Regional Reimbursement Director, Oncology

🔥 21 hours ago

🌵 Arizona, California, +6 more states – Remote

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💵 $161.3k - $236.5k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

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👻 Ghost score 2%

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Logo of Ipsen

Ipsen

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Ipsen is a global biopharmaceutical group that focuses on improving patient lives through innovative medicines in the areas of oncology, rare diseases, and neuroscience. With a commitment to addressing high unmet medical needs, Ipsen leverages its expertise and resources to develop new therapies and collaborations, accelerating the path from scientific innovation to patient care. The company strives to make a significant impact in the lives of patients suffering from serious conditions such as cancer, rare diseases, and neurological disorders.

📋 Description

• Manage the reimbursement environment for Ipsen US Oncology portfolio products in the healthcare provider channel • Manage relationships with local Medicare Administrative Contractors (MACs) • Provide field-based reimbursement support to targeted healthcare providers • Translate local and national payer policies and assist customers with coding, coverage, and payment • Cover the West and South Central territories through live and virtual channels • Collaborate with Value & Access, field, sales, brand, and IPSEN CARES teams to expand access and reduce barriers • Design and develop reimbursement strategies, tactics, tools, and approved field materials • Develop and maintain relationships with MAC contacts • Provide reimbursement support at advisory boards and professional conferences • Serve as an internal field reimbursement expert and provide competitive intelligence • Support patient access by providing reimbursement information across private practices, hospitals, academic institutions, thought leaders, and advocates • Coordinate Ipsen presentations at payer and healthcare provider meetings • Achieve target metrics for timely and appropriate customer reimbursement support • Analyze local payer coverage policy changes and advise Account Managers on access challenges and trends • Assist in developing reimbursement training programs for healthcare providers • Partner with Oncology Sales, Account Management, Market Access, and Brand teams on access barriers and business growth • Provide market intelligence supporting strategic initiatives, product adoption, utilization, and growth • Evaluate regional reimbursement readiness, payer coverage, coding requirements, and patient access barriers for new product launches • Support launch reimbursement strategies, educational materials, and stakeholder engagement plans • Monitor oncology market access, payer policies, prior authorization, step therapy, coding, payment, specialty pharmacy, and utilization management trends • Track competitive reimbursement developments and analyze Medicare, Medicaid, and commercial payer policy impacts • Engage oncology practice administrators, reimbursement specialists, infusion center leaders, and advocacy organizations • Support provider education on reimbursement best practices and payer policy changes • Inform forecasting, lifecycle management, evidence dissemination, and future product planning • Develop reimbursement resources, training programs, and field tools

🎯 Requirements

• 10+ years of pharmaceutical, biotech, or consulting industry experience • 5+ years of related reimbursement experience with injectable or infused drugs, or medical device products that require reimbursement support • Expert level knowledge of coverage, coding, and payment policies • Exceptional verbal and written communication, problem solving, and organizational skills • Strong business, analytical, administrative, and team building skills • Ability to simplify complex messages and rationale in a compliant manner • Ability to work independently and lead effectively in a fast-paced, highly fluid, and matrixed environment • Highest personal integrity and ethics; strong judgment and discretion • PC literacy, including MS Office (Outlook, Teams, Word, Excel, PowerPoint), email, texting, mobile smartphone, Veeva CRM, and Concur expense reporting software • Physical ability to use relevant machines and/or equipment as needed • Ability to work evening and/or weekend hours as necessary to meet business needs • Ability to manage a large geographic territory and work effectively from a home office, vehicle, or customer location • Business travel of up to 60%, including regular overnight travel by air or car • Must reside within proximity to a major airport within the region • Bachelor’s degree in public policy, economics, business administration, life sciences, or equivalent required • 10+ years of direct and relevant experience may be substituted for a bachelor’s degree • Previous reimbursement support experience with physician-administered (“buy and bill”) oncology drugs preferred • Experience with Medicare Part D products strongly preferred • Advanced degree (MBA, MPH, MS) preferred • Certification in Medical Coding preferred

🏖️ Benefits

• Short-term incentives program • 401(k) with company contributions • Group medical, dental and vision coverage • Life and disability insurance • Short- and long-term disability insurance • Flexible spending accounts • Parental leave • Paid time off • Discretionary winter shutdown • Well-being allowance • Commuter benefits • Adjustments or support during the application process

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