Field Reimbursement Director, Retina

Thea Pharma•Waltham, MA

10d•Remote

About The Position

The Field Reimbursement Director (FRM) will possess deep expertise and a proven track record in designing, implementing, and leading a high-performing Field Reimbursement organization that supports provider education, reimbursement, and patient access across Théa’s portfolio. This individual will be responsible for establishing and leading the national FRM strategy while ensuring healthcare providers receive timely reimbursement support and education to facilitate patient access. The role requires strong collaboration across the U.S. Commercial organization to develop and optimize reimbursement strategies, field engagement models, provider education, and customer support processes that enhance the customer experience and drive successful product adoption. The Director will build, lead, and develop a team of FRMs while establishing standardized business processes, performance metrics, CRM capabilities, and operational excellence across the field organization. This position will partner closely with HUB Services, Commercial Operations, Sales, Thought Leader Liaisons (TLLs), Marketing, Medical Affairs, Market Access, Analytics, Regulatory, Legal, Compliance, Finance, Distribution, and Training to ensure coordinated customer engagement and successful execution of reimbursement strategies. This role reports to the Head of Market Access.

Requirements

Deep understanding of pharmaceutical reimbursement, provider office operations, buy-and-bill reimbursement, coding, billing, prior authorization processes, and patient access.
Demonstrated experience leading Field Reimbursement Manager organizations or similar customer-facing reimbursement teams.
Strong leadership, coaching, and organizational development skills with demonstrated success building high-performing field organizations.
Experience developing KPIs, MBOs, field analytics, executive dashboards, CRM strategies, and operational reporting.
Proven ability to lead cross-functional initiatives while influencing stakeholders across Commercial, Market Access, Sales, Medical Affairs, and Patient Services.
Strong analytical and strategic thinking skills with the ability to translate business objectives into measurable field execution plans.
Excellent communication and presentation skills with the ability to influence stakeholders at all levels of the organization.
Demonstrated ability to operate successfully in a fast-paced commercial environment supporting multiple product launches and evolving reimbursement landscapes.
Strong understanding of pharmaceutical regulatory requirements, compliance standards, and appropriate interactions with healthcare professionals.
Extensive proficiency with Microsoft Office (Word, Excel, PowerPoint, Teams, Outlook) and CRM platforms.
Bachelor’s degree required
8 to 10 years of progressive pharmaceutical, biotechnology, or specialty healthcare experience with significant experience in reimbursement, market access, field reimbursement, patient services, or provider support.
5+ years of people leadership experience managing Field Reimbursement Managers or similar field-based commercial teams.
Experience supporting buy-and-bill products required.
Product launch experience strongly preferred.
Experience building or expanding a national FRM organization preferred.
Experience in ophthalmology or specialty pharmaceuticals preferred.
Demonstrated success leading cross-functional commercial initiatives, implementing CRM solutions, and developing scalable field reimbursement programs.

Nice To Haves

MBA, PharmD, or other advanced degree preferred.
Product launch experience strongly preferred.
Experience building or expanding a national FRM organization preferred.
Experience in ophthalmology or specialty pharmaceuticals preferred.

Responsibilities

Lead the strategic direction, development, and execution of a national Field Reimbursement Manager organization.
Recruit, develop, coach, and lead a high-performing team of FRMs while fostering a culture of accountability, collaboration, customer focus, and operational excellence.
Develop and execute national FRM business plans aligned with quarterly and annual commercial objectives.
Establish standardized field engagement strategies, provider support models, territory deployment, customer segmentation, and workload prioritization.
Serve as the business owner for FRM operations, including field reimbursement strategy, provider education, reimbursement support, customer engagement, and operational effectiveness.
Develop and implement Key Performance Indicators (KPIs), Management by Objectives (MBOs), productivity metrics, quality measures, customer engagement standards, and executive dashboards to measure field performance and business impact.
Lead the development, implementation, and ongoing optimization of CRM capabilities supporting FRM activities, including customer documentation standards, workflow design, reporting, analytics, and field insights.
Partner with Commercial Operations to establish CRM requirements, reporting capabilities, and business intelligence tools that enhance field effectiveness and customer visibility.
Collaborate closely with cross-functional leaders to ensure coordinated customer engagement strategies and consistent reimbursement messaging.
Provide strategic reimbursement guidance related to coding, billing, buy-and-bill reimbursement, prior authorization processes, payer policies, claims adjudication, and reimbursement best practices.
Identify reimbursement trends, customer challenges, payer barriers, and field insights while communicating recommendations to Commercial Leadership.
Develop and maintain standardized field tools, reimbursement resources, educational materials, and best practices supporting provider offices, ambulatory surgery centers (ASCs), hospital outpatient departments (HOPDs), and specialty practices.
Support launch readiness activities by developing reimbursement education strategies, field deployment plans, CRM capabilities, training programs, and operational processes for new product launches.
Partner with Training to develop onboarding programs and ongoing education for FRMs while ensuring consistent execution across the national field organization.
Ensure all FRM activities comply with applicable healthcare regulations, company policies, privacy requirements, and compliance standards.
Develop departmental budgets, resource plans, and organizational strategies that support commercial objectives while maintaining operational efficiency.
Utilize internal and external data sources to evaluate reimbursement trends, customer engagement, field effectiveness, and overall program performance while driving continuous improvement initiatives.