Associate Director, Access & Reimbursement - (Mid Atlantic)

Eisai US•Pittsburgh, PA

About The Position

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai’s human health care (hhc) mission. We’re a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer’s disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. The Associate Director, Access and Reimbursement (AD ARM) will lead the Eisai Access and Reimbursement Managers (ARMs), Eisai’s field-based access and reimbursement team within Market Access, supporting our Neurology and Oncology business units. The position will possess a deep and broad understanding of reimbursement and access trends across our healthcare landscape, as well as cross-functional business knowledge to drive Eisai’s mission to create optimal access for patients and drive our human health care mission. This individual will provide appropriate support for patient access to prescribed Eisai products, which will include communication with healthcare professionals (HCPs) about insurance coverage, and coding and reimbursement for Eisai products and Eisai’s patient support programs. This position will work collaboratively with appropriate Eisai stakeholders regarding access and reimbursement issues, including Payer Markets, Market Access and Reimbursement Services, Sales, Marketing, Government Affairs, Legal, Compliance, Medical, and Training. Ultimately, this individual will be responsible for delivering superior expertise and operational excellence in the Neurology and Oncology disease areas related to field reimbursement services. Working closely with and reporting to the Director, Access and Reimbursement, the AD ARM will be responsible for the leadership, direction, and management of a team of ARMs; the AD ARM will be functional lead for ARM activities across HCP offices, institutions, and Medicare Administrative Contractors (MACs). As such, the position plays a key role in developing and driving compliant execution of access and reimbursement programs. In addition to these leadership responsibilities, the AD ARM is also responsible for maintaining appropriate relationships with accounts, as needed, to ensure appropriate access and reimbursement for Eisai’s portfolio. Due to the AD ARM’s leadership and access expertise, this role is viewed by colleagues and customers as a central resource of knowledge and information about patient access and reimbursement to prescribed Eisai medications. Key External Stakeholders: Health Care Professionals and stakeholders responsible for physician reimbursement and patient coverage and access issues. These stakeholders include, but are not limited to, the following: Practice Mangers, Financial Counselors, Pharmacy Managers/Directors, Business Administrators, State Societies, and DME/MAC personnel. The states included in this geography are PA, MD, DE, VA, WV, KY, OH, IN, TN.

Requirements

Bachelor's degree (Master's degree preferred) with 10+ years of relevant experience in pharma/biotech industry.
Experience in patient access or reimbursement experience, preferably with clinical understanding within relevant therapeutic area (including in-patient and out-patient care management).
Substantial experience in patient support programs, financial assistance, and patient assistance programs.
Market Access payer and/or patient access support programs experience.
Substantial experience of the US healthcare system across major payer segments (Medicare, Medicaid, Federal, and Commercial)
Substantial experience working with medical and pharmacy benefits, coverage policies, and reimbursement.
Experience monitoring the US healthcare payment system, including national and local challenges for strategic planning for portfolio of therapies.
Substantial experience of the various distribution systems within the US healthcare environment.
Project management experience driving complex initiatives in collaboration with key cross-functional stakeholders.
Experience mentoring and training team members on reimbursement activities and procedures.
Proven performance in earlier role.
As a condition of employment and an essential function of this field-based position, applicants must be able to engage in person with HCPs and other third parties at their offices, institutions and other appropriate locations on a regular basis.
In order to gain in-person access, applicants selected for the position may be required to complete third parties’ credentialing and/or entry requirements, which often include an attestation to and/or providing proof of having received certain vaccinations.
To the extent you are unable to meet certain requirements for qualifying medical (including pregnancy-related) or religious reasons, applicants must request a reasonable accommodation by contacting the Human Resources Department.
Communication & Cross-functional Influence
Critical Thinking & Business Agility
Industry & Regulatory (Market Access)
Mentoring/ People Development
Project Management
Reimbursement Knowledge

Responsibilities

Lead field access and reimbursement team in providing appropriate support for patient access for prescribed Eisai products.
Direct and oversee HCP communication on insurance coverage/reimbursement for Eisai products and relevant patient support programs.
Collaborate with cross-functional teams to drive resolution of access and reimbursement issues.
Develop and drive compliant execution of access and reimbursement programs.
Maintain appropriate relationships with accounts, as needed, to ensure appropriate access and reimbursement for Eisai’s portfolio.
Recruit, develop, train, coach, assess, motivate and retain access and reimbursement talent to support appropriate access and reimbursement.

Benefits

Employees are eligible to participate in Company employee benefit programs.
For additional information on Company employee benefits programs, visit https://careers.eisai.com/us/en/compensation-and-benefits.
Certain other benefits may be available for this position, please discuss any questions with your recruiter.

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