ED/VP Patient and Provider Support

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

📋 Description

• Establish national strategies for patient access and reimbursement.

• Direct large field teams and eliminate access obstacles for specialty pharmaceutical products.

• Develop foundational capabilities and ensure readiness for the upcoming Retina launch.

• Collaborate with Market Access, Corporate Accounts, Trade & Distribution, Sales, Marketing, Commercial Operations / Analytics, Training, Finance, Legal / Compliance, and Human Resources.

• Design and implement long-term strategies for provider reimbursement, patient access, adherence, and hub programs.

• Evaluate the Retina landscape to uncover opportunities for innovative provider and patient solutions.

• Lead and expand the Field Reimbursement Directors and Managers, Patient Services Hub Operations, and case managers.

• Create a market entry strategy for the Field Reimbursement Manager team.

• Supervise reimbursement marketing, tools, and support systems.

• Coordinate efforts between Corporate Account and Field Reimbursement teams to implement reimbursement solutions and resolve issues.

• Manage both internal and third-party patient services operations, optimizing data analytics and service delivery.

• Stay informed on federal, state, and commercial payer policies, billing codes, and buy-and-bill dynamics.

• Collaborate with brand leadership on prioritizing accounts for the Field Reimbursement Manager.

• Manage local partnerships with sales, corporate accounts, and medical affairs.

• Set and track KPIs that connect team performance to patient outcomes.

• Implement cutting-edge technology solutions, including exploring potential AI opportunities.

• Ensure adherence to healthcare laws, regulations, industry standards, and company policies.

• Lead financial planning and budget oversight for reimbursement, patient support programs, and vendors.

⛳️ Requirements

• Bachelor's degree.

• A minimum of 15+ years of experience in patient services, market access, reimbursement, or related pharmaceutical/biotech functions.

• At least 10+ years in a management or leadership position.

• In-depth knowledge of government and commercial payers for specialty products, including buy & bill and specialty pharmacy pathways, prior authorization and appeal requirements, coding, appropriate claim submission, and integration with patient assistance programs.

• Experience in developing strategic patient access and field reimbursement capabilities.

• Proven history of scaling capabilities for growth.

• Strong cross-functional leadership, collaboration, and communication skills.

• Self-motivated and proactive attitude.

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

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health benefits including medical, dental, and vision.

• Retirement plans with company matching contributions.

• Opportunities for professional development and career advancement.

• Flexible work arrangements and a supportive work environment.