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The Associate Director, Field Reimbursement addresses a critical gap in the US healthcare system – the complexity of post-prescribing access barriers. In therapeutic areas such as HIV/AIDS, where PrEP and treatment access could involve multiple acquisition pathways, evolving payer policies, and intricate benefit determination processes, significant complexity can delay or disrupt patient access to prescribed therapies. The Associate Director, Field Reimbursement will simplify and accelerate: VHC Injectable implementation and user experience for Healthcare Providers, patients living with HIV, and people who can benefit from HIV Prevention within a specified geographic region.
Job Responsibility:
Mitigate access and reimbursement disruptions through education of office staff on payer coverage and policies, and acquisition pathways
Educate offices in navigating access and reimbursement challenges independently through the post-prescribing phase
Support complex access and reimbursement issues as needed
Identify and prioritize implementation barriers for removal at customer campuses
Develop strategic plans that include next actions, action owners and completion dates
Drive implementation barrier closure
Orchestrate coordinated plans across internal partners for aligned customers, built from a shared diagnosis
Requirements:
Bachelor’s Degree & five or more years of experience in pharmaceutical or healthcare reimbursement, specialty product support, payer marketing, patient support programs, or reimbursement HUB programs
Experience with J codes, Q codes, and reimbursement billing requirements
Ability to travel 50% plus of the time
Nice to have:
Strong knowledge of payer channels including Medicare Parts B, C, D, Medicaid, and commercial insurance
Experience with specialty injected or infused products in buy-and-bill settings across sites of care
Experience working with specialty pharmacy and reimbursement HUB services
Exceptional Communication skills with demonstrated ability to simplify complex systems and persuade
Strong relationship management, problem-solving, and independent execution skills
Demonstrated ability to effectively educate offices on access and reimbursement processes
Proactive implementation execution excellence focused on streamlining and simplifying processes
Proven indirect/direct leadership with demonstrated peer collaboration effectiveness
Knowledge of aligned accounts and existing customer relationships
What we offer:
Competitive base salary
Annual bonus based on company performance
Flexible working options available for most roles
Learning and career development
Access to healthcare & wellbeing programmes
Employee recognition programmes
Health care and other insurance benefits (for employee and family)
Retirement benefits
Paid holidays
Vacation
Paid caregiver/parental and medical leave
Eligibility to participate in our share based long term incentive program