Associate Director, Access & Reimbursement - (Mid Atlantic)
This individual will provide appropriate support for patient access to prescribed Eisai products, which will include communication with healthcare professionals (HCPs) about insurance coverage, and coding and reimbursement for Eisai products and Eisai's patient support programs.
This position will work collaboratively with appropriate Eisai stakeholders regarding access and reimbursement issues, including Payer Markets, Market Access and Reimbursement Services, Sales, Marketing, Government Affairs, Legal, Compliance, Medical, and Training. Ultimately, this individual will be responsible for delivering superior expertise and operational excellence in the Neurology and Oncology disease areas related to field reimbursement services.
Working closely with and reporting to the Director, Access and Reimbursement, the AD ARM will be responsible for the leadership, direction, and management of a team of ARMs; the AD ARM will be functional lead for ARM activities across HCP offices, institutions, and Medicare Administrative Contractors (MACs). As such, the position plays a key role in developing and driving compliant execution of access and reimbursement programs.
In addition to these leadership responsibilities, the AD ARM is also responsible for maintaining appropriate relationships with accounts, as needed, to ensure appropriate access and reimbursement for Eisai's portfolio. Due to the AD ARM's leadership and access expertise, this role is viewed by colleagues and customers as a central resource of knowledge and information about patient access and reimbursement to prescribed Eisai medications. Key External Stakeholders: Health Care Professionals and stakeholders responsible for physician reimbursement and patient coverage and access issues. These stakeholders include, but are not limited to, the following: Practice Mangers, Financial Counselors, Pharmacy Managers/Directors, Business Administrators, State Societies, and DME/MAC personnel. The states included in this geography are PA, MD, DE, VA, WV, KY, OH, IN, TN. Responsibilities:
- Lead field access and reimbursement team in providing appropriate support for patient access for prescribed Eisai products.
- Direct and oversee HCP communication on insurance coverage/reimbursement for Eisai products and relevant patient support programs.
- Collaborate with cross-functional teams to drive resolution of access and reimbursement issues.
- Develop and drive compliant execution of access and reimbursement programs.
- Maintain appropriate relationships with accounts, as needed, to ensure appropriate access and reimbursement for Eisai's portfolio.
- Recruit, develop, train, coach, assess, motivate and retain access and reimbursement talent to support appropriate access and reimbursement.
- Bachelor's degree (Master's degree preferred) with 10+ years of relevant experience in pharma/biotech industry.
- Experience in patient access or reimbursement experience, preferably with clinical understanding within relevant therapeutic area (including in-patient and out-patient care management).
- Substantial experience in patient support programs, financial assistance, and patient assistance programs.
- Market Access payer and/or patient access support programs experience.
- Substantial experience of the US healthcare system across major payer segments (Medicare, Medicaid, Federal, and Commercial)
- Substantial experience working with medical and pharmacy benefits, coverage policies, and reimbursement.
- Experience monitoring the US healthcare payment system, including national and local challenges for strategic planning for portfolio of therapies.
- Substantial experience of the various distribution systems within the US healthcare environment.
- Project management experience driving complex initiatives in collaboration with key cross-functional stakeholders.
- Experience mentoring and training team members on reimbursement activities and procedures.
- Proven performance in earlier role.
The annual base salary range for the Associate Director, Access & Reimbursement - (Mid Atlantic) is from :$191,800-$251,800 Under current guidelines, this position is eligible to participate in : Eisai Inc. Annual Incentive Plan & Eisai Inc. Long Term Incentive Plan. Final pay determinations will depend on various factors including but not limited to experience level, education, knowledge, and skills. Employees are eligible to participate in Company employee benefit programs. For additional information on Company employee benefits programs, visit . Certain other benefits may be available for this position, please discuss any questions with your recruiter. Eisai is an equal opportunity employer and as such, is committed in policy and in practice to recruit, hire, train, and promote in all job qualifications without regard to race, color, religion, gender, age, national origin, citizenship status, marital status, sexual orientation, gender identity, disability or veteran status. Similarly, considering the need for reasonable accommodations, Eisai prohibits discrimination against persons because of disability, including disabled veterans. Eisai Inc. participates in E-Verify. E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States. Please click on the following link for more information: Right To Work E-Verify Participation
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