Regional Business Director, Field Reimbursement - Northeast

About the role

The Region Business Director of Field Reimbursement is a field-based leadership role supporting the market access strategy for the Sun family of products across the branded business units. This role provides leadership related to health policy, reimbursement, patient access and coverage within an assigned geography, managing a team of approximately 7 Field Reimbursement Managers.

Responsibilities

• Effective management and coaching of a field team to execute against access performance metrics for the individual brand teams.
• Incorporate knowledge of dynamic and complex marketplace and business trends to deliver maximum access to the portfolio of Sun products.
• Lead their teams in the build of approved/compliant local strategies supporting access and coverage of their product portfolio.
• Routinely review national policies and legislation information, identifying important reimbursement issues for input into brand strategies.
• Maintain a relevant network of decision makers and opinion leaders in the field of reimbursement policy.
• Develop and maintain a relevant network of decision makers and opinion leaders in the field of reimbursement policy.
• Strong collaboration and coalition building with industry stakeholders (e.g.; trade associations, advocacy groups, regulatory authorities).
• Anticipate changing payer landscape by demonstrating a deep understanding and knowledge of public payer emerging trends that can impact access for Sun’s branded products and pipeline.
• Translate policy developments into meaningful guidance and strategic advice.
• Significant experience and understanding an ever-changing payer environment and its impact on access of products administered in a healthcare setting.
• Prioritize team efforts across stakeholders to maximize opportunities, share customer insights and aid the team in obtaining and allocating resources.
• Lead the reimbursement specialist team in developing and executing Account Plans in cooperation with relevant functions (Sales, Marketing and Pricing).
• Work closely with the Corporate Account Directors supporting access and coverage needs of key accounts.
• Provide inspirational leadership to the reimbursement specialists' field team.
• Hold team accountable for results and reinforce appropriate customer-focused behaviors.
• Effectively communicate key legislative and health policy updates to the field sales organization and key external stakeholders.

Requirements

Prior experience with field reimbursement of launch products, biologics and buy and bill products is required. A minimum of 2-3 years of field leadership along with reimbursement-related experience is required. Previous Market Access experience is a plus. Extensive knowledge of coding, billing, and the Market Access landscape is essential. Demonstrated team leadership and strong cross-functional collaboration is a must. Previous Immunology, Dermatology and Oncology experience is a plus. Experience working with both Community and Hospital-based practices is required. Looking for a documented history of success. Candidates should have an advanced understanding of the federal regulatory processes and healthcare policy development especially the Medicare/Medicaid program. Direct experience working with the Centers for Medicare & Medicaid Services (CMS) or other key government agencies is a plus. This position requires up to 50% travel.

Qualifications

A minimum of a Bachelor’s Degree is required. A Master’s Degree is preferred but not required.

Skills

Extensive knowledge of the National payers, Regional Payers, and Local payer issues. Strong collaboration across internal teams with Regional Sales Managers, Corporate Account Directors, Strategic Market Directors, National Account Directors, and Territory Managers. Advanced understanding of the federal regulatory processes and healthcare policy development especially the Medicare/Medicaid program. Direct experience working with the Centers for Medicare & Medicaid Services (CMS) or other key government agencies. Documented history of success. Advanced understanding of the federal regulatory processes and healthcare policy development especially the Medicare/Medicaid program. Direct experience working with the Centers for Medicare & Medicaid Services (CMS) or other key government agencies. Documented history of success.

Benefits

We provide equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, military or veteran status, generic predisposing characteristics or any other basis prohibited by law.

Pay

The presently-anticipated base compensation pay range for this position is $185k-225k. Actual base compensation may vary based on a number of factors, including but not limited to geographical location and experience. In addition, this position is part of IC Commission Plan. Employees are eligible to participate in Company employee benefit programs which include medical, dental and vision coverage; life insurance; disability insurance; 401(k) savings plan; flexible spending accounts; and the employee assistance program. Employees also receive various paid time off benefits, including vacation time and sick time.