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Associate Director, Field Reimbursement
2 months ago
Key responsibilities
- Lead a team of reimbursement specialists to support providers, patients, pharmacies, and payers in navigating the reimbursement process for oncology products
- Develop and implement strategies to ensure successful reimbursement of oncology treatments, including patient assistance programs, appeals, and prior authorization support
- Collaborate cross-functionally with sales, marketing, market access, and medical teams to align reimbursement strategies with broader commercial goals
- Provide expertise and guidance on reimbursement policies, coding, and coverage criteria to internal and external stakeholders
- Engage with key opinion leaders, advocacy groups, and payers to advocate for access to oncology therapies
- Monitor and analyze reimbursement trends, payer policies, and competitive landscape to inform strategic decision-making
- Develop and maintain relationships with specialty pharmacies and distribution partners to facilitate product access and support patient assistance programs
- Coach, mentor, and support the professional development of the reimbursement team
- Ensure compliance with relevant regulations, guidelines, and industry standards in all reimbursement activities
- Participate in the development and execution of training programs for internal and external stakeholders
Required qualifications
- Bachelor's degree in a relevant field such as healthcare administration, business, or life sciences; advanced degree preferred
- Minimum of 10 years of experience in pharmaceutical/biotech reimbursement, with a focus on oncology products
- Demonstrated leadership experience in managing reimbursement teams and developing reimbursement strategies
- Comprehensive understanding of the US healthcare system, reimbursement processes, and payer landscape
- Proven track record of successful collaboration with cross-functional teams, including sales, marketing, market access, and medical affairs
- Strong knowledge of oncology reimbursement trends, coding, coverage policies, and patient assistance programs
- Excellent communication, negotiation, and relationship-building skills with internal and external stakeholders
- Strategic mindset with the ability to analyze data, identify opportunities, and drive innovative reimbursement solutions
- Experience in navigating regulatory and compliance requirements related to reimbursement activities
- Ability to thrive in a fast-paced, dynamic environment and adapt to evolving market trends and payer landscape
- Proficiency in utilizing relevant software and databases for reimbursement analysis and reporting
- Proactive problem-solving and decision-making abilities to address complex reimbursement challenges
- Strong presentation and public speaking skills with the capability to represent the organization at key events and engagements
- Continuous learning mindset with a commitment to staying updated on oncology market dynamics and reimbursement best practices
