Director, Field Reimbursement Patient Services

Kyowa Kirin North America•Princeton, NJ

15h•$220,000 - $250,000•Hybrid

About The Position

As a key member of the Patient Services team, the Director, Field Patient Access Solutions is responsible for leading patient services field strategy and teams as well as for the field strategy and operations components of Kyowa Kirin’s Patient Support Programs for all products, focused on reimbursement, patient access, and initiation. This individual will be responsible for ensuring that all program operations are in line with relevant laws, regulations, and Company Policies including HIPAA and Patient Privacy guidelines. Overseeing the day-to-day operations of the Patient Services’ field teams and vendors, this key contributor is expected to ensure an efficient, timely, and compliant patient and customer experience with Kyowa Kirin’s products. This individual will be an expert in Kyowa Kirin’s Patient Support processes and ensure that patients and customers receive the highest level of service. They will ensure the internal and external teams are appropriately helping patients start and stay on prescribed medicines. The Director is required to exemplify strong leadership skills and provide adequate coaching and support to members of the Patient Services Field teams. They will be responsible for the hiring and oversight of the Patient Services field teams, including Field Reimbursement Managers (FRMs), and support the vendor selection process for additional field teams, as necessary. The Director will drive team business objectives and plans, enable field excellence, and empower cross-collaborative relationships. In addition, the Director, Field Patient Access Solutions will be responsible for establishing processes to monitor the performance of Patient Services vendors and partners. They will be expected to support program strategy, policy development, marketing, and technology enhancements acting as a subject matter expert in Patient Services and Reimbursement processes and procedures. Strong working knowledge of industry trends and requirements is necessary. They will work closely with the broader commercial teams to understand patient and customer needs and implement appropriate strategies across partners.

Requirements

Bachelor degree
10+ years of experience in Market Access/Patient Services in the biotech/pharmaceutical industry required.
4+ years of experience leading a specialty/rare field reimbursement or patient access team is required
Experience working with Specialty products required. Experience in Rare Disease required.
Expert knowledge of Field Access Solutions, including field reimbursement managers, nursing support, and patient support program strategy, operational processes, technology, and data.
Sufficiently experienced in team leadership and vendor management skills; can persuade and influence others; manage conflicts appropriately.
Detailed understanding of Patient Services regulatory and compliance landscape and requirements.
Experience in audit circumstances and knowledge of investigative processes.
Detailed understanding of payer landscape, all product types (retail, specialty, buy-and-bill). Ability to build organization personnel structure.
Demonstrated ability to effectively recruit, develop and retain top talent.
Excellent tactical and operational execution skills.
Proven ability to identify,develop, implement and execute operational efficiencies in process and procedures.
Strong collaboration skills across internal and external stakeholders to drive brand vision through tactical patient services strategy and process.
Patient-focused.
Creative problem solver
In-depth knowledge and understanding of specialty channel patient-level data.
Experience with data analysis and evaluation required.
Proven ability to drive operational growth and meet key standard performance objectives.
Strong business acumen.
Fluent understanding of reimbursement process terminology required
Proficient in MS Office Suite.
Demonstrated ability to organize, prioritize, meet deadlines, make decisions, and change course of action quickly. Strong interpersonal and communication skills. Strong work ethic is required. Detail oriented and excellent follow through. Has the ability to flex and deal with ambiguity in a dynamic, fast-paced, high growth environment. Has a passion for personal learning and development to be able to grow with the company. Cultural sensitivity and ability to develop consensus within a multinational organization
Requires up to 50% domestic and international travel
KKNA and all of its employees have an obligation to act in accordance with the law and with integrity in all our operations and interactions
It is the policy of Kyowa Kirin North America, Inc. to provide equal employment opportunity to all qualified persons without regard to race, religion, creed, color, pregnancy, sex, age, national origin, disability, genetic trait or predisposition, veteran status, marital status, sexual orientation or affection preference or citizenship status or any other category protected by law.

Nice To Haves

Product launch experience preferred.

Responsibilities

Patient Service’s lead and subject matter expert on Kyowa Kirin’s products’ payer landscape; responsible for related Patient Services training, education and resource development.
Work with internal partners to build strategic patient access and reimbursement account plans that align with franchise, market access, and patient services business objectives provide insights and updates accordingly.
Proactive anticipation of potential reimbursement issues and address via program strategy, process, or procedure updates
Collaborate with marketing partners and agencies to develop access-related materials and resources.
Key contributor expansion of internal Patient Services organization, including policy, technology, and organizational structure development.
In collaboration with key team members, establish program metrics, key performance indicators, performance measurements, and incentive compensation model.
Manage day-to-day patient access and support services including internal team member(s), field nurse vendors, other field partners; attend field calls with the team regularly to provide support and coaching opportunities.
Responsible for integration of Patient Services teams and procedures into greater franchise processes and objectives
Enhance the patient and customer experience via feedback, business insights, benchmarking, auditing, and active team monitoring.
Participate in LMR (Legal/Medical/Regulatory) review process as Reimbursement and Patient Services subject matter expert
Monitor and analyze data collection from partners; provide data updates and appropriate information to internal and external stakeholders.
Executes on business objectives related to Patient Services with operational excellence.
Develop and maintain all Field Access Solutions Program SOPs, Work Flows, Communication Guides/Templates, Training and Reports.
Manage external partner and internal team performance against contractual arrangements, SOPs, and KPIs.
Responsible for performance, development, and satisfaction of internal Patient Services Field Team members.
Works closely with broader home office and field teams to facilitate seamless communication of Patient Services information and updates.
Partners with Training team to develop necessary Patient Services training for internal and external teams
Continuously evaluate platforms, processes, and data and implements improvements as needed.
Work with internal and external Patient Services partners (Hub, PAP, co-pay, SPs, etc.) to ensure seamless patient experience on escalated cases.

Benefits

Medical, Dental & Vision Insurance
Basic and Voluntary Life and AD&D Insurance
Short- and Long-Term Disability Insurance
Flexible Spending Accounts, and Health Savings Account
Business Travel Insurance
Employee Assistance Programs
Pet Insurance
Retirement Savings 401k with company match
Well-Being and Work-Life Programs Including Gympass, Nutrition Counseling, , Volunteer Time Off, Flexible Work Arrangements, Parental Leave, Adoption Assistance, and TouchCare Insurance & Billing Support
Generous Paid Time Off, Sick Time, & Paid Holidays
Perks and Discounts with Tickets at Work and LifeMart
Reward & Recognition Programs
Career Development and Training