Director, Field Reimbursement | West

Department: Commercial
Reports To: George Esgro, SVP US Commercial
FLSA Status: Exempt
Job Type: Full-time
Location: Remote

DIRECT HIRE – Accord BioPharma – Director, Field Reimbursement | West

COMPANY DESCRIPTION:
Accord BioPharma, a division of Accord Healthcare and a wholly owned subsidiary of Intas Pharmaceuticals Ltd, is at the forefront of developing and licensing cutting-edge therapies in oncology, urology, women’s health, and primary care. With one of the industry's most robust biosimilar pipelines, we are on the brink of significant growth over the next 3-5 years.

• Commitment to Excellence: At Accord BioPharma, we are committed to the right approach, the right improvements, and delivering the right medicines at the right time. This dedication forms the foundation of our culture and empowers our team to make a positive impact on the full patient experience.
• Vision for Excellence: Our senior leadership's vision is to become the most admired life science organization in the US.
• Entrepreneurial Spirit: Our entrepreneurial spirit allows us to adapt to an ever-evolving healthcare landscape. This flexibility, combined with the backing of our parent company Intas Pharmaceuticals, ensures that patients have access to the medications they need when they need them.
• Family-Like Culture: Our company is built to feel like a family, with a culture woven from compassion and collaboration. This unique environment is something we are extremely proud of and fiercely protective of.
• People-Centric Leadership: Our senior leaders are hand-picked based on the same values on which the company was founded.
• Inclusive and Collaborative Environment: At Accord BioPharma, everyone's voice matters. We encourage all team members to contribute their ideas and perspectives, fostering a collaborative environment where challenges are solved together.
• Core Values: Built on values like humility, empathy, trust, respect, and creativity, our company fosters a familial environment and a high degree of like-mindedness. This ensures our team is always aligned in working toward improved experiences and outcomes for patients.

POSITION OVERVIEW:
The Director, Field Reimbursement is part of the Commercial organization and responsible for supporting appropriate patient access to care. The focus is on helping large institutions, healthcare provider practices, and key accounts navigate the complex access and reimbursement landscape within the oncology and urology markets. The ideal candidate will use their subject matter expertise to identify appropriate solutions and educate customers to ensure that the right patients have access to the right medications at the right time and at the right out-of-pocket cost. This is an external, custom-facing role centered on partnering with field sales and internal colleagues to support accounts as needed.

The Field Reimbursement team utilizes approved educational resources to explain complex reimbursement issues related to coverage, coding, and practice efficiency/optimization. Thes may include reimbursement guides (coverage and coding), specialty pharmacy and distribution processes, provider support services (e.g., benefits investigation), and patient support resources (e.g., patient assistance programs). The team are important contributors to the overall success of the oncology and urology sales teams and Accord BioPharma.
Director, Field Reimbursement | West

The Director, Field Reimbursement will work within their team to monitor national and local healthcare payer policies, develop relationships with key advocacy leaders, state societies, and provide direct support to prescribing physicians, hospitals and support staff regarding reimbursement and product access and reimbursement dynamic within payer channels.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
The following duties are considered essential to the role. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

• Customer Engagement: Build and maintain strong relationships with key stakeholders in hospitals and oncology/urology practices, including physicians, pharmacists, hospital administrators, and formulary committees.
• Market Analysis: Monitor and analyze market trends, competitor activities, and customer feedback to identify opportunities and challenges, adjusting sales strategies as needed.
• Compliance: Ensure thorough understanding and adherence to all relevant compliance laws, policies, and processes, maintaining full compliance for self and team.
• Collaboration: Partner with cross-functional teams, including marketing, oncology and urology sales colleagues, and medical affairs, to develop and implement effective access and reimbursement strategies.
• Reporting: Keep accurate and timely records of activities, customer interactions, and market intelligence, and report regularly to the Commercial team.
• Training and Development: Engage in ongoing training programs to enhance healthcare market knowledge and business communication skills.
• Presentations: Deliver product presentations, educational programs, and in-service training for healthcare professionals to increase awareness and understanding of access and reimbursement issues relevant to our product portfolio.
• Formulary Approval: Support hospitals in the formulary review process by providing necessary documentation, clinical data, and value propositions to secure favorable product inclusion.
• Market Access and Affordability: Utilize knowledge of Integrated Delivery Networks (IDNs) and Group Purchasing Organization (GPO) contracts to navigate the healthcare landscape and maximize product access and affordability.
• Patient Services: Collaborate with patient services colleagues to ensure a patient-centric approach in all sales activities.
• Feedback: Provide insights to internal teams on customer needs, market dynamics, and competitor activities to support product development and commercialization efforts.
• Additional Duties: Perform other duties as assigned.

