Talent.com
Associate Director Field Access and Reimbursement

Associate Director Field Access and Reimbursement

Securelink IncProvo, UT, US
3 hours 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
    Director of Utilities

    Director of Utilities

    Havenpark CommunitiesOrem, UT, US
    Full-time
    The Director of Utilities will lead the development, management, and long-term strategy for our utility operations across our portfolio of manufactured housing communities.This role is the company&...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Director, Quality Management

    Associate Director, Quality Management

    Utah StaffingSalt Lake City, UT, US
    Full-time
    This position manages and coordinates compliance of the Global Engineering and Product Development quality engineering functions. This position is responsible for providing strategic direction and s...Show moreLast updated: 2 days 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: 6 days ago
    • Promoted
    Associate Director, Facilities

    Associate Director, Facilities

    Utah StaffingSalt Lake City, UT, US
    Full-time +1
    Associate Director, Facilities.Track Level : M4 - Senior Manager.Patient Sensitive Job Code? : No.Full Time or Part Time? : Full Time. Work Schedule Summary : Monday Friday, 8 : 00 4 : 30.Occasional after...Show moreLast updated: 23 days ago
    • Promoted
    Travel MRI Technologist

    Travel MRI Technologist

    AHS StaffingPayson, UT, US
    Full-time
    AHS Staffing is seeking a travel MRI Technologist for a travel job in Payson, Utah.Job Description & Requirements.Pay package is based on 8 hour shifts and 40 hours per week (subject to confirm...Show moreLast updated: 27 days ago
    • Promoted
    Remote Corporate Development Associate - AI Trainer ($50-$60 / hour)

    Remote Corporate Development Associate - AI Trainer ($50-$60 / hour)

    Data AnnotationSpanish Fork, Utah
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show moreLast updated: 9 days ago
    • Promoted
    Operations Manager - Regional Distribution Center - Midway, GA

    Operations Manager - Regional Distribution Center - Midway, GA

    TargetMidway, US
    Full-time
    Pay is based on several factors which vary based on position.These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Tar...Show moreLast updated: 4 days ago
    • Promoted
    Service Review Unit Associate

    Service Review Unit Associate

    Morgan StanleySouth Jordan, UT, US
    Full-time
    Morgan Stanley seeks a professional to join the SRU as part of Wealth Management (Service Review Unit) as an SRU Associate. The SRU Associate will act as an extension of local branch management in t...Show moreLast updated: 30+ days ago
    • Promoted
    Director of Resort Operations

    Director of Resort Operations

    Westgate ResortsPark City, UT, US
    Full-time
    Westgate Park City Resort & Spa.Canyons Village base at Park City Mountain.Surrounded by world-class skiing and year-round mountain adventure, Westgate Park City Resort & Spa provides a dyn...Show moreLast updated: 6 days ago
    • Promoted
    Earn $50,000–$100,000 as a Surrogate – Must Have Healthy Prior Delivery

    Earn $50,000–$100,000 as a Surrogate – Must Have Healthy Prior Delivery

    Ivy SurrogacyTimber Lakes, UT, US
    Full-time +1
    Becoming a surrogate mother is one of the greatest gifts of life!.Ivy Surrogacy is a third-party reproductive agency for parents all over the world seeking. At Ivy Surrogacy, we genuinely believe we...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Associate Director, Clinical Quality Assurance

    Associate Director, Clinical Quality Assurance

    BridgeBio PharmaSalt Lake City, UT, US
    Full-time
    Associate Director, Clinical Quality Assurance.When was the last time you achieved the impossible? If that thought feels overwhelming, you might want to pause here, but if it sparks excitement.In 2...Show moreLast updated: 3 hours ago
    • Promoted
    Director of Land Acquisitions

    Director of Land Acquisitions

    Lennar HomesLehi, UT, US
    Full-time
    Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality home...Show moreLast updated: 16 days ago
    • Promoted
    Patient Access Specialist

    Patient Access Specialist

    TEKsystemsLehi, UT, United States
    Permanent
    A Transparent Pharmacy Benefits company with goals of bringing their patients the lowest cost drugs available is interested in hiring Hybrid Patient Access Specialists to their Call Center Team loc...Show moreLast updated: 30+ days ago
    • Promoted
    Become a surrogate with Ivy Surrogacy to bless a family

    Become a surrogate with Ivy Surrogacy to bless a family

    Ivy SurrogacyGenola, UT, US
    Full-time +1
    Becoming a surrogate mother is one of the greatest gifts of life!.Ivy Surrogacy is a third-party reproductive agency for parents all over the world seeking. At Ivy Surrogacy, we genuinely believe we...Show moreLast updated: 8 days ago
    • Promoted
    • New!
    Associate Director, Congress & Medical Education Strategy & Execution - Rare Disease

    Associate Director, Congress & Medical Education Strategy & Execution - Rare Disease

    Otsuka PharmaceuticalProvo, UT, US
    Full-time
    Associate Director, Congress and Medical Education Strategy & Execution.The Associate Director, Congress and Medical Education Strategy & Execution is responsible for executing and contributing to ...Show moreLast updated: 3 hours 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: 1 day ago
    • Promoted
    Collateral Review Associate (RTL)Park City, UT

    Collateral Review Associate (RTL)Park City, UT

    SetpointPark City, UT, US
    Full-time
    Collateral Review Associate (RTL).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 netwo...Show moreLast updated: 30+ days ago
    • Promoted
    Remote M&A Associate - AI Trainer ($50-$60 / hour)

    Remote M&A Associate - AI Trainer ($50-$60 / hour)

    Data AnnotationSpanish Fork, Utah
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Show moreLast updated: 9 days ago