Associate Director, Field Reimbursement

Found in: beBee jobs US - 1 week ago

Remote, Oregon, United States Paratek Pharmaceuticals Full time

Position Title: Associate Director, Field Reimbursement

Department: Commercial - Market Access

Reports To (title): Executive Director, Trade Relations and Patient Services

Location: Remote (Northeast strongly preferred)

We are looking for resourceful, collaborative, passionate and purposeful professionals who want to be part of a fast-moving, entrepreneurial environment, where transformational patient solutions are developed

This position will support the Northeast Region.

Summary of Position:

The Associate Director of Field Reimbursement is a customer-facing role accountable to compliantly assist customers in understanding and addressing reimbursement and access issues or concerns. The position primarily engages with providers, hospital billing administrators and outpatient office staff by providing education regarding on-label HCPCS codes for Paratek Products, HUB and Specialty Pharmacy Services and on reimbursement matters. The role will work in identifying payer trends, alerting business partners, and taking initiative around developing, coordinating and executing tactical plans in order to create and maintain treatment access for patients.

Position Responsibilities:

  • Coordinate with the Paratek Market Access National Account Directors (NADs), Key Account Managers (KAMs), Reginal Business Directors (RBDs) and field sales representatives to assist in providing field reimbursement support. This includes but is not limited to a thorough understanding of account issues related to billing, coding and reimbursement challenges.
  • Establish, develop, and maintain strong working relationships with Paratek Specialty Pharmacy Network Suppliers and their leadership. Educate the Pharmacists and their staff on Paratek Patients services and coordination of care with NUYZRA Central.
  • Conduct research using HUB data, Paratek analytics, market access data, and other sources, including primary or secondary managed care sources, as needed, to develop complete understanding of the local reimbursement environment, in preparation for customer interactions.
  • Provide support to address questions about coverage requirements and prior authorization or appeals requirements, procedures and forms.
  • Serve as a payer expert for defined geography and able to communicate changes to key stakeholders in a timely manner. Maintain a strong working relationship with contracted offices and coordinate with RBD, KAM and ISS accordingly.
  • Coordinate with other patient support service program representatives (HUB) and with the field sales force, if necessary
  • Educate physician office staff on the use of patient assistance programs and call center support services, including web-based provider programs
  • Conduct field rides, attend POAs and Regional conference calls; providing education, training and feedback on the positioning of our network pharmacies and the current market access environment, to ensure a clear path for HCP and the patient.
  • Provide information on relevant Reimbursement topics related to the product
  • Manage travel schedule and travel arrangements
  • Prepare and submit appropriate expense reports in a timely fashion

Candidate Requirements:

  • Bachelor's degree required
  • A minimum of 5+ years of relevant experience in Pharmacy and Medical benefit reimbursement
  • Demonstrated knowledge in healthcare policy, reimbursement, market access, pharmaceutical or biotechnology sales or marketing
  • Experience working with hospitals, office-based physician practices, physician infusion suites, patient assistance programs, or similar pharmaceutical support program, strongly preferred
  • Understand and comply with HIPAA rules and regulations related to patient privacy
  • Strong understanding of healthcare regulatory and enforcement environments along with demonstrated integrity on the job
  • Experience with research and analysis, relationship-building (with clients and/or customers), and public speaking
  • Broad-based managed care experience across multiple segments (Commercial, Part D, Managed Medicaid, GPOs, 340B, IDNs)
  • Advanced understanding of Medicare inpatient and outpatient billing coding and reimbursement as well as payer prior authorization and appeals processes
  • Demonstrated ability to thrive in a dynamic, fast-paced environment
  • Strong interpersonal skills and the ability to develop strong working relationships and work collaboratively across cross-functional teams
  • Possesses relevant work experience to conduct site visits, audio conferences, and deliver excellent presentations with small and large groups.
  • Strong oral and written communication skills; excellent planning and organizational skills to work within date sensitive deadlines
  • Strong attention to detail combines with a keen ability to recognize issues in the context of higher-level policies and regulations
  • Ability to work independently
  • Valid driver's license with record in good standing required

Additional Information:

  • Technology needs: Microsoft Office, Veeva (preferred)
  • Travel requirements (%): The average travel for this position is >50% with some variation based upon the time of year and demands of the business imperatives. The travel requirements will vary based on the geography and account responsibilities for this position.

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