Team Lead, Field Reimbursement Director

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

📋 Description

• Act as a player-coach within the ANI Rare Disease Patient Support team, balancing direct patient access duties with the daily leadership of reimbursement professionals.

• Foster operational excellence and ensure consistent execution across patient cases.

• Oversee a portfolio of intricate or escalated patient cases.

• Provide frontline leadership, coaching, and supervision for Reimbursement Directors, Reimbursement Managers, Reimbursement Specialists, and Field Case Specialists.

• Serve as the primary point of escalation for reimbursement-related challenges.

• Deliver proactive education to healthcare providers regarding insurance requirements and payer policies related to ANI Rare Disease Business Unit brands.

• Manage complex reimbursement cases through direct interaction with healthcare provider offices and patients.

• Collaborate with Hub case managers and in-network Specialty Pharmacies on prior authorization submissions and follow-ups.

• Facilitate access to patient assistance programs, including copay support and free goods.

• Coordinate with Nurse Access Specialists on patient support initiatives.

• Partner with Market Access to analyze payer trends, policy updates, and access barriers.

• Work together with Sales on field education and account strategy while adhering to compliance guidelines.

• Act as a subject matter expert in reimbursement and access.

• Monitor team productivity, workload distribution, case quality, and key performance indicators (KPIs).

• Assist with onboarding and continual team development.

• Conduct regular one-on-one meetings, team meetings, case reviews, and development discussions.

• Exemplify professionalism, ethical conduct, and compliance.

⛳️ Requirements

• Bachelor’s Degree.

• Over 10 years of experience in a patient access role for specialty medications.

• Proven expertise with both pharmacy and medical benefits in a specialty disease market.

• Strong collaboration skills with Hub partners and cross-functional colleagues.

• Familiarity with OIG guidance, HIPAA regulations, and FDA protocols.

• Willingness to travel up to 25%, including some evenings and weekends.

• Ability to lead, inspire, and develop high-performing teams.

• Capacity to prioritize competing demands while managing both individual contributor and leadership responsibilities.

• Problem-solving skills in ambiguous or challenging access scenarios.

• Excellent interpersonal and communication abilities.

🏝️ Benefits

• Health insurance coverage.

• Life insurance.

• Disability insurance.

• Retirement savings plans.

• Paid leave programs.

• Paid holidays.

• Paid time off.

• Many benefits are subsidized or fully covered by the company.

• Competitive short-term incentive program based on performance and company results.

• Competitive long-term incentive program based on performance and company outcomes.