Field Reimbursement Director

Job Summary

The Director of Field Reimbursement is a field-based, customer-facing position focused on developing, securing, and maintaining access for Neurotech’s product NT-501 after approval and launch within their assigned region. This role is based in North Central & Northeast.

About the Role

Develop and execute an account-specific site readiness plan within targeted accounts, collaborate with manufacturer patient support program and specialty pharmacy personnel to identify and troubleshoot logistical and reimbursement challenges, lead strategic planning meetings with Market Access, Marketing, and Operations teams, and provide critical engagement with HCP office staff to educate on pricing, reimbursement, billing, coding, single case agreements, letters of agreement.

Responsibilities

• Conduct site profiling leading up to launch, and coordinate site readiness and efficiencies post-launch.
• Develop, communicate and execute an account specific site readiness plan within targeted accounts.
• Work as a team with Key Account Managers to align on and build relationships within targeted Institutions: C-Suite, Finance, Managed Care Contracting, Quality Department, Pharmacy Department, Materials Management /Procurement Department, Revenue Cycle Management, and with all Medical functions.
• Collaborate with manufacturer patient support program and specialty pharmacy personnel to identify and troubleshoot logistical and reimbursement challenges.
• Lead strategic planning meetings with Market Access, Marketing, and Operations teams to create and foster a successful execution commercialization and launch planning activities for access in all targeted institutions.
• Develop and execute key metrics for driving broad access and within targeted institutions.
• Provide critical engagement with HCP office staff to educate on pricing, reimbursement, billing, coding, single case agreements, letters of agreement.
• Understand and communicate payer trends with cell therapy and works closely with Directors of National Accounts to understand Commercial and Medicaid payer policies.
• Identify and develop relationships with key product advocates within targeted accounts to champion efforts to support NT-501 administration.
• Collaborate with internal cross-functional teams Sales/Marketing, Market Access, Legal, Finance, and Medical to meet or exceed business objectives and customer needs.
• Partner with business analytics to conduct account market analysis, account strategy, and prioritization on assigned target accounts.
• Maintain a high-level of marketplace awareness and understanding of industry trends.

Requirements

• Bachelor’s degree with a preference for advanced degree or professional credentials.
• 7+ years in the biotechnology industry, 5+ years of reimbursement experience and key account management in the pharmaceutical/biotech industry, including launch experience in the rare disease space.
• Strong knowledge and understanding of Compliance with HIPAA regulations and OIG guidance in the rare disease space.
• Deep experience working with specialty products acquired through Specialty Pharmacy networks.
• Deep expertise and experience integrating manufacturer-sponsored patient support programs.
• Strong knowledge of the private and public payer landscape and reimbursement pathways (buy-an-bill, Specialty Pharmacy).
• Able to manage multiple accounts and projects simultaneously.
• Excellent organizational skills.
• Self-motivated individual with the desire to excel and ability to manage his or her own time, workload and accounts efficiently.

Qualifications

• Knowledge of the healthcare system around patient access, payer policy, reimbursement, and distribution networks, state Medicaid programs, 340B, and Medicare.
• Experience with cell therapy, implantable surgical products and various reimbursement pathways in Ambulatory Surgery Centers or hospitals.
• Strategic understanding of the healthcare system around patient access, payer policy, reimbursement, and distribution networks, state Medicaid programs, 340B, and Medicare.

Skills

• Strong knowledge and understanding of Compliance with HIPAA regulations and OIG guidance in the rare disease space.
• Deep experience working with specialty products acquired through Specialty Pharmacy networks.
• Deep expertise and experience integrating manufacturer-sponsored patient support programs.
• Strong knowledge of the private and public payer landscape and reimbursement pathways (buy-an-bill, Specialty Pharmacy).
• Able to manage multiple accounts and projects simultaneously.
• Excellent organizational skills.
• Self-motivated individual with the desire to excel and ability to manage his or her own time, workload and accounts efficiently.

Benefits

Neurotech Pharmaceuticals provides a competitive salary, comprehensive benefits package, and opportunities for career growth and development.

Pay

Competitive salary commensurate with experience.

Schedule

Full-time position with flexible work schedule.

Equal Opportunity Employer

Neurotech Pharmaceuticals provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.