Sr. Director, Field Reimbursement Management

Role Summary

The Sr. Director of Field Reimbursement Management (FRM) will lead the strategic direction, build-out, and operational execution of the FRM organization in support of saroglitazar and future rare/specialty disease launches. Reporting to the Head of Value & Access, this leader will be responsible for building a high-performing FRM team from the ground up to support healthcare providers (HCPs) and office staff in navigating patient access and reimbursement processes. This role will serve as a critical partner across the Commercial and Value & Access functions – especially Sales, Patient Services, Payer Access, and Channel Accounts – to ensure providers have the education and support needed to facilitate patient access to therapy.

Responsibilities

• FRM Organization Build & Leadership
• Build and lead a contract FRM organization, including organizational design, hiring strategy, onboarding, training, and field deployment with the selected contract FRM agency
• Develop and implement foundational operating infrastructure for the FRM team, including: Incentive compensation plans, Field metrics and KPIs, Territory alignment and deployment strategy, Standard operating procedures (SOPs), Ways of working and field engagement expectations, Escalation pathways and business rules
• Establish a high-performance culture focused on collaboration, accountability, compliance, and patient-centered execution
• Coach and develop FRMs to effectively support provider offices in navigating access and reimbursement challenges
• Provider Access & Reimbursement Support
• Lead FRM strategy supporting HCPs and office staff managing patients under the pharmacy benefit
• Oversee compliant education related to: Prior authorization requirements, Appeals and coverage exception processes, Formulary access and utilization management criteria, Specialty pharmacy routing and fulfillment processes, Patient support program navigation
• Ensure FRMs are equipped to support provider office staff in resolving access barriers and facilitating timely therapy initiation
• Develop tools, resources, and field guidance that simplify complex payer and specialty pharmacy processes for provider offices
• Patient Services Collaboration
• Serve as a strategic partner in the development, optimization, and ongoing evolution of patient support and patient services programs
• Collaborate cross-functionally with Patient Services leaders, hub vendors, the specialty pharmacy account team, and other internal stakeholders to ensure FRM insights and field realities are incorporated into program design
• Provide field-based feedback regarding provider office needs, operational barriers, and patient access challenges to help improve service offerings and patient experience
• Ensure alignment and coordination between FRM activities and broader patient services operations
• Field Tools & Educational Resources
• Identify unmet educational and operational needs within provider offices and collaborate cross-functionally on the development of FRM-facing and provider-facing access and reimbursement resources
• Provide strategic input into reimbursement and access-related messaging to ensure materials appropriately support provider office staff navigating pharmacy benefit processes
• Work with Access Marketing to help develop and optimize field resources, including: Prior authorization support materials, Appeals and denial education tools, Coverage and access guides, Specialty pharmacy process overviews, Patient support program educational resources
• Analytics & Performance Management
• Define and monitor key performance indicators, including: Time to therapy, Prior authorization approval rates, Appeal success rates, Provider engagement metrics, Access barrier trends, FRM field effectiveness measures
• Utilize data and field insights to continuously improve FRM effectiveness, operational execution, and provider experience
• Deliver regular business updates, field insights, and strategic recommendations to senior leadership

Requirements

• Bachelor’s degree required; advanced degree (MBA, PharmD, MPH, or equivalent) preferred
• 10+ years of experience in reimbursement, patient access, market access, or related pharmaceutical/biotech functions
• 5+ years of leadership experience managing FRM, reimbursement, or patient access field teams, including experience managing a contract FRM partner
• Strong expertise supporting products covered under the pharmacy benefit
• Deep understanding of: Commercial and government payer structures, Prior authorization and appeals processes, Specialty pharmacy distribution and operations, Provider office reimbursement workflows
• Demonstrated success building and scaling field access organizations within biotech or specialty pharmaceutical environments
• Experience developing field operating models, incentive compensation structures, and business processes for field-based teams
• Excellent communication, leadership, and cross-functional collaboration skills
• Experience in rare disease, specialty, or orphan product environments
• Launch experience in emerging or growth-stage biotech companies
• Experience partnering closely with hub service providers and specialty pharmacies
• Familiarity with CRM platforms, field analytics, and reimbursement technology solutions

Work Environment

This position is field based

Salary

$300,000 - $320,000