Director, Field Reimbursement (National)

[Position] Director, Field Reimbursement (National) [About Our Client] [Job Summary] Field Reimbursement Director reports to the VP of Access Operation. The Field Reimbursement Director will oversee and manage a team of Field Reimbursement Managers (FRM) across assigned territories, ensuring that all aspects of reimbursement strategies are executed effectively to maximize product access and coverage.

The Director will act as a key leader responsible for the coordination of field-based reimbursement efforts, offering strategic direction, support, and leadership to ensure the team is successful in navigating payer landscapes, insurance policies, and reimbursement processes. [Job Description] - Leading and managing the FRM team to ensure proper execution of reimbursement strategies, ensuring patient access to products across all geographies. - Developing and implementing reimbursement strategies to guarantee appropriate coverage and access for company products. - Working closely with healthcare providers, payers, and patients to ensure the products are covered by insurance plans. - Reviewing and approving complex reimbursement cases and assisting FRM team members in resolving coverage challenges and issues. - Monitoring payer policy changes, ensuring alignment with product reimbursement strategies and working with internal teams to address any potential barriers. - Analyzing payer trends, identifying areas for improvement, and adjusting strategies to ensure the continued success of reimbursement efforts. - Collaborating with external teams to identify and implement funding or financial assistance programs that support patient access to treatments. - Supporting the team in handling prior authorizations, appeals, and denials, and ensuring all necessary documentation is submitted in a timely and compliant manner. - Reviewing patient-specific cases, identifying challenges, and recommending solutions in collaboration with healthcare providers and internal teams. - Conducting both quantitative and qualitative analysis of FRM team activities and providing detailed reports to VP of Access Operation. - Based on progress analysis, identifying and implementing improvements to optimize the team's performance and enhance the overall reimbursement process.

[Qualifications] - Bachelor's degree in business, healthcare, or related field. - Minimum of 10 years of experience in pharmaceutical reimbursement, managed care, or related field, with at least 5 years of experience in a leadership role. - Immunology and/or Oncology experience a plus - Strong knowledge of healthcare reimbursement policies and procedures. - Ability to develop and implement reimbursement strategies. - Excellent communication and interpersonal skills. - Strong analytical skills and ability to analyze data and trends. - Ability to lead and manage a team and work collaboratively with cross-functional stakeholders. - Ability to work independently and in a team environment. - Willingness to travel as required.