Director, Field Reimbursement – National

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Cesna - Recruitment experts worldwide

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1999

🎯 Recruiter

🤝 B2B

Recruitment • B2B

Cesna - Recruitment experts worldwide is a global recruitment and executive search firm founded in Seoul in 1999 with its first international branch opened in New York in 2003. It operates a network of executive search professionals across Asia/Pacific, China, Europe and the Americas, maintains business offices in San Jose, New Jersey, Dallas, Washington DC, Shanghai, and Singapore, and has worked with over 4,000 companies. Cesna provides job listings and recruitment services for a wide range of corporate clients, focusing on linking top-level candidates to companies worldwide.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

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