Director, Field Reimbursement – National

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🕒 Julho 27

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Cesna - Recruitment experts worldwide

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 1999

🎯 Recrutamento

🤝 B2B

Recruitment • B2B

A Cesna - experts em recrutamento mundial é uma empresa global de recrutamento e busca executiva, fundada em Seul em 1999, com sua primeira filial internacional aberta em Nova York em 2003. Ela opera uma rede de profissionais de busca executiva através da Ásia/Pacífico, China, Europa e Américas, mantém escritórios comerciais em San Jose, Nova Jersey, Dallas, Washington DC, Xangai e Singapura, e já trabalhou com mais de 4. 000 empresas. A Cesna oferece listagens de empregos e serviços de recrutamento para uma ampla variedade de clientes corporativos, focando em conectar candidatos de alto nível a empresas ao redor do mundo.

Descrição

• Leading and managing the FRM team to ensure proper execution of reimbursement strategies, ensuring patient access to products across all geographies. • Developing and implementing reimbursement strategies to guarantee appropriate coverage and access for company products. • Working closely with healthcare providers, payers, and patients to ensure the products are covered by insurance plans. • Reviewing and approving complex reimbursement cases and assisting FRM team members in resolving coverage challenges and issues. • Monitoring payer policy changes, ensuring alignment with product reimbursement strategies and working with internal teams to address any potential barriers. • Analyzing payer trends, identifying areas for improvement, and adjusting strategies to ensure the continued success of reimbursement efforts. • Collaborating with external teams to identify and implement funding or financial assistance programs that support patient access to treatments. • Supporting the team in handling prior authorizations, appeals, and denials, and ensuring all necessary documentation is submitted in a timely and compliant manner. • Reviewing patient-specific cases, identifying challenges, and recommending solutions in collaboration with healthcare providers and internal teams. • Conducting both quantitative and qualitative analysis of FRM team activities and providing detailed reports to VP of Access Operation. • Based on progress analysis, identifying and implementing improvements to optimize the team's performance and enhance the overall reimbursement process.

🎯 Requisitos

• Bachelor's degree in business, healthcare, or related field. • Minimum of 10 years of experience in pharmaceutical reimbursement, managed care, or related field, with at least 5 years of experience in a leadership role. • Immunology and/or Oncology experience a plus • Strong knowledge of healthcare reimbursement policies and procedures. • Ability to develop and implement reimbursement strategies. • Excellent communication and interpersonal skills. • Strong analytical skills and ability to analyze data and trends. • Ability to lead and manage a team and work collaboratively with cross-functional stakeholders. • Ability to work independently and in a team environment. • Willingness to travel as required.

🏖️ Benefícios

• - Salary 200-240k + Bonus • - Full Benefits - Medical, Dental, Vision with different package • - 401k 4.5 % match • - PTO & 6 Sick Days