Regional Reimbursement Director

This is a fully remote position, open to applicants in Louisiana, +2 more states.

📋 Description

• Oversee the reimbursement landscape for Ipsen products within the Neuroscience therapeutic area in the healthcare provider sector.

• Foster relationships with local Medicare Administrative Contractors (MACs).

• Deliver prompt field-based reimbursement assistance to targeted healthcare providers for Ipsen’s Neurology therapies.

• Interpret local and national payer policies while aiding customers with coding, coverage, and payment inquiries.

• Collaborate with Value & Access, field, sales, brand, and IPSEN CARES teams to enhance access and minimize obstacles.

• Design and formulate reimbursement strategies, tactics, tools, and approved field materials.

• Establish and maintain connections with MAC contacts.

• Provide reimbursement assistance at advisory boards and professional conferences.

• Act as an internal expert in field reimbursement and deliver competitive intelligence.

• Identify reimbursement-related obstacles to access and counsel Account Managers on payer challenges and trends.

• Support patient access across private practices, hospitals, academic institutions, thought leaders, advocates, and professional societies.

• Organize Ipsen presentations at payer and healthcare provider meetings.

• Meet response-time and other reimbursement support metrics.

• Analyze and prepare for changes in local payer coverage policies.

• Assist in the development of reimbursement-related training programs for healthcare providers.

• Collaborate with Neurology, Sales, Account Management, Market Access, and Brand teams to tackle access barriers and promote portfolio growth.

• Provide field-based insights for academic centers, integrated health systems, and community neurology practices.

• Analyze treatment patterns, referral networks, payer coverage trends, and site-of-care dynamics.

• Support regional reimbursement readiness for new neurology product launches.

• Develop launch-related reimbursement strategies, educational materials, and stakeholder engagement plans.

• Monitor payer policies, prior authorization, step therapy, coding and payment updates, specialty pharmacy trends, and utilization management.

• Track competitive reimbursement and access developments and offer recommendations.

• Analyze the impacts of Medicare, Medicaid, and commercial payer policies.

• Build relationships with neurology practice administrators, reimbursement specialists, infusion center leaders, and advocacy organizations.

• Educate providers on reimbursement best practices and market access trends.

• Contribute to forecasting, lifecycle management, evidence dissemination, and future product planning.

• Support reimbursement resources, training programs, and field tools.

⛳️ Requirements

• Over 10 years of experience in the pharmaceutical, biotech, or consulting industries.

• More than 5 years of relevant reimbursement experience related to injectable or infused drugs, or medical device products requiring reimbursement support.

• Proven ability to address access-related challenges at both the provider and payer levels.

• Expert-level understanding of coverage, coding, and payment policies.

• Outstanding verbal and written communication, problem-solving, and organizational abilities.

• Strong business acumen, analytical skills, administrative capabilities, and team-building expertise.

• Capability to simplify complex messages and rationales in a compliant manner.

• Ability to work independently and lead effectively in a fast-paced, highly dynamic, and matrixed environment.

• Highest standards of personal integrity and ethics, with a strong sense of judgment and discretion.

• Proficient in PC applications, including MS Office, Outlook, Teams, Word, Excel, PowerPoint, and mobile smartphone use, along with Veeva CRM and Concur expense reporting software.

• Physical ability to operate relevant machines and/or equipment as necessary.

• Willingness to work evening and/or weekend hours as needed to fulfill business requirements.

• Capability to manage a large geographic territory and work effectively from a home office, vehicle, or customer location.

• Willingness to travel up to 60%, including regular overnight travel by air or car.

• Must reside near a major airport in the South Central region.

• A Bachelor’s degree in public policy, economics, business administration, life sciences, or a related field is required.

• An advanced degree (MBA, MPH, MS) is preferred.

• Certification in Medical Coding is preferred.

• Previous reimbursement support experience with physician-administered (“buy and bill”) oncology and neurology drugs is preferred.

• Experience with Medicare Part D products is strongly preferred.

🏝️ Benefits

• Short-term incentives program.

• 401(k) plan with company contributions.

• Comprehensive group medical, dental, and vision coverage.

• Life and disability insurance.

• Short- and long-term disability insurance.

• Flexible spending accounts.

• Parental leave.

• Paid time off.

• Discretionary winter shutdown.

• Well-being allowance.

• Commuter benefits.