Director, Patient Access & Reimbursement
Abeona Therapeutics · United States · 4 days ago
RemoteRemoteFinance$220k–$230k/yrFull-time
About the Company Join Abeona Therapeutics as a Director, Patient Access & Reimbursement and be a part of a mission-driven organization devoted to putting patients first. Our Values: Patient First | Innovation | Integrity | Determination | Trust. At Abeona Therapeutics, we exist for our patients and their caregivers; their needs guide our decision-making. We challenge ourselves to think differently, move quickly, and deliver solutions. We hold ourselves to the highest ethical and quality standards. We persevere with resilience and focus to achieve our mission. We build trust through humility, mutual appreciation, openness, and respect. About the Role As a Director, Patient Access & Reimbursement at Abeona Therapeutics, your day-to-day activities will focus on contributing to company success by being the integral point of contact with our exclusive HUB service partner, payer access accounts, and centers of excellence to secure robust coverage and reimbursement for Abeona’s therapies. A more detailed job description is available at our careers page. Below is a general outline of the expected responsibilities and qualifications. Responsibilities Extensive travel requirements.Minimize reimbursement barriers for patients and providers and, therefore, optimize access to Abeona products.Ability to engage and consult with all Phase 1 sites of care (5-7) located throughout the United States.Contribute to the market access team’s efforts with payer accounts: pre and post approval payer engagement.Support market access objectives of securing robust coverage and reimbursement through regional, national, and government payers.Identify, develop and manage strategic relationships with commercial and government payers.Present/provide approved product education and health economic information to key customers at payer, access, and treatment center accounts.Understand payer requirements and hospital reimbursement for cell/gene therapies administered in inpatient settings including implications for new novel therapies.Expected to work closely with HUB partner, Market Access & Key Account Directors in the field, supporting targeted institutions in resolving complex reimbursement cases.Experience launching rare disease products, cell and gene therapy preferred.Experience working with Pricing compendia databases.Reimbursement experience working with J Codes and Misc. J Codes.Staying current with Health policy changes and trends as they relate to reimbursement issues and/or challenges.Develop ethical and customer-oriented reimbursement strategies and proactively communicate payer criteria.The individual will serve as the primary lead for education, assistance, and issue resolution regarding reimbursement.This position involves spending significant time (up to 50%) on-site with customers to assess their educational needs and facilitate collaboration with various stakeholders.Track and monitor payer policies that will support appropriate case management strategies.Monitor and analyze situations impacting patient access to therapy.Collaborate with Market Access department and internal groups to resolve access issues.Serve as a subject matter expert on Medicare, Medicaid, and commercial plans and provide regular updates and insights to senior leadership on reimbursement trends, challenges and opportunities.Monitor and report on the effectiveness of reimbursement strategies and relevant information with the commercial team.Educating peers on Market Access elements, including reimbursement policies.Execute business in accordance with ethical and compliance standards. Qualifications BS/BA in Business, Pharmacy, or Biologic Science preferred. Graduate degree is preferred but not required.12+ years in the pharma/biotech industry.10+ years combined complex reimbursement markets, payer relations, and market access strategy.Experience working within large geographic area (national).Experience in Rare Disease/Specialty products, gene and/or cell therapy preferred.Experience with payer stakeholders who manage medical policy and rare disease/gene therapy/cell therapy management.Working knowledge of total cost of care and all aspects of reimbursement for inpatient settings across payer segments.Demonstrated successful experience with national and regional payers in commercial, Medicaid, and Medicare.Proven leadership experience and capabilities.In-depth knowledge of current reimbursement trends, Buy and Bill, and Specialty Pharmacy/HUB services.Demonstrated initiative, creativity and strategic relationship building.Demonstrated ability to develop, communicate, and implement successful strategic initiatives.Demonstrated ability to thrive in a dynamic, fast-paced environment.Self-directed and confident, with developed ability to build teamwork centered on shared commitment and goals to achieve high standards of performance.Ability to successfully manage multiple tasks and multifunctional resources concurrently while maintaining high attention to detail while responding to rapidly changing priorities and aggressive deadlines.Proficient in MS Office (Word, Excel, Project), MS Teams, Qlickview, Adobe and raw data sets. Required Skills Extensive travel requirements.Strong communication skills.Ability to build and maintain relationships.Expertise in reimbursement processes. Preferred Skills Experience in rare disease or cell and gene therapy.Strategic and collaborative mindset.Comfortable with extensive travel. Pay range and compensation package With a competitive salary of $220,000 - $230,000 per year (plus annual discretionary bonus and equity opportunities), this position not only offers financial rewards, but also the opportunity to build your career in a supportive, collaborative, and values-focused environment. You will have options to participate in a comprehensive benefits program that includes options for medical insurance to meet various individual/family needs, company covered basic dental and vision insurance (with additional coverage options), HSA and FSA options, a Lifestyle Spending Account, 401k options (with a company match program), and up to 160 hours of Paid Time Off per calendar year. Equal Opportunity Statement We’re committed to building a workplace where everyone feels welcome. We are an equal opportunity employer and do not discriminate based on race, color, religion, sex, gender identity or expression, sexual orientation, age, disability, veteran status, or any other protected status. Connect with our team today! If you're ready to take your career to the next