Team Lead, Field Reimbursement Director - West
About The Position
The Team Lead, Reimbursement Director serves as a player-coach within ANI Rare Disease Patient Support, combining direct patient access work with day-to-day leadership of reimbursement professionals. The role maintains a portfolio of complex or escalated patient cases while providing frontline leadership, coaching, and oversight to Reimbursement Directors, Reimbursement Managers, Reimbursement Specialists, and Field Case Specialists. The Team Lead is the first point of escalation for reimbursement challenges and helps drive consistent patient experiences, compliance, and access outcomes. The role works with internal and external stakeholders—including Nurse Access Specialists, Hub Case Managers, Specialty Pharmacies, Market Access, Compliance, Marketing, and Sales—to address access barriers and support timely access to therapy. It also serves as an operational leader and reimbursement subject matter expert, identifying trends, improving processes, and contributing to program performance.
Requirements
- Bachelor’s degree.
- 10 or more years of experience working in a patient access role for a specialty medication.
- Demonstrated expertise with both pharmacy and medical benefits in a specialty disease market.
- Strong collaboration with Hub partners and cross-functional colleagues.
- Familiarity with OIG guidance, HIPAA guidelines, and FDA protocols.
- Ability to travel up to 25%, with some evening and weekend commitments.
- Ability to lead, motivate, and develop high-performing teams.
- Ability to prioritize competing demands while balancing individual contributor and leadership responsibilities.
- Strong interpersonal and communication skills.
- Problem-solving ability to navigate ambiguous or challenging access scenarios and identify solutions.
- Proactive approach to moving patient cases forward and a sense of urgency in addressing critical patient access issues.
Responsibilities
- Provide proactive education to healthcare provider offices on insurance requirements and payer policies for ANI Rare Disease Business Unit brands.
- Manage a limited number of complex reimbursement cases, engaging directly with healthcare provider offices and patients.
- Partner with Hub case managers and in-network Specialty Pharmacies on prior authorization submissions and follow-up.
- Facilitate access to patient assistance programs, including copay support and free goods when applicable.
- Coordinate patient support activities with Nurse Access Specialists.
- Partner with Market Access colleagues to stay informed about payer trends, policy changes, and access barriers.
- Collaborate with Sales colleagues, when appropriate and consistent with Compliance guidelines, on field education and account strategy.
- Serve as a reimbursement and access subject matter expert and contribute insights to broader team initiatives.
- Balance individual case work with team leadership responsibilities.
- Mentor and coach team members on best practices, compliance, and patient-centric service.
- Monitor team productivity, workload distribution, case quality, and key performance indicators to ensure operational objectives are achieved.
- Support team member onboarding and ongoing development, fostering integrity, excellence, and collaboration.
- Conduct regular one-on-one meetings, team meetings, case reviews, and development discussions.
- Model professionalism, ethical conduct, and compliance in all interactions.
Benefits
- Health insurance coverage
- Life insurance
- Disability insurance
- Retirement savings plans
- Paid leave programs
- Paid holidays
- Paid time off
- Competitive short-term and long-term incentive program based on performance and company results
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What This Job Offers
Job Type
Full-time
Career Level
Manager
