Associate Director, Access & Reimbursement - (Mid Atlantic) (field based)

Eisai US•Washington, DC

1d•$199,600 - $262,000•Remote

About The Position

The Associate Director, Access and Reimbursement (Neurology) will be a player/coach for the Eisai Access and Reimbursement Managers (ARMs), Eisai’s field-based access and reimbursement team within Market Access, supporting our Neurology business unit. Initially, this role will support Alzheimer’s access and reimbursement needs by calling directly on the Medicare Administrative Contractor (MAC) and health care providers. Eventually, this individual will manage a team of Neurology ARMs. The Associate Director will possess 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 leader will provide appropriate support for patient access to prescribed Eisai products, including through communication with healthcare professionals (HCPs) about insurance coverage, coding and reimbursement for Eisai products and Eisai’s patient support programs. The Associate Director 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 leader will be responsible for delivering superior expertise and operational excellence in the Alzheimer’s disease area related to field reimbursement services. Working closely with and reporting to the Director, Patient Services, the Associate Director, , will be the functional lead for Access and Reimbursement Manager activities across HCP offices and institutions, Medicare Administrative Contractors (MACs) and State Societies. The Associate Director is responsible for the leadership, direction, and management of a team of ARMs. As such, the position plays a key role in developing and driving compliant execution of access and reimbursement programs. In addition to the above leadership responsibilities, the Associate Director is also responsible for maintaining appropriate relationships with accounts, as needed, to ensure appropriate access and reimbursement for Eisai’s portfolio. Due to the leadership and access expertise, the Associate Director is viewed by colleagues and customers as an important knowledge owner of information about patient access and reimbursement to prescribed Eisai medications.

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.

Nice To Haves

Master's degree

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.