Field Reimbursement Associate Director – Florida
BioSpace · United States · 1 wk ago
RemoteRemoteAccounting$154k–$243k/yrFull-time
About the role
The Field Reimbursement Associate Director – Florida will contribute to optimizing patient access to the U.S. Oncology Business Unit (USOBU) product portfolio by providing strategic reimbursement expertise within the region. They will serve as a subject matter expert for healthcare professionals, educate on payer coverage, prior authorization requirements, step edits, appeals processes, and reimbursement pathways, and engage in cross-functional collaboration to enhance provider understanding of evolving coverage dynamics.
Responsibilities
- Serve as the patient access subject matter expert for all USOBU therapies within your assigned geography
- Educate healthcare professionals and practice staff on payer coverage, prior authorization requirements, step edits, appeals processes, and reimbursement pathways across all sites of care
- Engage in cross-functional collaboration with USOBU Here2Assist HUB, Strategic Account Management, Sales and Market Access to optimize patient access and enhance customer experience
- Identify, triage, and escalate patient access issues, driving timely resolution through engagement with relevant internal and external stakeholders
- Liaise with USOBU Here2Assist HUB to update healthcare professionals on Rx status, program eligibility and patient support options
- Develop practical strategies to address access needs for targeted customers, ensuring streamlined processes and patient support
- Support onboarding new accounts by assessing practice workflows, identifying reimbursement challenges, and sharing appropriate patient support resources
- Maintain deep expertise in oncology reimbursement dynamics, including Medicare Part B/D, commercial payer processes, and state Medicaid policies
- Document all field activities in CRM systems in accordance with compliance and company policies
Requirements
- Bachelor’s degree in Business, Management, Marketing, or related field required
- 8+ years of experience in the biotech or pharmaceutical industry including 4+ years of patient access or relevant reimbursement experience in oncology required
- 2+ years of ‘buy and bill’ required
- Demonstrated experience in buy and bill reimbursement, specialty pharmacy, payer dynamics, copay assistance, and HUB services required
- Launch experience in oncology for both oral and injectable products highly preferred
- Proven ability to build credibility and trust with internal and external stakeholders through effective cross-functional partnership
- Strong communicator, translating complex concepts into clear, concise messages both verbally and in writing
- Commitment to Takeda’s core values—Integrity, Fairness, Honesty, and Perseverance—with Integrity at the center
- Must reside in FL or live in close proximity to designated area of responsibility
- Able to travel 50–75%
- Valid driver’s license
Qualifications
- Minimum required education: Bachelor’s degree in Business, Management, Marketing, or related field
- Minimum required experience: 8+ years of experience in the biotech or pharmaceutical industry including 4+ years of patient access or relevant reimbursement experience in oncology
- Preferred experience: 2+ years of ‘buy and bill’
- Preferred experience: Demonstrated experience in buy and bill reimbursement, specialty pharmacy, payer dynamics, copay assistance, and HUB services
- Preferred experience: Launch experience in oncology for both oral and injectable products
- Preferred skill: Proven ability to build credibility and trust with internal and external stakeholders through effective cross-functional partnership
- Preferred skill: Strong communicator, translating complex concepts into clear, concise messages both verbally and in writing
- Preferred skill: Commitment to Takeda’s core values—Integrity, Fairness, Honesty, and Perseverance—with Integrity at the center
- Preferred requirement: Must reside in FL or live in close proximity to designated area of responsibility
- Preferred requirement: Able to travel 50–75%
- Preferred requirement: Valid driver’s license
Benefits
- U.S. based employees may be eligible for short-term and/ or long-term incentives
- U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others
- U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation
Pay
$154,400.00 - $242,550.00
Schedule
Full time