Talent.com
Associate Director Field Access and Reimbursement

Associate Director Field Access and Reimbursement

Securelink IncProvo, UT, US
1 day ago
Job type
  • Full-time
Job description

Associate Director Field Access and Reimbursement

The Associate Director, Field Access and Reimbursement (ADFAR) is a remote / field-based position that contributes to the company's success by proactively educating designated accounts. The ADFAR will report to the Director of Payor and Reimbursement. This role is critical and customer-facing, providing expertise in coverage, coding, and payment to support Curium customers and ensure patient access to prescribed Curium products. The ideal candidate will have a strong track record of helping customers navigate complex reimbursement challenges and facilitate patient access. They should excel in cross-functional collaboration and thrive in a fast-paced environment.

ADFARs primarily focus on accounts with complex processes and workflows, including integrated delivery networks (IDNs), academic medical institutions, large specialty provider practices, hospital outpatient departments, physician practices, and other alternate care sites. They will collaborate closely with healthcare providers (HCPs), pharmacists, and billing and coding staff to secure and resolve access and reimbursement issues related to Curium products. The ADFAR will serve as a key point of contact for our HUB service partners and interact with both internal and external stakeholders, including field sales, sales leadership, and market access teams, to ensure appropriate patient access to the product portfolio.

The ADFAR is expected to be a subject matter expert on reimbursement processes, effectively communicating market access requirements and addressing barriers related to local payer policies, coverage, billing and coding, claims processing, and the integration of patient support programs. Additionally, the ADFAR will need to build and maintain strong relationships with healthcare provider practices and facilities while managing field reimbursement responsibilities. This role requires high-level verbal and written communication skills, account coordination, cross-functional collaboration, and strong business acumen.

Essential Functions

  • Interact with complex accounts and engage with key providers in multiple-state territories.
  • Proactively educate providers and staff on programs to support the integration of products into office processes and workflows.
  • Work with key members of the urology / oncology community (e.g., providers, administrators, billing and coding staff, claims departments, revenue cycle managers) to support patient access and minimize barriers for patients and providers.
  • Work closely with Market Access and Field Sales, supporting providers in resolving access, coding, coverage, payment issues or concerns.
  • Provide education on patient programs and HUB services, in collaboration with Market Access and Field Sales.
  • Maintain expertise in regional and local access and payer landscape, anticipating changes and provide reimbursement support (as needed).
  • Support pull-through on coverage decisions, proactively communicate policy changes or issues that could potentially affect coverage.
  • Develop ethical and customer-oriented business plans focused on reimbursement and payer strategies.
  • Identify, develop, and execute territory business plans by focusing on opportunities to improve patient and provider access to the Curium product portfolio.
  • Collaborate and coordinate across functions (Sales, Market Access, Marketing, and Medical Affairs) to achieve business goals.
  • Responsible for establishing preferred acquisition pathways.
  • Educate and support buy-and-bill processes, workflows, and facilitate pull-through in complex accounts, including scenarios of centralized acquisition and use of alternative channels such and alternate site of care for administration.
  • Must maintain operational compliance with US and international regulatory agencies and guidelines (i.e. FDA, EU, HC, TGA, PIC / S, ISO, USP, NRC, cGMP, etc.).

Requirements

  • BS / BA in Business and / or biological science education preferred.
  • 10+ years' experience in the pharmaceutical / biotech industry.
  • 2+ years of reimbursement- related experience (coverage, buy and bill, coding, payment, and policy).
  • Experience in radiopharmaceutical, urology, oncology preferred.
  • Demonstrates a solid understanding of both commercial and public payers and understands the process for authorizing therapies within the payer network.
  • Ability to thrive in a cross-functional work environment and successfully manage multiple tasks while maintaining high attention to detail and responding to rapidly changing priorities.
  • Experience launching new products.
  • In-depth knowledge of current reimbursement trends, Buy and Bill, patient access, and HUB services.
  • Possesses strong business acumen and presentation skills.
  • Proven ability to build internal teamwork and collaboration centered on shared commitment and goals to achieve high standards of performance.
  • Superb written and verbal communication skill.
  • Demonstrated ability to develop relationships within highly matrixed organizations such as hospital IDNs and large oncology / urology group practices to communicate and implement successful strategic initiatives.
  • Successful decision-making, strategic planning, and problem-solving skills.
  • Field-based role; must be a self-starter with the ability to work independently and organize own work without continuous direct supervision.
  • Proficient in MS Office (Word, Excel, Project), MS Teams, Adobe, and raw data sets.
  • Ability to travel (50% +)
  • Working Conditions

  • Home office environment.
  • Willingness to work in a team-based environment.
  • Close attention to detail required.
  • May be required to sit or stand for long periods of 8+ hours a day while performing duties.
  • Must be able to work outside of regular work hours, including off shift, weekend, and holiday work as business needs require.
  • Disclaimer

    The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.

