Field Reimbursement Associate Director – NY Metro
Scorpion Therapeutics, New Bremen, Ohio, United States
Want to use specialized AI just for BioPharma to compete for this highly desirable role? Check out our updated tool https://jobsai.medicinetomarket.com today!
Role Summary Field Reimbursement Associate Director – NY Metro is a field-based role focused on optimizing patient access to the US Oncology Business Unit portfolio by delivering strategic reimbursement guidance in the NY Metro region. You will serve as a subject matter expert for healthcare professionals, educating on insurance coverage, prior authorizations, appeals, and patient support to ensure timely access to therapy. You will collaborate with cross-functional partners to navigate payer environments and address reimbursement challenges. Location: USA - NY - Virtual; must reside in CT / Southern NY including NYC and Long Island (or near the designated area) and travel 50–75%.
Responsibilities
Serve as the patient access subject matter expert for all USOBU therapies within your assigned geography
Educate healthcare professionals and practice staff on payer coverage, prior authorization requirements, step edits, appeals processes, and reimbursement pathways across all sites of care
Engage in cross-functional collaboration with USOBU Here2Asssit HUB, Strategic Account Management, Sales and Market Access to optimize patient access and enhance customer experience
Identify, triage, and elevate patient access issues, driving timely resolution through engagement with relevant internal and external stakeholders
Liaise with USOBU Here2Assist HUB to update healthcare professionals on Rx status, program eligibility and patient support options
Develop practical strategies to address access needs for targeted customers, ensuring streamlined processes and patient support
Support onboarding new accounts by assessing practice workflows, identifying reimbursement challenges, and sharing appropriate patient support resources
Monitor and communicate evolving payer landscape, coverage changes, and access trends within oncology to internal and external stakeholders across your region
Maintain deep expertise in oncology reimbursement dynamics, including Medicare Part B/D, commercial payer processes, and state Medicaid policies
Document all field activities in CRM systems in accordance with compliance and company policies
Qualifications
Bachelor’s degree in Business, Management, Marketing, or related field required
8+ years of experience in the biotech or pharmaceutical industry including 4+ years of patient access or relevant reimbursement experience in oncology required
2+ years of ‘buy and bill’ required
Demonstrated experience in buy and bill reimbursement, specialty pharmacy, payer dynamics, copay assistance, and HUB services required
Launch experience in oncology for both oral and injectable products highly preferred
Proven ability to build credibility and trust with internal and external stakeholders through effective cross-functional partnership
Strong communicator, translating complex concepts into clear, concise messages both verbally and in writing
Commitment to Takeda’s core values—Integrity, Fairness, Honesty, and Perseverance—with Integrity at the center
Valid driver’s license
#J-18808-Ljbffr
Role Summary Field Reimbursement Associate Director – NY Metro is a field-based role focused on optimizing patient access to the US Oncology Business Unit portfolio by delivering strategic reimbursement guidance in the NY Metro region. You will serve as a subject matter expert for healthcare professionals, educating on insurance coverage, prior authorizations, appeals, and patient support to ensure timely access to therapy. You will collaborate with cross-functional partners to navigate payer environments and address reimbursement challenges. Location: USA - NY - Virtual; must reside in CT / Southern NY including NYC and Long Island (or near the designated area) and travel 50–75%.
Responsibilities
Serve as the patient access subject matter expert for all USOBU therapies within your assigned geography
Educate healthcare professionals and practice staff on payer coverage, prior authorization requirements, step edits, appeals processes, and reimbursement pathways across all sites of care
Engage in cross-functional collaboration with USOBU Here2Asssit HUB, Strategic Account Management, Sales and Market Access to optimize patient access and enhance customer experience
Identify, triage, and elevate patient access issues, driving timely resolution through engagement with relevant internal and external stakeholders
Liaise with USOBU Here2Assist HUB to update healthcare professionals on Rx status, program eligibility and patient support options
Develop practical strategies to address access needs for targeted customers, ensuring streamlined processes and patient support
Support onboarding new accounts by assessing practice workflows, identifying reimbursement challenges, and sharing appropriate patient support resources
Monitor and communicate evolving payer landscape, coverage changes, and access trends within oncology to internal and external stakeholders across your region
Maintain deep expertise in oncology reimbursement dynamics, including Medicare Part B/D, commercial payer processes, and state Medicaid policies
Document all field activities in CRM systems in accordance with compliance and company policies
Qualifications
Bachelor’s degree in Business, Management, Marketing, or related field required
8+ years of experience in the biotech or pharmaceutical industry including 4+ years of patient access or relevant reimbursement experience in oncology required
2+ years of ‘buy and bill’ required
Demonstrated experience in buy and bill reimbursement, specialty pharmacy, payer dynamics, copay assistance, and HUB services required
Launch experience in oncology for both oral and injectable products highly preferred
Proven ability to build credibility and trust with internal and external stakeholders through effective cross-functional partnership
Strong communicator, translating complex concepts into clear, concise messages both verbally and in writing
Commitment to Takeda’s core values—Integrity, Fairness, Honesty, and Perseverance—with Integrity at the center
Valid driver’s license
#J-18808-Ljbffr