Field Reimbursement Associate Director –Mid Atlantic
Scorpion Therapeutics, Virginia, Minnesota, United States, 55792
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Role Summary Field Reimbursement Associate Director – Mid Atlantic will optimize patient access to the U.S. Oncology Business Unit portfolio by providing strategic reimbursement expertise within the region. The role will act as a subject matter expert for healthcare professionals, offering education on insurance coverage, prior authorizations, appeals, and patient support solutions to ensure timely access to therapy. The Field Reimbursement Director will work closely with cross-functional partners, including the USOBU Here2Assist HUB, Strategic Account Management, Sales, and Market Access teams, to navigate payer environments and address reimbursement challenges. This is a field-based position reporting to the Director, Field Reimbursement Lead - East.
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
Required: 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
Preferred: Launch experience in oncology for both oral and injectable products
Required: Proven ability to build credibility and trust with internal and external stakeholders through effective cross-functional partnership
Required: Strong communicator, translating complex concepts into clear, concise messages both verbally and in writing
Required: Commitment to Takeda’s core values—Integrity, Fairness, Honesty, and Perseverance—with Integrity at the center
Required: Must reside in DE / MD/ VA / WV or live in close proximity to designated area of responsibility:
Required: Ability to travel 50–75%:
Required: Valid driver’s license
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Role Summary Field Reimbursement Associate Director – Mid Atlantic will optimize patient access to the U.S. Oncology Business Unit portfolio by providing strategic reimbursement expertise within the region. The role will act as a subject matter expert for healthcare professionals, offering education on insurance coverage, prior authorizations, appeals, and patient support solutions to ensure timely access to therapy. The Field Reimbursement Director will work closely with cross-functional partners, including the USOBU Here2Assist HUB, Strategic Account Management, Sales, and Market Access teams, to navigate payer environments and address reimbursement challenges. This is a field-based position reporting to the Director, Field Reimbursement Lead - East.
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
Required: 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
Preferred: Launch experience in oncology for both oral and injectable products
Required: Proven ability to build credibility and trust with internal and external stakeholders through effective cross-functional partnership
Required: Strong communicator, translating complex concepts into clear, concise messages both verbally and in writing
Required: Commitment to Takeda’s core values—Integrity, Fairness, Honesty, and Perseverance—with Integrity at the center
Required: Must reside in DE / MD/ VA / WV or live in close proximity to designated area of responsibility:
Required: Ability to travel 50–75%:
Required: Valid driver’s license
#J-18808-Ljbffr