Field Reimbursement Director

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

📋 Description

• The Head of Field Reimbursement presents a remarkable opportunity to significantly influence patient outcomes. This is a remote, field-oriented position that reports to the Senior Director of Market Access and HEOR. The Field Reimbursement Manager (FRM) will assist in the launch of a new drug, specifically for use in inpatient settings during surgical procedures. They will collaborate with sales and market access teams to provide comprehensive support to hospitals. In contrast to buy-and-bill outpatient medications, inpatient drugs are incorporated into a DRG payment system, which often leads to challenges in reimbursement and financial risks for hospitals.

• The FRM will be instrumental in conveying the financial narrative to hospitals through a budget impact model and a thorough understanding of reimbursement dynamics in standard care. This role will involve educating stakeholders about MS-DRG, NTAP, and outlier payments. Additionally, they will support the accurate coding of ICD-10-PCS procedure codes, ensuring precise diagnosis capture and proper documentation. Providing in-service support for hospital education and managing objections will be crucial.

• This position entails strategic leadership responsibilities, including the development and hiring of a team of Field Reimbursement Managers over the next six months. It is essential to possess financial acumen and interpersonal skills to maintain open and lasting relationships with hospitals. Operating in a dynamic, pre-commercial environment, this individual will work cross-functionally to align strategy with execution while proactively addressing reimbursement, policy, and health system dynamics to enhance patient access and account performance.

⛳️ Requirements

• A Bachelor's Degree is required.

• A minimum of 8 years’ experience in the Pharmaceutical or biotech industry in a role related to sales or access.

• Prior experience in reimbursement is mandatory.

• Familiarity with hospital reimbursement and DRGs is essential.

• A comprehensive understanding of the entire reimbursement continuum, including coding, coverage, and payment across both inpatient and outpatient settings and all major payer segments.

• Capability to develop and nurture critical relationships with office personnel and collaborate to provide necessary support.

• Strong financial and business acumen, with the ability to analyze the total cost of care, assess economic impact, and convert insights into actionable account strategies.

• Certain customers may impose specific credentialing requirements for field roles that need to be met to perform essential job functions; this may include vaccinations such as COVID-19.

• Executive presence with a proven track record of engaging with high-level health system executives.

• Ability to manage multiple priorities and excel in a fast-paced, evolving organization.

🏝️ Benefits

• 100% of Health Insurance covered by OstealTx for Employees & Dependents.

• Dental & Vision Insurance provided.

• Short & Long Term Disability Insurance fully covered by OstealTx.

• 401k options available (Regular & Roth).

• Holiday Pay & Paid Time Off (PTO).

• Competitive compensation package: Base salary ($220,000 - $250,000) plus Bonus and Equity.