EXPECTATIONS OF THE JOB:
This role requires a dynamic healthcare business professional with strong time management skills and emotional intelligence to align with our cultural values and drive business success in the pharmaceutical, oncology, and urology sectors.

• Proven ability to build and maintain relationships with healthcare professionals and key decision-makers.
• Highly effective organizational skills to balance multiple priorities.
• Ability to work independently and effectively in a team-oriented environment, contributing to a culture of winning through full team engagement.
• Advanced business analytical skills to identify trends, opportunities, and threats.
• Problem-solving skills to determine actions that drive business or overcome challenges.
• Documented success in field reimbursement management and ability to analyze and plan customer engagement activities based on the local/regional market access landscape.
• Solid clinical product knowledge, excellent judgment, and decision-making skills.
• Proficiency in using CRM software and other sales productivity tools.

The above list reflects the general details necessary to describe the expectations of the position and shall not be construed as the only expectations that may be assigned for the position. An individual in this position must be able to successfully meet the expectations listed above.

EDUCATION AND EXPERIENCE:
The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required:

• Education: Bachelor’s degree from an accredited college/university required. MBA, PharmD, MPA, MPH, or other Master’s degree is preferred.
• Experience and/or Training: At least 10 years of commercial experience in the pharmaceutical, market access, or biotech industry preferred. Biosimilar and generic experience is strongly preferred.
• Channel and Payer Experience: At least 5 years in healthcare market access, billing and coding, and/or reimbursement are preferred. Experience with infusible Buy & Bill required. Advanced knowledge of Medicare Part B, Medicare Advantage, Medicare Supplement, Medicare Part D, commercial medical and pharmacy benefit required. Contracting experience with hospitals and institutional customers, healthcare provider practices, 340B, and GPO/wholesalers is desired but not required.
• Therapeutic Area Experience: Oncology experience required; urology experience preferred.
• Licenses/Certificates: Clean Driving Record.
• Technology/Equipment Computer Skills: Word, PowerPoint, Excel, Outlook and videoconferencing platforms.

This role is ideal for a driven and knowledgeable sales professional who is passionate about making a difference in the fields of oncology and urology.

PHARMACEUTICAL AND ONCOLOGY-SPECIFIC RESPONSIBILITIES:

• Product Knowledge: Stay informed about the latest oncology and urology products, treatments, and industry trends to provide accurate information and support to the team.
• Regulatory Compliance: Ensure all activities comply with pharmaceutical industry regulations and standards, including FDA guidelines and other relevant authorities.
• Clinical Collaboration: Work closely with clinical teams to understand and communicate the clinical benefits and applications of oncology products.
• Organized Customers: Maintain a strong understanding of IDNs, GPO contracts, 340B, and the hospital formulary approval process.
• Patient Focus: Prioritize patient safety and efficacy in all sales activities, maintaining a patient-centric approach in all interactions.
• Reasonable Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

PHYSICAL/MENTAL DEMANDS AND WORKING ENVIRONMENT:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• This job operates in a professional office environment. Noise level is usually low to moderate

Accord provides equal employment opportunities (EEO) to all employees and applicants for employment consistent with applicable local, state or federal law. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.