Associate Director Field Reimbursement - EAST
The Associate Director of Field Reimbursement is a key role at CSL and member of the US patient experience leadership team. The role is one of two Field Reimbursement leads, each responsible for leading one of two US field reimbursement teams (East and West). These teams provide comprehensive field-based reimbursement support for CSL Behring’s entire US portfolio of products and are critical in ensuring successful patient case level access to therapy, and optimizing the patient experience.
The field reimbursement leads may also serve as reimbursement subject matter experts as members of cross functional working groups, supporting in-line brand planning, pre-launch planning and other strategic and tactical initiatives.
The position is based in the field, and the requirement is to reside within the geographic area covered by the supporting FRM team. Travel is necessary, including team ride-alongs, customer facing visits and participation in meetings and workshops at the head office in King of Prussia, Pennsylvania.
Main Responsibilities and Accountabilities: Lead Eastern US, Field Reimbursement Manager team to optimize the patient experience on CSL Behring’s products by providing high quality case level reimbursement support that compliantly support efficient and effective case support.
- Lead the FRM team in the provision of support to healthcare providers (HCPs) and office personnel with education and resources on prior authorization and appeals processes, reimbursement support, and patient service programs.
- Operate as a key member of the US Patient Experience leadership team. Providing aggregated reimbursement case insights to inform activities across the function. Support patient service hub case manager training coupled with effective collaboration between field reimbursement managers and hub case managers.
- Responsible for documentation and pull through of SOPs and leading execution according to defined best practices with appropriate training and support.
- Champion collaboration across multiple stakeholders including patient services, patient engagement, corporate accounts, sales teams and vendors to deliver an exceptional customer experience in supporting patient access to therapy.
- Operate as US reimbursement subject matter expert supporting head office based cross functional teams including patient experience, marketing, sales, health care systems, policy advocacy and government affairs (PAGA), medical affairs.
- Oversee and champion reimbursement programs and team deployment to ensure compliance with legal and regulatory requirements.
- Effective budget management including developing proposals, securing endorsement and execution within endorsed planning horizon and budget. Support brand planning in identifying adequate resourcing to support strategic and tactical requirements.
- Responsible for the effective leadership of the Field Reimbursement Manager team including continuous investment in the attraction, retention and development of talent.
Qualifications:
Education
Bachelor’s degree required (business /management, healthcare discipline or life sciences preferred). MBA or other post graduate qualifications an asset.
Experience
8+ years sales, marketing, medical or related business operations experience.
5+ years in reimbursement support services required.
Experience in delivery of patient services preferred.
Demonstrated leadership/team building skills
Knowledge of relevant legal, compliance and regulatory requirements
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