Our Team, Your Impact
The Associate Director will have primary oversight of the field reimbursement management (FRM) team. This leadership role will oversee the vendor providing FRM services or an internal team providing the same services. The role will require a deep understanding of reimbursement dynamics, payer methodologies, field reimbursement teams, billing and coding, and patient access strategies.
The Associate Director will serve as the primary field reimbursement subject matter expert supporting internal departments, field teams, and patient support services for reimbursement and patient access of assigned products. The Associate Director will work to ensure proper reimbursement and navigation of patient-access support services for provider-administered products and complex specialty pharmaceuticals.
How You'll Spend Your Day
All areas of responsibility listed below are essential to the satisfactory performance of this position by any incumbents with reasonable accommodation if necessary. Any non-essential functions are assumed to be included in other related duties or assignments.
• Lead the development and execution of Field Reimbursement Team strategies to support patient access and product uptake.
• Support education of HCPs on reimbursement processes and ensure the field team has resources necessary to ensure success
• Ensure collaboration across the ecosystem of stakeholders and resolve issues while proactively implementing processes that facilitate ongoing partnership
• Collaborate with cross-functional teams to develop and execute pricing and contracting strategies that align with business objectives
• Develop and maintain relationships with key stakeholders, including payers, providers, and patient advocacy groups
• Provide strategic guidance to senior leadership on reimbursement related topics
• Ensure compliance with all relevant regulations and guidelines
• Work collaboratively across the ecosystem to ensure the field team is effective and that the impact is maximized in support of internal teams
• Monitor, track and report as required Key Performance Indicators and related statistical data to assist decision making by company stakeholders.
Your Skills and Experience
Any equivalent combination of education, training and/or experience that fulfills the requirements of the position will be considered.
Education/Certification/Experience:
• HS Diploma required, Bachelor's Degree strongly preferred
• Minimum of 7 years of experience in pharma, biotech, or related field required
• Minimum of 5 years of experience in field reimbursement or related field required
• Experience with patient benefit verification and prior authorization processes required
• Healthcare, Pharmaceutical, or Insurance Industry background in reimbursement and patient access functions.
Skills/Knowledge/Abilities:
• Comprehensive knowledge of healthcare reimbursement practices
• Strong understanding of reimbursement dynamics, ASP, pricing strategy, patient access, competition, and billing and coding
• Strong problem solving and business acumen skills
• Ability to work cross-functionally in a team environment with multiple stakeholders
• Excellent written and verbal communication skills. Effective presentation skills
• Ability to conduct complex financial analysis
• High level of knowledge and understanding of HIPAA Law, Healthcare Fraud and Abuse, Anti-Kickback and other related Statutes and Regulations governing compliance, ethical behavior, and patient privacy in the healthcare environment
• Experience with Microsoft-based applications, including calculations in Excel, and ability to learn internal computer systems and use of multiple external databases.
TRAVEL REQUIREMENTS
Approximately 50% travel throughout the US.
PHYSICAL REQUIREMENTS:
Occasional:
• Sitting for extended periods of time at work station or mobile equipment.
Visual Acuity:
• Perform activities such as computer work, preparing and analyzing data, and extensive reading.
WORKING ENVIRONMENT
• May be required to wear personal protective equipment (PPE) as needed on site visits (i.e. safety glasses, hearing protection, gloves, etc.).
Salary Range
The annual starting salary for this position is between $167,500 - $209,000 annually. Factors which may affect starting salary within this range and level of role may include geography/market, skills, education, experience and other qualifications of the successful candidate.
How We'll Take Care of You
We offer a competitive benefits package, including:
• Comprehensive Health Insurance: Medical, Dental, Vision, and Prescription coverage starting on the first day of employment, providing the employee enrolls.
• Retirement Savings: 401(k) with employer match, up to 6% and an annual 3.75% Defined Contribution to the 401k plan.
• Time Off: Paid Time Off including vacation, sick/safe time, caretaker time and holidays.
• Life and Disability Protection: Company paid Life and Disability insurance.
• Additional benefits include, but are not limited to, Employee Assistance Program, Employee Stock Purchase Plan, Tuition Assistance, Flexible Spending Accounts, Health Savings Account, Life Style Spending Account, Volunteer Time Off, Paid Parental Leave, if eligible , Family Building Benefits, Virtual Physical Therapy, Accident, Critical Illness and Hospital Indemnity Insurances, Identity Theft Protection, Legal Plan, Voluntary Life Insurance and Long Term Disability and more.
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