Director, Patient Access & Reimbursement

Abeona Therapeutics Inc.•,

3d•$200,000 - $230,000•Remote

About The Position

Join Abeona Therapeutics as a Director, Patient Access & Reimbursement and be a part of a mission-driven organization devoted to putting patients first. In this role, you will play a crucial part in ensuring that our cutting-edge health care solutions meet the highest quality standards. Collaborate with talented individuals dedicated to transforming lives through innovative therapies. Work remotely Monday to Friday (some late or weekend work may be required) and contribute to impactful products that change peoples' lives. With a competitive salary of $200,000 - $230,000 per year (plus annual discretionary bonus and equity opportunities), this position not only offers financial rewards, but also the opportunity to build your career in a supportive, collaborative, and values-focused environment. You will have options to participate in a comprehensive benefits program that includes options for Medical insurance to meet various individual/family needs, company covered basic Dental and Vision insurance (with additional coverage options), HSA and FSA options, a Lifestyle Spending Account, 401k options (with a company match program), and up to 160 hours of Paid Time Off per calendar year.

Requirements

BS/BA in Business, Pharmacy, or Biologic Science preferred. Graduate degree is preferred but not required.
12+ years in the pharma/biotech industry.
10+ years combined complex reimbursement markets, payer relations, and market access strategy.
Experience working within large geographic area (national).
Experience with payer stakeholders who manage medical policy and rare disease/gene therapy/cell therapy management.
Working knowledge of total cost of care and all aspects of reimbursement for inpatient settings across payer segments.
Demonstrated successful experience with national and regional payers in commercial, Medicaid, and Medicare.
Proven leadership experience and capabilities.
In-depth knowledge of current reimbursement trends, Buy and Bill, and Specialty Pharmacy/HUB services.
Demonstrated initiative, creativity and strategic relationship building.
Demonstrated ability to develop, communicate, and implement successful strategic initiatives.
Demonstrated ability to thrive in a dynamic, fast-paced environment.
Self-directed and confident, with developed ability to build teamwork centered on shared commitment and goals to achieve high standards of performance.
Ability to successfully manage multiple tasks and multifunctional resources concurrently while maintaining high attention to detail while responding to rapidly changing priorities and aggressive deadlines.
Proficient in MS Office (Word, Excel, Project), MS Teams, Qlickview, Adobe and raw data sets.
Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
This is a career-path role that is not suitable for someone whose work authorization is temporary and based on optional practical training (OPT).
Current or future H-1B sponsorship is not available for this role.

Nice To Haves

Rare disease or cell and gene therapy experience.
Experience launching rare disease products, cell and gene therapy preferred.
Experience working with Pricing compendia databases.
Reimbursement experience working with J Codes and Misc. J Codes.
Staying current with Health policy changes and trends as they relate to reimbursement issues and/or challenges.
Develop ethical and customer-oriented reimbursement strategies and proactively communicate payer criteria.

Responsibilities

Contribute to company success by being the integral point of contact with our exclusive HUB service partner, payer access accounts, and centers of excellence to secure robust coverage and reimbursement for Abeona's therapies.
Provide reimbursement education expertise and support for customers (inclusive of payer accounts and centers of excellence) utilizing Pz-cell for the treatment of RDEB.
Work closely with HCPs, pharmacists, billing and coding staff and other professionals up to and including C-Suite level personnel involved in securing and resolving appropriate reimbursement for the use of Abeona's products.
Interact with internal stakeholders including key account directors, patient services, patient operations and commercial leadership to support appropriate patient access to Abeona's current and future product portfolio.
Build and maintain strong relationships with health care provider practices and facilities, while implementing and managing all field reimbursement responsibilities.
Minimize reimbursement barriers for patients and providers and, therefore, optimize access to Abeona products, specifically Pz-cel.
Engage and consult with all Phase 1 sites of care (5-7) located throughout the United States.
Contribute to the market access team's efforts with payer accounts: pre and post approval payer engagement.
Support market access objectives of securing robust coverage and reimbursement through regional, national, and government payers.
Identify, develop and manage strategic relationships with commercial and government payers.
Present/provide approved product education and health economic information to key customers at payer, access, and treatment center accounts.
Work closely with HUB partner, Market Access & Key Account Directors in the field, supporting targeted institutions in resolving complex reimbursement cases.
Serve as the primary lead for education, assistance, and issue resolution regarding reimbursement for Pz-cel.
Spend significant time (up to 50%) on-site with customers to assess their educational needs and facilitate collaboration with various stakeholders.
Track and monitor payer policies that will support appropriate case management strategies.
Monitor and analyze situations impacting patient access to therapy.
Collaborate with Market Access department and internal groups to resolve access issues.
Serve as a subject matter expert on Medicare, Medicaid, and commercial plans and provide regular updates and insights to senior leadership on reimbursement trends, challenges and opportunities.
Monitor and report on the effectiveness of reimbursement strategies and relevant information with the commercial team.
Educate peers on Market Access elements, including reimbursement policies.
Execute business in accordance with ethical and compliance standards.