Proclinical is seeking a dedicated Associate Director for Access & Reimbursement. The successful candidate will serve as the lead in business-to-business conversations with account executives, managing the implementation of access and reimbursement strategies within their assigned accounts. This role requires a deep understanding of local payer policy coverage, multi-channel acquisition pathways, billing, coding, claims processing, and the integration of manufacturer support programs into various account workflows.
Responsibilities:
- Engage with large, complex accounts to support patient access to aligned therapeutic area product(s).
- Provide proactive education on programs to providers and staff.
- Analyze problems and offer solutions related to patient reimbursement.
- Support the implementation of local coverage decisions.
- Develop appropriate Plan of Action (POA) for access situations within the assigned geography.
- Establish preferred acquisition pathways and educate stakeholders on related logistics.
- Analyze reimbursement issues & opportunities, anticipating changes in the healthcare landscape.
- Engage with non-prescribers, such as pharmacy, system leadership, financial counsellors, office administrators, revenue cycle managers, etc.
Key Skills and Requirements:
- Minimum of 5 years of experience in the pharmaceuticals / biotech industry, with at least 2 years in a Patient Services practice support role for a specialty product(s).
- Experience working with complex practices and/or health systems to establish access and acquisition pathways.
- Deep expertise in integrating manufacturer-sponsored patient support programs.
- Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail).
- Strong understanding of Commercial payers, Medicare plans and state Medicaid in the geographic region.
- Ability to travel and cover geography, at least 50% travel required, based on geography and territory / targeting make up.
- Experience leading and delivering presentations to C-level account executives is desirable.
- Strong capabilities in customer focus, collaboration, business acumen, communication, and presentation skills.
If you are having difficulty in applying or if you have any questions, please contact Kate Dorsey at k.dorsey@proclinical.com
Proclinical is a specialist employment agency and recruitment business, providing job opportunities within major pharmaceutical, biopharmaceutical, biotechnology and medical device companies.
Proclinical Staffing is an equal opportunity employer.
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