# Director, Field Reimbursement (National) **Company:** [Cesna Recruitment](http://jobs.workable.com/companies/x4yVvovTQjfSkpaaXrMrwp.md) **Location:** Remote **Workplace:** remote **Employment type:** Full-time **Department:** US Team [Apply for this job](http://jobs.workable.com/view/db302367-ef41-40b4-aedb-955998b4212a) ## Description \[Position\] Director, Field Reimbursement (National) \[About Our Client\] \[Job Summary\] Field Reimbursement Director reports to the VP of Access Operation. The Field Reimbursement Director will oversee and manage a team of Field Reimbursement Managers (FRM) across assigned territories, ensuring that all aspects of reimbursement strategies are executed effectively to maximize product access and coverage. The Director will act as a key leader responsible for the coordination of field-based reimbursement efforts, offering strategic direction, support, and leadership to ensure the team is successful in navigating payer landscapes, insurance policies, and reimbursement processes. \[Job Description\] \- Leading and managing the FRM team to ensure proper execution of reimbursement strategies, ensuring patient access to products across all geographies. \- Developing and implementing reimbursement strategies to guarantee appropriate coverage and access for company products. \- Working closely with healthcare providers, payers, and patients to ensure the products are covered by insurance plans. \- Reviewing and approving complex reimbursement cases and assisting FRM team members in resolving coverage challenges and issues. \- Monitoring payer policy changes, ensuring alignment with product reimbursement strategies and working with internal teams to address any potential barriers. \- Analyzing payer trends, identifying areas for improvement, and adjusting strategies to ensure the continued success of reimbursement efforts. \- Collaborating with external teams to identify and implement funding or financial assistance programs that support patient access to treatments. \- Supporting the team in handling prior authorizations, appeals, and denials, and ensuring all necessary documentation is submitted in a timely and compliant manner. \- Reviewing patient-specific cases, identifying challenges, and recommending solutions in collaboration with healthcare providers and internal teams. \- Conducting both quantitative and qualitative analysis of FRM team activities and providing detailed reports to VP of Access Operation. \- Based on progress analysis, identifying and implementing improvements to optimize the team's performance and enhance the overall reimbursement process. ## Requirements \[Qualifications\] \- Bachelor's degree in business, healthcare, or related field. \- Minimum of 10 years of experience in pharmaceutical reimbursement, managed care, or related field, with at least 5 years of experience in a leadership role. \- Immunology and/or Oncology experience a plus \- Strong knowledge of healthcare reimbursement policies and procedures. \- Ability to develop and implement reimbursement strategies. \- Excellent communication and interpersonal skills. \- Strong analytical skills and ability to analyze data and trends. \- Ability to lead and manage a team and work collaboratively with cross-functional stakeholders. \- Ability to work independently and in a team environment. \- Willingness to travel as required. ## Benefits \- Salary 200-240k + Bonus \- Full Benefits - Medical, Dental, Vision with different package \- 401k 4.5 % match \- PTO & 6 Sick Days