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.

• Balance responsibilities for direct patient access with the daily leadership of reimbursement professionals.

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

• Manage a portfolio of complex or escalated patient cases.

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

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

• Offer proactive education to healthcare providers regarding insurance requirements and payer policies associated with ANI Rare Disease Business Unit brands.

• Engage directly with healthcare provider offices and patients on intricate reimbursement cases.

• 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.

• Work alongside Market Access, Compliance, Marketing, Sales, Hub partners, Specialty Pharmacies, and other stakeholders.

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

• Support onboarding and the ongoing development of the team.

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

• Identify trends, enhance processes, and elevate overall program performance.

• Model 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 guidelines, and FDA protocols.

• Willingness to travel up to 25% with some evening and weekend commitments.

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

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

• Proficient in navigating ambiguous or challenging access scenarios and identifying solutions.

• Excellent interpersonal and communication skills.

🏝️ Benefits

• Health insurance coverage.

• Life and 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 and long-term incentive program based on performance and company results.