Associate Director, Field Reimbursement (West/Mountain West)

Liquidia•,

About The Position

The Associate Director, Field Reimbursement serves as a subject-matter expert in reimbursement, payer access, and coverage policy. The role acts as a strategic liaison among healthcare professionals (HCPs), payers, internal stakeholders, and external partners to help ensure seamless patient access to Liquidia’s products. The position works to improve referral-to-shipment rates, turnaround times, adherence, and persistency. It supports HCPs and accounts with education on enrollment and access programs, insurance coverage, prior authorizations, clinical criteria, medical necessity, and appeals. The Associate Director also analyzes referral and coverage data, follows up on open cases, escalates access issues, supports internal training, and collaborates with sales, marketing, and Market Access stakeholders. Travel of up to 50% is required.

Requirements

Bachelor’s degree.
Knowledge of reimbursement principles, including pharmacy benefit design, prior authorization, and appeals processes.
At least 5 years of experience in field reimbursement or sales in the rare disease space, patient access, prior authorizations, specialty pharmacy, or other relevant experience.
Experience working with specialty pharmacies and/or HUBs.
Patient-centric and team-oriented mindset.
Strong analytical and problem-solving skills.
Exceptional verbal and written communication skills, with proven presentation and training skills.
Highly organized, self-directed, and able to work independently while managing multiple tasks.
Proficiency with Microsoft Office, including Outlook, Word, Excel, and PowerPoint, and with CRM systems.
Ability to travel up to 50%.

Nice To Haves

Experience in pulmonary hypertension.
PACS (Prior Authorization Certification Specialist).
Ability to navigate complex business circumstances.
Ability to collaborate cross-functionally with internal and external customers.

Responsibilities

Improve referral-to-ship rates and turnaround times by identifying and implementing changes that improve program performance.
Improve adherence and persistency rates by identifying and implementing changes that improve program performance.
Collaborate with sales and marketing teams as the reimbursement expert.
Address critical referral pull-through issues promptly, including missing referral information, unresponsive parties, and authorization delays.
Establish relationships with key accounts through in-person and virtual meetings.
Educate HCPs on the prescription enrollment journey, Liquidia Access Programs, insurance coverage, prior authorization guidelines, clinical criteria, medical necessity, and appeals.
Triage urgent and non-urgent workflows.
Follow up with accounts in a timely manner on open items.
Assist with training programs for sales and marketing on Liquidia Access Programs, insurance coverage, specialty pharmacy processes, and coverage criteria and reimbursement for Liquidia products.
Monitor and analyze product coverage, referral pull-through issues, and referral trends.
Escalate issues that affect product access and program performance.
Stay current on insurance coverage, reimbursement, and clinical policies to provide timely and relevant information to accounts.
Use company communication portals to provide timely referral pull-through updates to multiple stakeholders.
Analyze and monitor pending referral cases with relevant stakeholders.
Monitor and diagnose drivers of adherence and persistency trends.
Collaborate with internal stakeholders on Market Access needs.
Comply with all company policies and procedures.