Associate Director Field Reimbursement
Job Summary
The Associate Director Field Reimbursement (West) leads a team of Field Reimbursement Managers to ensure patient access to CSL Behring's US product portfolio. This role involves developing strategic reimbursement methodologies, interpreting regulatory requirements, and collaborating with cross-functional stakeholders. It is a key leadership position within the US patient experience team requiring significant travel and expertise in reimbursement services.
Responsibilities
- Lead and mentor the Western US Field Reimbursement Manager team.
- Develop strategic reimbursement methodologies for product access.
- Act as a subject matter expert for cross-functional stakeholders.
- Ensure compliance with legal and regulatory requirements in reimbursement programs.
Required Skills
- 8+ years of relevant business operations experience
- 5+ years in reimbursement support services
- Strong leadership and team-building capabilities
- Knowledge of healthcare legal and compliance regulations
Job Details
Responsibilities and Accountabilities:
- Lead the Western US Field Reimbursement Manager team to optimize the patient experience on CSL Behring's products by providing high-quality, compliant case-level reimbursement support.
- Lead the FRM team in providing education and resources to healthcare providers (HCPs) and office personnel regarding prior authorization, appeals, and patient service programs.
- Operate as a key member of the US Patient Experience leadership team, providing aggregated reimbursement case insights to inform organizational activities.
- Support patient service hub case manager training and facilitate effective collaboration between field reimbursement managers and hub case managers.
- Responsible for the documentation and implementation of SOPs, ensuring execution according to defined best practices.
- Champion collaboration across multiple stakeholders including patient services, corporate accounts, sales teams, and vendors.
- Operate as a US reimbursement subject matter expert for cross-functional teams including marketing, sales, health care systems, policy advocacy, and medical affairs.
- Oversee reimbursement programs and team deployment to ensure compliance with legal and regulatory requirements.
- Manage budgets effectively, including developing proposals and securing endorsements for strategic initiatives.
- Responsible for the leadership, attraction, retention, and development of the Field Reimbursement Manager team.
Qualifications:
- Bachelor's degree required (business/management, healthcare, or life sciences preferred). MBA or postgraduate qualifications are an asset.
- 8+ years of sales, marketing, medical, or related business operations experience.
- 5+ years in reimbursement support services required.
- Experience in the delivery of patient services preferred.
- Demonstrated leadership and team-building skills.
- Knowledge of relevant legal, compliance, and regulatory requirements.