Director, Field Reimbursement
New
USFull-TimeDirector
Salary225,000 - 240,000 USD per year
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Job Details
- Experience
- 6+ years
- Required Skills
- Stakeholder management
Requirements
- Bachelor’s degree required; advanced degree preferred
- 6+ years of experience in reimbursement, market access, or patient support functions within the healthcare or biopharmaceutical industry
- 3+ years of direct leadership experience managing field reimbursement or access-focused teams
- Strong expertise in specialty pharmacy operations, pharmacy benefit structures, prior authorization processes, appeals management, and payer navigation
- Experience supporting rare disease therapies and Limited Distribution Drug (LDD) models required
- Background supporting neurology, CNS, or specialty care providers strongly preferred
- Knowledge of inpatient access processes and high-cost medication reimbursement scenarios is highly desirable
- Proven ability to transform field insights into scalable operational and strategic improvements
- Excellent leadership, communication, stakeholder management, and executive presentation skills
- Strong compliance mindset, strategic thinking ability, and patient-first approach
- Willingness to travel nationally up to 40–60% as required
Responsibilities
- Lead, mentor, and develop a national team of Field Reimbursement Managers, setting clear performance standards aligned with patient access and business objectives
- Define and execute field reimbursement strategies that improve therapy initiation timelines, prior authorization approvals, appeals success, and patient onboarding outcomes
- Partner closely with Market Access, Patient Services, Compliance, Commercial, and Specialty Pharmacy teams to identify and resolve systemic reimbursement and access challenges
- Analyze reimbursement trends across payer channels, geographic regions, and provider networks to recommend scalable process improvements and strategic interventions
- Build and maintain strong relationships with specialty pharmacies, healthcare providers, and access stakeholders to strengthen collaboration and patient support
- Establish operational metrics and reporting frameworks to monitor team effectiveness, access performance, and therapy persistence outcomes
- Drive compliant, patient-focused execution while supporting organizational growth and evolving reimbursement models
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