Senior Director of Field Reimbursement

NEUROTECH U S A

110d

About The Position

Neurotech Pharmaceuticals is seeking a Senior Director of Field Reimbursement to support the commercial success of the company by leading the field reimbursement team to eliminate access and reimbursement barriers for providers and patients. This role will report to the Head of Market Access and will require a strategic vision to drive the success of the reimbursement team, as well as the ability to develop and implement innovative solutions. The ideal candidate will have an entrepreneurial spirit and a willingness to play a hands-on role in supporting launch excellence.

Requirements

• BA/BS required, MBA/MS preferred, or comparable experience.
• 10+ years of pharma/biotech or related experience.
• 3 years of direct experience in managing field reimbursement teams.
• Familiarity with health insurance claim forms, explanation of benefits, prior authorization forms, and EMR/Practice Mgmt. systems, to troubleshoot cases where claims submission or documentation errors may occur.
• Experience in managing access complexities associated with a new to market medication.
• Experience with specialty pharmacy products / products acquired through Specialty Pharmacy networks.
• Demonstrated experience in helping to educate on reimbursement processes (including detailed knowledge of benefit verifications, prior authorization, appeals, denials, letters of medical necessity, pre-determination requirement).
• Experience within a complex Site of Care network, rare/orphan diseases, IV, oral, Hospital, Buy-and-Bill and Medicare Part D products; experience and strong understanding of building and launching reimbursement networks for cell and gene therapies in rare diseases.
• Demonstrated ability to work in a fast-paced, highly visible and dynamic environment is critical; able to work effectively with ambiguity and incomplete information.

Responsibilities

• Execute a reimbursement strategy that addresses the needs of our collective target audience, including physicians, office staff, sites of care and billing.
• Lead a team of the Field Reimbursement Directors to provide in-depth access and reimbursement support to healthcare providers and administering sites of care.
• Provide strategic thought leadership to the field access & reimbursement team by fostering a collaborative culture, growing and developing team members and inspiring excellence and execution for our patients.
• Escalate payer coverage or payment issues to the Directors of National Accounts team, providing detailed specifics on issues, steps attempted to resolve, and identify key items that need addressing with the payer.
• Ensure the team is addressing access barriers by strategically working with customers and accounts to solve the most complex patient access issues through all facets of the reimbursement cycle.
• Interface with healthcare professionals, including their ancillary staff, HUB coordinators, Market Access team, and various Channel Partners on complex access and reimbursement cases.
• Spend time in the field with regional directors and managers in order to support individual development, help with issue resolution as well as provide coaching, direction and feedback.
• Partner with Head of Market Access and Trade & Distribution to optimize site-of-care strategy and provider logistics for therapy delivery.

Benefits

• Competitive compensation
• Benefits through Blue Cross BlueShield and HealthEquity (FSA, HAS & HRA)
• 401(k) through Fidelity with a company-sponsored match
• Generous vacation time and company holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree