Director – Access & Reimbursement

Director – Access & Reimbursement

Requirements

• Bachelor’s degree in related field required. Equivalent combination of education and applicable job experience may be considered.
• 10 years of pharma/biotech or related experience. Specialty pharmaceutical, nephrology, rare disease, REMs experience preferred.
• 5+ years of experience working in specialty medicines that includes deep understanding of access & reimbursement landscape (HUBs, Payers, Specialty Pharmacies, etc.).
• 3+ years of experience as a field reimbursement manager.
• 3+ years of experience as a first line team leader with demonstrated success in team coaching, capability development and people development.

Responsibilities

• Accountable for hiring, mentoring, developing and leading a field access & reimbursement team who are responsible for access & fulfillment related activities in their local geography.
• Ensure healthcare providers, patients, and caregivers are enabled with the information, tools and resources needed to ensure patient ability to start and stay on therapy.
• Leverages KPIs & analytics to optimize field execution.
• Develop both long and short-term strategic planning for the team and manage seamless team execution of related tactics in a fast-paced environment.
• Create a pull-through region vision, create team culture, motivate performance, forge valuable customer relationships, and achieve the team’s overall goals.
• Effectively deliver and manage performance, engage team members, provide coaching, and respond to situations affecting team members.
• Provide management oversight and training to their team to ensure that all team members are in compliance with regulations and relevant internal policies.
• Coach the team to ensure maximum performance in expediting patient access.
• Demonstrate core competencies in identifying, understanding and addressing access & fulfillment related patient obstacles including knowledge of pharmacy benefit, specialty pharmacy, and REMS.
• Develop comprehensive field access & reimbursement regional business plan to optimize patient initiation experience and pull through metrics.
• Be an expert in access & reimbursement of the product and be able to provide training and direction to the team.
• Ensure strong cross functional collaboration and communication with field sales team and leadership in support of our customers.
• Create an effective communication cadence between ARMs, hub services, REMS, specialty pharmacy, payer account team.
• Spend time in the field and virtual calls in order to support individual development, help with issue resolution as well as provide coaching, direction and feedback.
• Cultivate relationships with key accounts to foster positive acceptance of FILSPARI onboarding process.
• Train team members on key technical information related to coverage or change in payer coverage criteria.
• Ensure pull through key access and fulfillment messages in customer engagement.
• Analyze regional performance and identify gaps in ARM capabilities and work across the organization to address gaps.

Preferred Qualifications

• The ideal candidate will embody Travere’s core values: Courage, Community Spirit, Patient Focus and Teamwork.
• Cross functional experience in leading training, access marketing, operations, and/or payer projects.
• Experience in managing access complexities associated with a new to market medication.
• Experience with specialty pharmacy products / products acquired through Specialty Pharmacy networks.
• Proven ability to build relationships with HCPs, office staff, sales team, and Hub counterparts.
• Comprehensive understanding of private/commercial insurance reimbursement, government payer Medicare Part D, VA, etc.
• Demonstrated experience in helping to educate on reimbursement processes including foundational knowledge of benefit verifications, prior authorization, appeals, denials, letters of medical necessity, pre-determination requirement.
• Computer skills (basic Excel, PowerPoint, etc.).
• Ability to resolve issues / educate virtually (within access & reimbursement / case management).
• Well-organized with the ability to multitask, prioritize, and manage shifting responsibilities in a dynamic, cross-functional teamwork environment.
• Excellent collaboration skills with strong attention to detail and the ability to multi-task and manage complexity.
• Strong interpersonal and organizational skills and excellent verbal and written communication skills are required.
• Previous line management experience with the ability to effectively manage performance, engage team members, provide coaching, and respond to situations affecting staff.
• Successful record of creating and managing complex project plans, timelines, budgets, and critical paths.
• Ability to adapt to modification and changes to project plans, demonstrating flexibility to implement new strategies and tactics to accommodate these changes.