Regional Reimbursement Director, Oncology

This is a fully remote position, open to applicants in Arizona, +7 more states.

📋 Description

• Oversee the reimbursement landscape for Ipsen US Oncology portfolio products within the healthcare provider sector.

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

• Deliver field-based reimbursement assistance to designated healthcare providers.

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

• Cover the West and South Central regions via both in-person and virtual channels.

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

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

• Establish and maintain connections with MAC contacts.

• Provide reimbursement support during advisory boards and professional conferences.

• Act as an internal field reimbursement expert and gather competitive insights.

• Facilitate patient access by supplying reimbursement information across private practices, hospitals, academic institutions, thought leaders, and advocates.

• Coordinate Ipsen presentations at payer and healthcare provider gatherings.

• Meet target metrics for timely and appropriate customer reimbursement support.

• Assess local payer coverage policy modifications and counsel Account Managers on access challenges and trends.

• Assist in the creation of reimbursement training programs for healthcare providers.

• Collaborate with Oncology Sales, Account Management, Market Access, and Brand teams to address access barriers and promote business growth.

• Provide market intelligence that supports strategic initiatives, product uptake, utilization, and growth.

• Evaluate regional reimbursement readiness, payer coverage, coding requirements, and patient access hurdles for new product launches.

• Support launch reimbursement strategies, educational materials, and stakeholder engagement plans.

• Monitor oncology market access, payer policies, prior authorizations, step therapy, coding, payments, specialty pharmacy, and utilization management trends.

• Track competitive reimbursement advancements and assess the impacts of Medicare, Medicaid, and commercial payer policies.

• Engage with oncology practice administrators, reimbursement specialists, infusion center leaders, and advocacy organizations.

• Provide education for providers on reimbursement best practices and updates in payer policies.

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

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

⛳️ Requirements

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

• At least 5 years of relevant reimbursement experience with injectable or infused drugs, or medical device products that necessitate 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 skills, administrative capabilities, and team-building proficiency.

• Capacity to simplify complex concepts and rationales in a compliant manner.

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

• Highest standards of personal integrity and ethics; strong judgment and discretion are essential.

• Proficient in PC use, including MS Office (Outlook, Teams, Word, Excel, PowerPoint), email, texting, mobile smartphone, Veeva CRM, and Concur expense reporting software.

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

• Flexibility to work evening and/or weekend hours as required to fulfill business needs.

• Ability to manage a broad geographic territory and operate effectively from a home office, vehicle, or customer site.

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

• Must live near a major airport within the designated region.

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

• 10+ years of direct and pertinent experience may replace the need for a bachelor's degree.

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

• Strong preference for experience with Medicare Part D products.

• An advanced degree (MBA, MPH, MS) 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.

• Adjustments or support during the application process.