National Director, Field Reimbursement - Diabetes

EVERSANA•Atlanta, GA

2d•Remote

About The Position

The National Director of Field Reimbursement is responsible for the development and performance of all field reimbursement activities with the assigned partner. This position builds and manages a team of Regional Access Directors and provides leadership towards the achievement of our partner's objectives in line with company vision and values. The National Director will identify market opportunities and challenges, then develop, implement, and follow through on action plans that address them through the team, including coaching team members to support corporate growth. The National Director is responsible for evaluation of success, optimizing the opportunity and effectively communicating results to partners and EVERSANA internal stakeholders.

Requirements

Bachelor’s degree required.
15+ years in pharmaceutical industry with experience in payer policy and product access.
8+ years of experience in benefit verifications and/or prior-authorization requirements or equivalent experience in patient access.
5+ years leading successful field access teams.
Detailed understanding of both pharmacy and medical benefit product models.
Knowledge of Centers of Medicare & Medicaid Services (CMS)policies and processes with experience in Medicare Parts B & D coverage.
Knowledge and understanding of specialty markets, HUB/reimbursement services and patient access programs.
Strong analytical skills to assess market dynamics, competitor activity, and continuous diabetes monitoring trends.
Ability to gather and interpret data to guide regional strategy, including understanding the role of HUB and patient claims data.
Computer Skills; Word, PowerPoint, Excel, Outlook and videoconferencing platforms (Teams, Zoom, GoTo Meeting.

Nice To Haves

Healthcare degree strongly preferred, including MS, RN, PA, PharmD, PhD, or similar advanced healthcare/scientific degree.
Advanced presentation skills for the delivery of corporate approved materials
Advanced business analytical skills to identify trends, opportunities and threats
Ability to solve problems and determine actions to drive business or overcome challenges
Ability to utilize corporate reporting tools and technology
Must have documented successful field reimbursement management results
Demonstrates solid clinical product knowledge
Business analysis and planning skills that drive field reimbursement objectives
Excellent judgment and decision-making skills
Ability to articulate the scientific aspects of treatments and therapeutic areas
Proven ability to deliver candid, effective feedback and efficiently manage performance
Ability to develop talent for promotional opportunities
Ability to create a culture of winning and full team engagement
Collaborates and can influence without authority across organizations.
Advanced Degree preferred.
Pediatric Endocrinology and/or Endocrinology experience preferred.
Previous experience in other functions within the biopharmaceutical industry a plus (e.g. product marketing, managed care, field sales, case management or large healthcare practice experience).

Responsibilities

Coordinate in-field activity to achieve results and agreed-upon specialty targets
Maximize market, segment, and team dynamics to drive both top- and bottom-line results
Ensure smooth, collaborative efforts in both day-to-day and long-term business execution
Set tone and pace for business process and organization
Maintain required technical expertise to respond accurately to all questions regarding products, policies, and business-related issues from customers and representatives
Effectively plan and conduct plan of action and other meetings with members of Corporate Leadership
Have complete understanding of all relevant compliance laws, policies and processes
Ensure actions of self and team are fully compliant
Provide direction and insights to key internal partners in business planning process
Consistently exemplify both EVERSANA and Client’s Cultural Beliefs and high ethical standards.
Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.
Coach, mentor, educate and develop direct and indirect team members to enhance individual skills and elevate overall team performance
Hold direct reports accountable to behaviors and expectations
Interview, select and supervise the activities of the department staff; communicate interpret and discuss with team the company policies and procedures.
Day to day management of entire field reimbursement leadership and team
Determine job objectives, work methods, and performance standards; review performance relative to departmental objectives; engage in performance appraisal discussions with each employee; authorize and communicate salary changes, promotions, transfers, discipline and discharge and administer all other personnel actions.