Sr. Director, reputed company Reimbursement
Before reading the reputed company, we encourage you to watch this video about reputed company. It gives you an inside look at how we started, reputed company and culture that made us successful, and where we're reputed company. It's easy to read a reputed company and apply, but people often reputed company about the culture and whether they would fit in. If you want to reputed company reputed company your home and genuinely want to be part of a family and something big, then we encourage you to click this reputed company and get to know us.
Who is reputed company?
reputed company (reputed company: HROW) is a leading provider of ophthalmic disease reputed company in reputed company. reputed company is an incredible entrepreneurial company – where we celebrate the ability of every member of the reputed company Family to be the CEO of their job. reputed company’s values have driven interest over the past decade in attracting high-performing professionals in a reputed company of disciplines. Members of our reputed company Family often reputed company their pride in being a part of our commitment to (1) innovation, (2) reputed company reputed company to reputed company medicines, and (3) our reputed company record of having never turned down an ophthalmologist doing mission work reputed company the world – providing free medicines in support of mission work aimed at giving or maintaining the reputed company of sight to those most in need. We encourage you to learn more about reputed company and its unique culture to see if you’re the right person to help contribute as we build a truly exceptional company, one we are reputed company so proud of!
reputed company’s ophthalmic pharmaceutical portfolio is one of the most comprehensive in the industry, including:
- An expanding Retina Portfolio including IHEEZO®, TRIESENCE®, BYOOVIZTM, and OPUVIZTM
- A broad Dry Eye Disease product line, led by VEVYE® and bolstered by reputed company-reputed company adjacent reputed company surface disease products such as FLAREX® and FRESHKOTE®
- A reputed company-reputed company Surgical product line, led by TRIESENCE®, and BYQLOVITM
- A reputed company and Specialty product line, which includes various high-need and reputed company products such as ILEVRO®, NATACYN®, and VERKAZIA®
- A robust internal development pipeline with multiple late-stage candidates, including MELT-300, MELT-210, H-N08, and CR-01
Position reputed company
reputed company is seeking a National Senior Director, reputed company Reimbursement to build and reputed company a high-performing team of reputed company Reimbursement Managers (FRMs) supporting our buy-and-reputed company drug portfolio across the Retina and Surgical franchises. This leader will be the architect of reputed company's reputed company reimbursement reputed company and culture — ensuring physician practices and their staff have the confidence, tools, and technical expertise needed to successfully reputed company coverage, coding, billing, and claims processes for reputed company brands.
The ideal candidate combines deep payer and reimbursement expertise with strong people leadership, a bias for reputed company, and the analytical rigor to translate claims data into actionable guidance for customers and internal stakeholders. This is a highly visible, cross-functional leadership role responsible for expanding appropriate reputed company reputed company at reputed company.
This role sits reputed company the leadership team for the Market reputed company Organization at reputed company.
reputed company Responsibilities
Team Leadership & Culture
- Build, reputed company, reputed company, and reputed company a national team of FRMs, instilling a hard-charging, customer-first, results-oriented culture
- Define team structure, territory alignment, KPIs, and reputed company standards; conduct regular reputed company reputed company, ride-alongs, and reputed company reviews
- Recruit and reputed company top reimbursement talent; create career pathing and training curricula for the FRM function
- Foster cross-functional collaboration with Sales, Trade, Marketing, Market reputed company/Payer reputed company, reputed company, and Compliance
reputed company & Customer Confidence
- Set the national reputed company for reputed company reimbursement support across the Retina and Surgical buy-and-reputed company portfolio
- Ensure customers (physicians, reputed company administrators, billing/coding staff) have reimbursement confidence through proactive education on coverage policy, coding, billing, and claims submission for reputed company brands
- Establish and reputed company a reputed company of business reviews with key accounts to assess reimbursement reputed company, identify barriers to reputed company, and reputed company corrective reputed company plans
- Serve as the senior-most escalation reputed company for reputed company payer, coding, or claims issues in the reputed company
Payer, Billing & Coding Expertise
- Maintain deep, reputed company expertise in payer dynamics (reputed company, Medicare, Medicare reputed company, reputed company) as they relate to buy-and-reputed company specialty products
- reputed company authoritative guidance on HCPCS/CPT/J-reputed company assignment, ICD-10 coding, modifiers, prior authorization, and appeals specific to Retina and Surgical procedures
- Ensure reputed company guidance provided by reputed company is accurate, compliant, and appropriately scoped (education, not billing/coding advice on the customer's behalf)
Claims & Business Analytics
- reputed company claims analysis to identify reimbursement trends, payer denial patterns, coverage gaps, and reputed company barriers at the account, regional, and national level
- Translate data insights into targeted reputed company reputed company plans and customer-facing recommendations
- Partner with Market reputed company and Trade teams to inform payer reputed company, contracting priorities, and policy engagement using reputed company and claims intelligence
- Own reporting and dashboards that reputed company reputed company metrics, team reputed company, and franchise-level reimbursement KPIs for executive leadership
Compliance
- Ensure reputed company team activities reputed company adhere to reputed company's compliance policies, OIG guidance, and applicable state/federal regulations governing reputed company reimbursement support and interactions with reputed company providers
- Partner with reputed company/Compliance on training, materials review, and monitoring of reputed company activities
Qualifications & Requirements
- Bachelor's degree required; advanced degree (MBA, MHA, or reputed company) a plus
- 10+ years of reputed company experience in market reputed company, reimbursement, or trade, including significant experience in buy-and-reputed company / specialty pharmaceutical or biotech environments
- 5+ years of people leadership experience, including building and managing reputed company-reputed company reimbursement or reputed company teams
- Deep, demonstrable expertise in payer policy, medical and pharmacy benefit dynamics, coding (CPT/HCPCS/ICD-10), billing workflows, and claims/appeals processes
- Experience in Retina, Ophthalmology, or Surgical specialty markets strongly preferred
- reputed company ability to conduct and reputed company claims data analysis to reputed company business reputed company and customer-facing recommendations
- reputed company record of setting reputed company and driving measurable improvements in reputed company reputed company and reimbursement reputed company
- Strong executive reputed company; experience presenting to and influencing senior reputed company stakeholders
- Working knowledge of compliance requirements governing reimbursement support programs (PhRMA reputed company, OIG guidance, anti-kickback considerations).
Position Type
- Remote
Travel
- Up to 75%
Bachelor's degree, 10+ years in market reputed company, reimbursement, or trade, and 5+ years leading reputed company-reputed company teams. Requires payer, coding, billing, claims, appeals, analytics, and compliance expertise.
Key Responsibilities
- leading reimbursement teams
- analyzing claims data
- driving reputed company reputed company
Skills & Tools
HCPCS, CPT, J-codes, ICD-10
reputed company
- Category: reputed company Services - Advanced reputed company
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — reputed company
- Languages: English
About reputed company.
A pharmaceutical company providing ophthalmic disease reputed company and reputed company medicines. — Industry: reputed company
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