field.

• At least 10 years of experience in pharmaceutical reimbursement, managed care, or a related field, with a minimum of 5 years in a leadership position.

• Experience in Immunology and/or Oncology is preferred.

• In-depth understanding of healthcare reimbursement policies and procedures.

• Capability to develop and implement reimbursement strategies effectively.

• Exceptional communication and interpersonal skills.

• Strong analytical abilities with the capacity to interpret data and trends.

• Proven ability to lead and manage a team while collaborating with cross-functional stakeholders.

• Ability to work autonomously as well as within a team environment.

• Willingness to travel as required.

🏝️ Benefits

• Salary range of 200-240k + Bonus

• Comprehensive Benefits - Medical, Dental, Vision with various package options

• 401k with a 4.5% match

• Paid Time Off & 6 Sick Days