Field Reimbursement Director

ExecuSearch of Chicago,

About The Position

For our client, patients cannot wait. The Director, Field Reimbursement, leads the strategy, performance, and development of our Field Reimbursement team to ensure patients can start and stay on therapy without unnecessary delay. This role sits at the intersection of Market Access, Patient Services, and Commercial. The Manager is accountable for building a high-performing FRM team, driving access excellence across territories, and translating field insights into scalable strategies that improve patient onboarding, payer navigation, and therapy persistence. This is a builder role. The director will shape how reimbursement support is delivered, strengthen relationships with specialty pharmacies and provider networks, and ensure compliant, patient-first execution across the country.

Requirements

  • Bachelor’s degree required
  • 6+ years of experience in reimbursement and access
  • 3+ years of direct management of field reimbursement teams
  • Demonstrated experience in rare disease and Limited Distribution Drug (LDD) models
  • Deep expertise in pharmacy benefit design (commercial and government), PA/appeals processes, and specialty pharmacy workflows
  • Experience with inpatient access within hospitalizations and high cost medication scenarios
  • Proven ability to translate field insights into scalable strategy and measurable improvement
  • Strong executive presence and credibility with providers, access leaders, and internal stakeholders
  • High integrity and disciplined compliance mindset

Nice To Haves

  • advanced degree a plus
  • Experience supporting neurology or CNS-focused practices strongly preferred

Responsibilities

  • Lead and develop a team of Field Reimbursement Managers (FRMs), setting clear performance expectations aligned to patient impact and business priorities
  • Define and execute the national field reimbursement strategy, ensuring consistent, high-quality support across territories
  • Drive accountability through clear metrics (time to therapy initiation, PA approval rates, appeal success, patient onboarding progression, etc.)
  • Partner cross-functionally with Market Access, Patient Services, Commercial, Compliance, and Specialty Pharmacy partners to proactively address systemic access barriers
  • Analyze field trends across payers, regions, and provider types; escalate patterns and recommend strategic interventions to leadership
  • Build strong external relationships with key neurology practices, specialty pharmacies, and access stakeholders to strengthen the Company's reputation as a credible access partner
  • Recruit, coach, and retain top-tier reimbursement talent aligned with the Company's values of Trust, Ownership, Curiosity, and Results
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