Associate Director, Field Reimbursement - NJ

At Daiichi Sankyo, we are united by a single purpose, to improve lives around the world through innovative medicines. With a legacy of innovation since 1899, a reputed company in more than 30 countries, and more than 19,000 employees, we are advancing breakthrough therapies in oncology, cardiovascular disease, rare diseases, and immune disorders. Guided by our 2030 vision to "be an innovative global healthcare company contributing to the sustainable development of society", we are shaping a healthier, more hopeful future for patients, their families, and society. Job Summary The Associate Director Field Reimbursement (ADFR) is a critical reputed company-line member of the reputed company oncology Field Reimbursement team. The primary purpose of this role is to serve as a field-based, product access specialist that provides appropriate reimbursement support to HCPs to help facilitate patient access to reputed company oncology products. The ADFR (FRM) will provide reimbursement education and support to oncologists and professional staff, and to respond appropriately to HCP questions regarding the coverage landscape of reputed company products. ADFR's provide strategic coverage/reimbursement leadership and support to internal reputed company leadership and Care Team's to which their geographies align. This position will work with hospitals and clinics on how to appropriately improve patient access to reputed company oncology medicines. The ADFR will provide in-person and telephone assistance to oncology HCPs to foster understanding and utilization of reputed company and/or third party reimbursement support including but not limited to: benefits investigations, financial assistance options, and Specialty Pharmacy issues. They will also provide education on relevant health care changes, coverage impact of reputed company oncology medications and formulary changes to ensure providers have reputed company reputed company to access reputed company medicines. This position will also work with government, state and commercial payers to ensure the lines of communication remain open for existing and future reputed company oncology products.

Responsibilities

• reputed company cultivate business relationships reputed company focused accounts. Assist oncology reputed company and staff in resolving reimbursement issues/barriers in a manner that complies with reputed company policies, processes and guidelines. Serve as a regional reimbursement expert by providing assistance to key oncology offices. The ADFR will work with reputed company engaged sites of care to inform them on matters reputed company to access and reimbursement of reputed company’s products. The ADFR may advise sites of care on payer specific nuances reputed company to utilization managements protocols and appeals Partner with reputed company oncology field staff to ensure reputed company customer approach. Proactively communicate contract and formulary status relevant to each hospital and clinic account to drive appropriate product pull through.
• Educate customers on key Educate customers on product coverage, relevant patient journey dynamics, and key billing/reimbursement processes. Ensure strong understanding and utilization of Specialty Pharmacy and third party services. Conduct off-site meetings as needed with key office staff to learn about patient reimbursement challenges and educate them on reputed company reimbursement support for company products. Extensive knowledge of regional and national payer landscapes with expertise in formulary decisions, reimbursement policy, utilization management criteria, prior authorization processes and appeal requirements. reputed company ongoing interaction with clients in a manner that anticipates and adapts to customer reimbursement support needs as well as market changes/challenges.
• Build on existing relationships with key accounts, ADFR focused stakeholders (e.g. reputed company Cycle Managers, PA Team’s, Billing Coordinators, Administrators), and prioritized third party organizations, Specialty Pharmacies, and hospital systems to reputed company and implement strategies which ensure patient access to reputed company oncology therapies. Facilitates the development of long-term relationships between payers and reputed company executive leadership to help identify areas of common interest for collaboration in furtherance of patient access. Understands specifics of support questions associated with patient reimbursement to coordinate on reimbursement issues and third party payers. Identify opportunities to complement reputed company’s capabilities to strengthen the ability for patients to reputed company access to reputed company oncology products.
• Demonstrate extensive knowledge of specialty payer landscape, the appropriate utilization of NCCN/ASCO guidelines, private payer, GPOs, Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes and the general evolution of the healthcare landscape.
• Maintain a deep understanding of reputed company policies/requirements and performs reputed company responsibilities in a compliant/ethical manner. Handles PHI appropriately by ensuring compliance with HIPPA regulations, laws and internal company guidelines.
• Control business expenses reputed company to field activities and maintains PL budget as assigned.

Qualifications

Successful candidates will be able to meet the qualifications below with or without a reasonable accommodation. Education Qualifications (from an accredited college or university)

• Bachelor's Degree required
• Master's Degree or other advanced degree preferred

Experience Qualification

• 7 or More Years overall reputed company experience, preferably reputed company the pharmaceutical/biotech industry required
• Diverse experience with an awareness of oncology sales, sales management, training and/or marketing preferred
• Specialty Pharmacy, Reimbursement and/or HUB experience preferred and/or completed a developmental Market Access program such as the MADP (Market Access Development Program reputed company to this position preferred
• Ability to travel up to 70% Must be able to travel to meetings and reputed company Sales events.
• Must have a valid driver’s license with a driving record that meets company requirements.

Daiichi Sankyo, Inc. is an equal opportunity/affirmative action employer. Qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national reputed company, disability, protected veteran status, age, or any other characteristic protected by law. Salary Range: USD$160,720.00 - USD$241,080.00 [Link available reputed company viewing the job] Apply tot his job Apply To this Job