Regional Reimbursement Director, Neuroscience

This is a fully remote position, open to applicants in Connecticut, +5 more states.

📋 Description

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

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

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

• Interpret local and national payer policies and guide customers on coding, coverage, and payment.

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

• Create and develop reimbursement strategies, tactics, tools, and approved field materials.

• Establish and maintain relationships with MAC contacts.

• Offer reimbursement support at advisory boards and professional conferences.

• Act as an internal field reimbursement authority and provide competitive intelligence.

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

• Assist in patient access across private practices, hospitals, academic institutions, thought leaders, advocates, and regional/state societies.

• Organize Ipsen presentations at payer and healthcare provider meetings.

• Meet metrics for timely responses to reimbursement support inquiries.

• Aid in the analysis and planning for local payer coverage policy modifications.

• Support the development of reimbursement training programs for healthcare providers.

• Collaborate with neurology commercial and market access teams to pinpoint barriers impacting product adoption, utilization, and growth.

• Provide field insights to enhance reach and utilization across academic centers, integrated health systems, and community neurology practices.

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

• Assist in readiness for new neurology product launches, including reimbursement, coding, coverage, and access planning.

• Supply market intelligence regarding payer policies, utilization management, specialty pharmacy, and competitive access during launches.

• Monitor trends in neurology market access, payer policies, prior authorization, step therapy, coding, payment, specialty pharmacy, and utilization management.

• Track developments in competitive reimbursement and access and recommend actions accordingly.

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

• Observe site-of-care strategies, HCP reimbursement trends, and specialty drug management programs.

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

• Support provider education and strategic discussions regarding reimbursement and market access.

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

• Participate in the creation of reimbursement resources, training programs, and field tools.

⛳️ Requirements

• 10+ years of experience in the pharmaceutical, biotech, or consulting industry.

• 5+ years of relevant reimbursement experience with injectable or infused drugs, or medical device products requiring reimbursement support.

• In-depth knowledge of coverage, coding, and payment policies.

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

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

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

• Proven ability to work independently and lead effectively in a fast-paced, highly fluid, matrixed environment.

• Unwavering personal integrity and ethics; strong judgment and discretion.

• Proficient with PCs, including MS Office, Outlook, Teams, Word, Excel, PowerPoint, email, texting, mobile smartphones, Veeva CRM, and Concur.

• Physical capability to operate relevant machines and equipment as required.

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

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

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

• Must reside near a major airport within the New England region.

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

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

• Experience with Medicare Part D products is strongly preferred.

• An advanced degree is preferred.

• Certification in Medical Coding is preferred.

🏝️ Benefits

• Short-term incentives program.

• 401(k) with company contributions.

• 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.

• Comprehensive employee benefits package.