Director, Field Reimbursement Manager (FRM) - West Region
Otsuka America Pharmaceutical Inc., Pierre, SD, United States
Position Overview
We are seeking an experienced, transformative leader to serve as the Director, Field Reimbursement Management for Nephrology and Rare Disease. This role will lead a team of HCP-facing Field Reimbursement Managers, ensuring optimal patient access and reimbursement support for our specialty products through providing education on various payer processes. Key Responsibilities
Lead, mentor, and develop a high-performing team of Field Reimbursement Managers and/or manage vendor-owned FRMs
Establish and implement comprehensive Patient Access and Affordability Strategies
Drive post-prescribing performance through strategic planning and execution
Ensure compliance adherence through in-field visits, call and case monitoring, aligning operations with legal requirements
Develop and implement program enhancements aligned with Brand and Sales leadership goals
Partner with Managed Markets and other matrix partners to address market challenges
Foster a culture of employee engagement, accountability, and continuous improvement
Collaborate with cross-functional teams to optimize patient access and affordability strategies
Develop and maintain relationships with key stakeholders, including healthcare providers, payers, and industry partners
Key Competencies
Strategic leadership and team management
Patient-centric approach to healthcare delivery
Operational excellence and process optimization
Cross-functional collaboration and stakeholder management
Data-driven decision making and performance analysis
Change management and program implementation
Regulatory compliance and risk management
Qualifications
Required
Bachelor's degree in Business, Healthcare Administration, or related field
8+ years of experience in healthcare
5+ years in a leadership role
Preferred
Advanced degree
Proven track record in transformational leadership
Strong background in reimbursement, access, and affordability for specialty medications
Deep understanding of reimbursement processes, payer policies, and healthcare
Strong analytical and strategic planning skills
Excellent communication and interpersonal abilities
Comprehensive knowledge of Medicare, Medicaid, and commercial insurance reimbursement regulations
Experience with specialty injectable/infusible medicines and their unique market dynamics
Familiarity with drug acquisition and dispensing in the specialty pharmaceutical space
Experience in training and developing teams on complex reimbursement topics
Understanding of the 'Buy and Bill' model and specialty pharmacy operations
Travel Requirement
Willingness to travel up to 70% within the assigned region (West Region) Competencies
Accountability for Results -
Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change. Strategic Thinking & Problem Solving -
Make decisions considering the long‑term impact to customers, patients, employees, and the business. Patient & Customer Centricity -
Maintain an ongoing focus on the needs of our customers and/or key stakeholders. Impactful Communication -
Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka. Respectful Collaboration -
Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals. Empowered Development -
Play an active role in professional development as a business imperative. Compensation
Minimum $186,489.00 - Maximum $278,875.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate’s job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws. Company benefits
Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short‑term and long‑term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits. Come discover more about Otsuka and our benefit offerings; https://www.otsuka‑us.com/careers‑join‑otsuka . Disclaimer
This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic.
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We are seeking an experienced, transformative leader to serve as the Director, Field Reimbursement Management for Nephrology and Rare Disease. This role will lead a team of HCP-facing Field Reimbursement Managers, ensuring optimal patient access and reimbursement support for our specialty products through providing education on various payer processes. Key Responsibilities
Lead, mentor, and develop a high-performing team of Field Reimbursement Managers and/or manage vendor-owned FRMs
Establish and implement comprehensive Patient Access and Affordability Strategies
Drive post-prescribing performance through strategic planning and execution
Ensure compliance adherence through in-field visits, call and case monitoring, aligning operations with legal requirements
Develop and implement program enhancements aligned with Brand and Sales leadership goals
Partner with Managed Markets and other matrix partners to address market challenges
Foster a culture of employee engagement, accountability, and continuous improvement
Collaborate with cross-functional teams to optimize patient access and affordability strategies
Develop and maintain relationships with key stakeholders, including healthcare providers, payers, and industry partners
Key Competencies
Strategic leadership and team management
Patient-centric approach to healthcare delivery
Operational excellence and process optimization
Cross-functional collaboration and stakeholder management
Data-driven decision making and performance analysis
Change management and program implementation
Regulatory compliance and risk management
Qualifications
Required
Bachelor's degree in Business, Healthcare Administration, or related field
8+ years of experience in healthcare
5+ years in a leadership role
Preferred
Advanced degree
Proven track record in transformational leadership
Strong background in reimbursement, access, and affordability for specialty medications
Deep understanding of reimbursement processes, payer policies, and healthcare
Strong analytical and strategic planning skills
Excellent communication and interpersonal abilities
Comprehensive knowledge of Medicare, Medicaid, and commercial insurance reimbursement regulations
Experience with specialty injectable/infusible medicines and their unique market dynamics
Familiarity with drug acquisition and dispensing in the specialty pharmaceutical space
Experience in training and developing teams on complex reimbursement topics
Understanding of the 'Buy and Bill' model and specialty pharmacy operations
Travel Requirement
Willingness to travel up to 70% within the assigned region (West Region) Competencies
Accountability for Results -
Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change. Strategic Thinking & Problem Solving -
Make decisions considering the long‑term impact to customers, patients, employees, and the business. Patient & Customer Centricity -
Maintain an ongoing focus on the needs of our customers and/or key stakeholders. Impactful Communication -
Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka. Respectful Collaboration -
Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals. Empowered Development -
Play an active role in professional development as a business imperative. Compensation
Minimum $186,489.00 - Maximum $278,875.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate’s job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws. Company benefits
Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short‑term and long‑term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits. Come discover more about Otsuka and our benefit offerings; https://www.otsuka‑us.com/careers‑join‑otsuka . Disclaimer
This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic.
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