Senior Director, Field Reimbursement

AstraZeneca•Boston, MA

About The Position

Alexion is seeking a highly motivated and experienced Senior Director, Field Reimbursement to lead a team of Field Reimbursement Directors and Managers 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. The role reports to the Vice President, Patient Services & Strategy. The Senior Director will set a vision for transformation and guide the FRM team through change, translating strategy into field execution. The role includes designing and managing Field Reimbursement Manager team operations and delivery for the relevant Therapeutic Area, aligning with brand and business unit leadership on account prioritization, and developing go-to-market strategies for FRM services. The Senior Director will collaborate with Patient Services Access and Market Access Marketing teams, monitor market access issues affecting patient and provider access, oversee the FRM team and budgets in accordance with corporate compliance policies, and improve operational effectiveness through CRM processes and innovative technology, including potential AI solutions.

Requirements

  • Bachelor’s degree.
  • At least 10 years of total business experience in the healthcare or pharmaceutical/biotech industry.
  • At least 8 years of sales, managed care, or field reimbursement experience.
  • Agility to pivot, a learning mindset, accountability for results, and a proactive approach to identifying problems and solutions.
  • Proven experience creating and managing compliant field-based reimbursement and access teams, including account targets, team size and structure, strategy, programs and initiatives, PHI compliance requirements, KPIs, analytics, and integration with patient support services.
  • Prior experience leading and managing FRM teams and developing strategies supporting appropriate coverage and payment across multiple places of service, reimbursement models, and distribution models.
  • Proven experience working across stakeholders, including Field Sales, Market Access, and Marketing, to ensure strategic and compliant alignment.
  • Strong knowledge of government and commercial payers for specialty products, including rare disease, across buy-and-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.
  • Understanding of provider-office and payer staff roles across drug approval, acquisition, payment, and delivery, and of activities as they relate to FRM interactions.
  • Experience creating capabilities, strategies, and tools for FRM teams to help providers navigate the US healthcare system.
  • Experience building strategic patient access and field reimbursement account plans and adapting market access plans to client business plans and objectives.
  • Ability to travel up to 50% of the time.

Nice To Haves

  • MBA or another related graduate-level degree.
  • Launch experience and/or experience supporting new indications.
  • Rare disease experience.

Responsibilities

  • Set a clear vision for transformation and lead the FRM team through change by translating strategy into field execution.
  • Serve as a subject matter expert in the design requirements, operations, management, and delivery of Field Reimbursement Manager teams for the relevant Therapeutic Area.
  • Partner with brand and business unit leadership to align on FRM account prioritization.
  • Develop a go-to-market strategy for FRM service offerings and align stakeholders to ensure effective execution.
  • Liaise with Patient Services Access and Market Access Marketing teams to support office education on access programs and marketing materials.
  • Monitor buy-and-bill and specialty pharmacy market access issues, threats, and opportunities affecting patient and provider access, and adjust strategy in response.
  • Provide direction, oversight, and management to the FRM team, including budgets, and monitor compliance with corporate policies and guidelines.
  • Use knowledge of CRM systems and processes to improve FRM operational effectiveness.
  • Drive implementation of relevant innovative technology solutions, including potential AI opportunities, to improve operational efficiency and effectiveness.
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