Senior Director, Field Reimbursement

Alexion • Boston, MA

2d • Remote

About The Position

Alexion is seeking a highly motivated and experienced professional to join our team as the Senior Director, Field Reimbursement. In this role, you will lead a team of Field Reimbursement Directors and Managers focused on supporting Healthcare Provider offices in optimizing patient access to Alexion products. This leader will shape reimbursement strategy, elevate field execution, and partner cross-functionally to remove access barriers, improve provider experience, and deliver measurable business and patient impact. Reporting to the Vice President, Patient Services & Strategy, this role is a high-profile position with the opportunity to make a major impact on patient lives and at Alexion.

Requirements

• Bachelor’s Degree (MBA or other related graduate-level degree is preferred)
• Minimum of 10 plus years of total business experience in the healthcare or pharmaceutical/biotech industry
• Minimum of 8 or more years' sales, managed care or field reimbursement experience is
• Agility to pivot, a learning mindset, accountability for results, and a bias toward proactively identifying problems and associated solutions
• Proven experience creating and managing compliant field-based reimbursement and access teams, including key account targets, size, structure, strategy, programs/initiatives, compliance requirements (PHI), KPIs, analytics, integration with patient support services.
• Prior experience leading and managing FRM teams and developing strategies to support appropriate coverage and payment across multiple places of service, reimbursement and distribution models.
• Proven experience working across multiple stakeholders including Field Sales, Market Access and Marketing to ensure strategic and compliant alignment.
• Superb knowledge of government and commercial payers for specialty products (rare disease) across buy & bill and specialty pharmacy pathways, prior authorization and appeal requirements, coding, appropriate claim submission, and integration with patient assistance programs
• Deep understanding of manufacturer compliance requirements for delivery of field reimbursement support services.
• Understands role of key staff members at providers' office and payers across drug approval, acquisition, payment, delivery and activities as they relate to FRM interactions.
• Experience creating capabilities, strategies and tools for FRM teams to support providers in navigating the complexities of the US Healthcare System.
• Experienced in building strategic patient access and field reimbursement account plans, market access, and adapting to client business plans and objectives .
• Ability to travel up to 50% of the time

Nice To Haves

• Launch experience and/or experience supporting new indications
• Rare disease experience

Responsibilities

• Set a clear vision for transformation and successfully lead the FRM team through change by translating strategy into field reality.
• Serve as Subject Matter Expert in the design requirements, operations, management, and delivery of Field Reimbursement Manager teams for the respective Therapeutic Area.
• Key partner with brand and business unit leadership to align on FRM account prioritization.
• Develop a go-to market strategy for FRM service offerings while also driving alignment across multiple stakeholders to ensure flawless execution.
• Liaise with Patient Services Access team and Market Access Marketing teams to support office education on access programs and marketing materials.
• Monitor the marketplace for buy and bill and specialty pharmacy market access issues impacting patient and provider access, threats & opportunities and adjust strategy in response to changes.
• Provide ongoing direction, oversight and management to the FRM team, including budgets, while monitoring on a regular basis to ensure activities are in accordance with corporate compliance policy/guidelines.
• Strong understanding of CRM systems and processes to improve operational effectiveness of the FRMs.
• Drive implementation of innovative technology solutions relevant to the market, including potential AI opportunities that will help elevate operational efficiencies and overall effectiveness.

Benefits

• Our mission is to build an inclusive environment where equal employment opportunities are available to all applicants and employees. In furtherance of that mission, we welcome and consider applications from all qualified candidates, regardless of their protected characteristics. If you have a disability or special need that requires accommodation, please complete the corresponding section in the application form.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior