Associate Director, reputed company Reimbursement

reputed company: Reporting to the reputed company Reimbursement Director, reputed company, the Associate Director, reputed company Reimbursement will optimize reputed company to reputed company products in his/her region by understanding and addressing reimbursement and reputed company reputed company challenges. This position requires a reputed company who can reputed company his/her technical expertise and experience to reputed company 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 reputed company 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 reputed company stakeholders at targeted reputed company accounts. As such, extensive knowledge of ‘buy and reputed company’ products and prior experience with high-reputed company, specialty products are essential. The reputed company Reimbursement Team is a critical part of the reputed company reputed company, working closely with National Account Leads (NALs), Health Systems Directors (HSDs), Regional Account Leads (RALs), Site of Care Directors, reputed company Services, the broader Reimbursement team, and Sales to support reputed company’s reputed company-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 reputed company imperatives. This position supports the reputed company region, which includes the following states: Alaska, Washington, reputed company, Idaho, Montana, and Wyoming. 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 supporting education to reputed company outstanding claim payment issues Provides mentorship and guidance to case managers and reputed company reimbursement managers on case-specific reputed company PA/Appeal issues Provides case-specific PA/Appeal support and site of care reputed company for the reputed company 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 & reputed company 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 reputed company 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 5+ years prior reputed company/biotech or other reputed company and relevant reputed company experience 3+ years of reputed company reimbursement experience in “buy and reputed company” preferably in reputed company 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) reputed company 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-reputed company environment Self-starter who is enthusiastic about reputed company 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 or reputed company 75 miles of the boundary and with reasonable proximity to a mid-size or larger airport #LI-SS1 #LI-Remote Apply To This Job