Regional Reimbursement Director, Oncology

🔥 13 hours ago

🦌 Connecticut, New Jersey, +4 more states – Remote

🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote

💵 $161.3k - $236.5k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Ipsen

WebsiteLinkedInAll Job Openings

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 • 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 • Identify reimbursement-related barriers to access and advise Account Managers on payer challenges and trends • Support payer and healthcare provider presentations and reimbursement-related training programs • Achieve target metrics for timely customer reimbursement support • Support analysis and planning related to local payer coverage policy changes • Translate payer payment trends, policies, and relationships to address non-clinical utilization barriers • Identify and address reimbursement barriers affecting oncology product adoption, utilization, and growth • Provide market access intelligence for strategic initiatives across oncology care settings • Analyze treatment patterns, referral networks, payer coverage trends, and site-of-care dynamics • Support regional reimbursement readiness and access planning for new oncology product launches • Develop launch-related 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 and access developments and provide recommendations • Analyze Medicare, Medicaid, and commercial payer policy impacts • Develop relationships with oncology practice administrators, reimbursement specialists, infusion center leaders, and advocacy organizations • Support provider education and strategic discussions on reimbursement and market access • Communicate field insights to inform forecasting, lifecycle management, evidence dissemination, and product planning • Contribute to 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 sense of judgment and discretion • Excellent written, verbal, and interpersonal skills • PC literacy; MSOffice skills (Outlook, Teams, Word, Excel, PowerPoint), e-mail, 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 • Previous reimbursement support experience with physician-administered (“buy and bill”) oncology drugs preferred • Experience with Medicare Part D products strongly preferred • Bachelor’s degree in public policy, economics, business administration, life sciences, or equivalent is required • 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 • Much more