Regional Reimbursement Director, Oncology

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

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

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

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

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

• Build and sustain relationships with MAC contacts.

• Provide reimbursement assistance at advisory boards and professional conferences.

• Act as an internal expert on field reimbursement and offer competitive intelligence.

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

• Support payer and healthcare provider presentations, along with reimbursement-related training initiatives.

• Meet target metrics for prompt customer reimbursement assistance.

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

• Interpret payer payment trends, policies, and relationships to mitigate non-clinical utilization barriers.

• Recognize and tackle reimbursement challenges impacting the adoption, utilization, and growth of oncology products.

• Supply market access intelligence for strategic initiatives across oncology care environments.

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

• Assist in regional reimbursement preparedness and access planning for the launch of new oncology products.

• Formulate launch-related reimbursement strategies, educational resources, and stakeholder engagement plans.

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

• Track competitive reimbursement and access developments while offering strategic recommendations.

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

• Establish relationships with oncology practice administrators, reimbursement specialists, infusion center leaders, and advocacy groups.

• Facilitate provider education and strategic conversations surrounding reimbursement and market access.

• Relay field insights to inform forecasting, lifecycle management, evidence dissemination, and product planning.

• Contribute to reimbursement resources, training programs, and field tools.

⛳️ Requirements

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

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

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

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

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

• Capacity to simplify complex messages 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.

• Excellent written, verbal, and interpersonal communication skills.

• Proficient in PC use; MSOffice applications (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 required.

• Willingness to work evenings and/or weekends as needed to fulfill business requirements.

• Ability to manage a vast geographic territory and work effectively 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 region.

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

• Strong preference for experience with Medicare Part D products.

• 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.

🏝️ 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.

• Much more.