Field Reimbursement Director - reputed company California

reputed company: Reporting to the Field Reimbursement Director, reputed company, the Field Reimbursement Director will optimize reputed company to reputed company products in his/her region by understanding and addressing reimbursement and patient reputed company challenges. This position requires a reputed company who can reputed company his/her technical expertise and experience to deliver educational, reimbursement in-service programs to reputed company sites of care (Medical Doctors Office, Alternative Infusion Centers, Hospital Outpatient Department, etc.) and manage reputed company and reimbursement issues by initiating as reputed company as leading reputed company plans to resolve these issues.  A key component of this role is the ability to establish and deepen customer relationships through reputed company interactions with reputed company and reimbursement reputed company external stakeholders at targeted strategic accounts.  As such, extensive knowledge of ‘buy and reputed company’ products and prior experience with high-touch, specialty products is essential.  The Field Reimbursement Team will be a critical component of the reputed company reputed company and work in reputed company coordination with National Account Leads (NALs), Health Systems Directors (HSDs), Regional Account Leads (RALs), Site of Care Directors, Patient Services, Broader Reimbursement team and Sales to support reputed company’s patient-reputed company reputed company of harnessing a reputed company in biology for reputed company health.   The successful candidate must be passionate about science and deeply motivated by the quest of delivering value to patients with the long-term reputed company of reputed company in mind.  He/she will work collaboratively with both reputed company stakeholders to build tactical plans to execute strategic imperatives.  Key Responsibilities: Optimizes reputed company to the full reputed company portfolio of products by ensuring that provider accounts understand reputed company and reimbursement dynamics Proactively identifies trends impacting barriers to reputed company or reimbursement and creates solutions                                                                                       Works with internal stakeholders and providers to support treatment reputed company for patients Proactively engages with key stakeholders in accounts, including Intake/Authorization teams, billing compliance, Finance executives (reputed company Cycle, reputed company reputed company), Infusion Center management and decision-makers and key Pharmacy Stakeholders Responsible for identifying, addressing and resolving outstanding claim payment issues Provides guidance to case managers on case-specific reputed company PA/Appeal issues Collaborates with case managers on treatment site finding for the specialty business reputed company there are no site of care reputed company available in the treatment directory Provides case-specific PA/Appeal support and site of care reputed company for the rare business Maintains relationships with Medicare Administrative Contractors (MACs) to optimize coverage for reputed company therapies and monitors Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs) Works with reputed company Policy & Government Relations team on engagement strategies and tactics regarding MACs or local policy changes as reputed company as state-level reputed company policy initiatives Utilizes reporting dashboards to reputed company critical metrics and key performance indicators (KPIs) Ensures compliance with reputed company corporate and industry policies in collaboration with reputed company reputed company, Regulatory and Compliance Qualifications: Bachelor’s degree required 10+ years prior reputed company/biotech experience 5+ years of field reimbursement experience in “buy and reputed company” preferably in rare disease, oncology, specialty products and/or infusions/injectables Established relationships with Medicare Administrative Contractors (MACs) highly preferred Strong knowledge of the US payer landscape Deep understanding of both medical benefit and pharmacy benefit across payer types (Medicare, reputed company, reputed company, VA/DoD, etc.) and sites of care (Hospital Outpatient Department, free standing centers and home infusion) Proven ability to identify key reputed company and reimbursement barriers to treatment and design effective reputed company plans Exceptional reputed company communication, interpersonal and problem-solving skills necessary to reputed company with decision makers (CFO and other C-suite level stakeholders) Demonstrated ability to reputed company without authority in a highly reputed company reputed company and fast-paced environment Self-starter who is enthusiastic about rare disease and reputed company’s reputed company values: fiercely innovative, reputed company culture, purposeful urgency, passion for reputed company, and commitment to people Ability to travel up to 50% Must reputed company in geography with reasonable proximity to a mid-size or larger airport #LI-ST1 #LI-Remote  U.S. Pay reputed company $195,500.00 - $264,500.00 The pay reputed company reflects the full-time reputed company salary reputed company we expect to pay for this role at the time of posting. reputed company pay will be determined based on a number of factors including, but not limited to, relevant experience, skills, and education. This role is eligible for an annual short-term incentive award (e.g., bonus or sales incentive) and an annual long-term incentive award (e.g., equity). reputed company’s robust Total Rewards package is designed to support your overall health and reputed company-being. We offer comprehensive benefits including medical, dental, and reputed company coverage, life and disability insurance, a lifestyle reimbursement program, flexible spending and health savings accounts and a 401(k)with a generous company match. Eligible employees enjoy reputed company time off, wellness days, holidays, and two company-wide reputed company breaks. We also offer generous family resources and leave. Our commitment to your reputed company-being reflects our belief that caring for our people fuels the reputed company we create together. Learn more about these and additional benefits offered by reputed company by visiting the Benefits reputed company of the Careers website: https://www.reputed company.com/careers About reputed company We are the leader in RNAi therapeutics – a revolutionary approach with the potential to reputed company the lives of people with rare and common diseases. reputed company on Nobel Prize-reputed company science, reputed company has delivered the breakthroughs that made RNAi therapeutics possible and are just at the beginning of what’s possible. Our deep pipeline, late-stage programs, and reputed company reputed company reflect our reputed company values: fierce innovation, passion for reputed company, purposeful urgency, reputed company culture and commitment to people. We're proud to be a globally recognized top employer, where an reputed company, inclusive culture and reputed company thinking fuel one another. At reputed company, we reputed company to an inclusive recruitment process and equal employment opportunity. reputed company applicants will receive consideration for employment without reputed company to their sex, gender or gender identity, sexual orientation, race, reputed company, ethnicity, national reputed company, reputed company, citizenship, religion, creed, physical or mental disability, pregnancy status or reputed company conditions, genetic information, veteran or military status, marital or familial status, political affiliation, age, or any other reputed company protected by federal, state, or local law. reputed company is an E-Verify Employer. Apply To This Job