    Equal Opportunity Employer

    Curium is an equal opportunity employer and believes everyone deserves respect, dignity and equality. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

    Create a job alert for this search

    Field Reimbursement • Provo, UT, US

    Related jobs
    • Promoted
    Associate Revenue Performance & Insights Manager Hybrid

    Associate Revenue Performance & Insights Manager Hybrid

    Henry Schein OneAmerican Fork, Utah, USA
    Full-time
    This position is Remote within the United States • • •.This position is responsible for performing advanced operational and financial analysis reporting and metrics as it relates to revenue operation...Show moreLast updated: 8 days ago
    • Promoted
    Compliance Director

    Compliance Director

    TradeJobsWorkForce84043 Lehi, UT, US
    Full-time
    Compliance Director Job Duties : Accomplishes compliance human resource strategies by determining acco...Show moreLast updated: 30+ days ago
    • Promoted
    Wealth Management Operations- Director (AVP) Unclaimed Properties

    Wealth Management Operations- Director (AVP) Unclaimed Properties

    Morgan StanleySouth Jordan, Utah, USA
    Full-time
    Were seeking someone to join our team as a Director in.Escheatment Services Operations to be responsible for all aspects of Escheatment functions by supporting the receiving reconciling and reporti...Show moreLast updated: 1 day ago
    • Promoted
    Customer Resolution Associate - Remote

    Customer Resolution Associate - Remote

    Remote StaffingSalt Lake City, UT, US
    Remote
    Full-time
    Customer Resolution Associate - Remote.At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve.Looking f...Show moreLast updated: 23 hours ago
    • Promoted
    TAM Director

    TAM Director

    OracleSalt Lake City, UT, United States
    Full-time
    This leadership position encompasses management of delivery team responsible for providing customers with the guidance and support needed throughout the full life cycle of implementation to ensure ...Show moreLast updated: 3 days ago
    • Promoted
    Revenue Operations Director

    Revenue Operations Director

    GongSalt Lake City, UT, United States
    Full-time
    Austin | Chicago | Salt Lake City | San Francisco.Gong empowers everyone in revenue teams to improve productivity, increase predictability, and drive revenue growth by deeply understanding customer...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Specialist, Appeals & Grievances

    Associate Specialist, Appeals & Grievances

    Utah StaffingOrem, UT, US
    Full-time
    Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accorda...Show moreLast updated: 3 days ago
    • Promoted
    Medical Affairs Field Director

    Medical Affairs Field Director

    Scientific SearchSalt Lake City, UT, US
    Full-time
    Remote office (CO / UT / NM / WY / MT / ID).A commercial-stage biotechnology company developing cell and immunotherapy products to eliminate cancerous or infected cells. Engage in the exchange of scientific d...Show moreLast updated: 17 days ago
    • Promoted
    Director, Technical Revenue & Assurance

    Director, Technical Revenue & Assurance

    Utah StaffingSalt Lake City, UT, US
    Full-time
    Director, Technical Revenue And Assurance.We're not just building better tech.We're rewriting how data moves and what the world can do with it. With Confluent, data doesn't sit still.Our platform pu...Show moreLast updated: 7 days ago
    • Promoted
    Lead, Corporate Credentialing - Remote

    Lead, Corporate Credentialing - Remote

    Remote StaffingProvo, UT, US
    Remote
    Full-time
    Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company ...Show moreLast updated: 23 hours ago
    • Promoted
    Risk, Credit Risk (Global Markets), Associate, Salt Lake Cit

    Risk, Credit Risk (Global Markets), Associate, Salt Lake Cit

    Utah StaffingSalt Lake City, UT, US
    Full-time
    The Risk Division is a team of specialists charged with managing the firm's credit, market, liquidity, operational and insurance risk. Whether assessing the creditworthiness of the firm's counterpar...Show moreLast updated: 7 days ago
    • Promoted
    Assistant Lab Director (Remote)

    Assistant Lab Director (Remote)

    Myriad GeneticsSalt Lake City, UT, United States
    Remote
    Full-time
    Myriad Women's Health is looking for a dynamic individual to join our highly talented laboratory director team.We believe in the power of human understanding and support our patients by providing v...Show moreLast updated: 30+ days ago
    • Promoted
    Internal Account Director (Recruitment & Retention)

    Internal Account Director (Recruitment & Retention)

    Syneos Health / inVentiv Health Commercial LLCSalt Lake City, UT, United States
    Full-time
    Internal Account Director (Recruitment & Retention).Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.We translate unique cli...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Director, Gift Processing

    Associate Director, Gift Processing

    Utah StaffingSalt Lake City, UT, US
    Full-time
    Associate Director, Gift Processing.Oversees, directs, and maintains all aspects of donation processing while providing customer service. Acts as a liaison between departments, faculty, staff, stude...Show moreLast updated: 14 days ago
    • Promoted
    • New!
    (Remote) Strategic Origination Associate, M&A

    (Remote) Strategic Origination Associate, M&A

    Harris ComputerSalt Lake City, UT, US
    Remote
    Full-time
    Strategic Origination Associate, M&A.Harris Computer, the largest operating group of Constellation Software Inc.TSX : CSU), is seeking a Strategic Origination Associate to join our mergers and acquis...Show moreLast updated: 10 hours ago
    • Promoted
    Associate Team Leader

    Associate Team Leader

    H&R BlockSalt Lake City, UT, US
    Full-time +1
    At H&R Block, we believe in the power of people helping people.Our defining Purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere.We also believe ...Show moreLast updated: 20 days ago
    • Promoted
    Associate

    Associate

    Spectraforce TechnologiesSalt Lake City, UT, United States
    Full-time
    Location- Salt Lake City UT, 84111.Responsibilities will include : .Developing and maintaining strong relationships with all stakeholders - Business, Engineering, Operations and Credit.Actively engag...Show moreLast updated: 3 days ago
    • Promoted
    Collateral Review Associate (RTL)Park City, UT

    Collateral Review Associate (RTL)Park City, UT

    SetpointPark City, UT, US
    Full-time
    Behind many of life's most important transactions buying a house, applying for a mortgage, getting a small business loan, or refinancing a credit card is a network of credit relationships.Setpoin...Show moreLast updated: 30+ days ago