Director of Field Reimbursement

NEUROTECH U S A

100d

About The Position

Neurotech Pharmaceuticals is an innovative biopharmaceutical company located in Cumberland, RI and Needham, MA, within Greater Boston’s biotechnology landscape. For over two decades, we have pioneered the development of our proprietary Encapsulated Cell Therapy (ECT) platform, designed to address chronic retinal diseases. Our lead program focuses on Macular Telangiectasia Type 2 (MacTel), a rare retinal disorder, leveraging ECT's innovative approach to provide sustained, targeted treatment directly to the eye. We are seeking an experienced Director of Field Reimbursement, which is a field-based, customer-facing position focused on developing, securing and maintaining access for Neurotech’s product NT-501 after approval and launch within their assigned region. The Director of Field Reimbursement is the primary point of contact for the designated treatment centers. They will be responsible for implementation of site readiness strategy, which includes assessing procurement options at the site, operational efficiency, and capacity. This role will be required to have a strategic understanding of the healthcare system around patient access, payer policy, reimbursement, and distribution networks, state Medicaid programs, 340B, and Medicare.

Requirements

• Bachelors’ degree with a preference for advanced degree or professional credentials.
• 7+ years in the biotechnology industry.
• 5+ years of reimbursement experience and key account management in the pharmaceutical/biotech industry, including launch experience in the rare disease space.

Nice To Haves

• Launch experience for rare indications and ophthalmology experience preferred.
• Strong knowledge and understanding of Compliance with HIPAA regulations and OIG guidance in the rare disease space.
• Deep experience working with specialty products acquired through Specialty Pharmacy networks.
• Experience with cell therapy, implantable surgical products and various reimbursement pathways in Ambulatory Surgery Centers or hospitals.
• Deep expertise and experience integrating manufacturer-sponsored patient support programs.
• Strong knowledge of the private and public payer landscape and reimbursement pathways (buy-an-bill, Specialty Pharmacy).
• A record of working effectively in a highly collaborative environment.
• Excellent organizational skills.
• Self-motivated individual with the desire to excel and ability to manage his or her own time, workload and accounts efficiently.

Responsibilities

• Conduct site profiling leading up to launch, and coordinate site readiness and efficiencies post-launch.
• Develop, communicate and execute an account specific site readiness plan within targeted accounts.
• Work as a team with Key Account Managers to align on and build relationships within targeted Institutions: C-Suite, Finance, Managed Care Contracting, Quality Department, Pharmacy Department, Materials Management /Procurement Department, Revenue Cycle Management, and with all Medical functions.
• Collaborate with manufacturer patient support program and specialty pharmacy personnel to identify and troubleshoot logistical and reimbursement challenges.
• Lead strategic planning meetings with Market Access, Marketing, and Operations teams to create and foster a successful execution commercialization and launch planning activities for access in all targeted institutions.
• Develop and execute key metrics for driving broad access and within targeted Institutions.
• Provide critical engagement with HCP office staff to educate on pricing, reimbursement, billing, coding, single case agreements, letters of agreement.
• Understand and communicate payer trends with cell therapy and works closely with Directors of National Accounts to understand Commercial and Medicaid payer policies.
• Identify and develop relationships with key product advocates within targeted accounts to champion efforts to support NT-501 administration.
• Collaborate with internal cross-functional teams Sales/Marketing, Market Access, Legal, Finance, and Medical to meet or exceed business objectives and customer needs.
• Partner with business analytics to conduct account market analysis, account strategy, and prioritization on assigned target accounts.
• Monitor and maintain a high-level of marketplace awareness and understanding of industry trends.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 51-100 employees