Team Lead, Field Reimbursement Director

Jobtailor; Deutschland; Remote; EUR 110.000 - 140.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a senior Reimbursement Leader to guide a skilled team supporting ANI Rare Disease patient access efforts. The role combines hands-on patient access with leadership of reimbursement staff, ensuring high-quality case handling and policy-aligned access across payer landscapes.

You will drive operational excellence, mentor staff, and coordinate with HCPs, hub partners, and market access teams to overcome access barriers while maintaining compliance across regulatory standards.

Qualifikationen

• Bachelor’s Degree required.
• 10+ years in a patient access role for a specialty medication.
• Expertise with pharmacy and medical benefit in a specialty disease market.
• Strong collaboration with Hub partners and cross-functional colleagues.
• Familiarity with OIG guidance, HIPAA guidelines and FDA protocols.
• Able to travel up to 25% with some evening and weekend commitments.
• Ability to lead, motivate, and develop high-performing teams.
• Ability to prioritize competing demands while balancing individual contributor and leadership responsibilities.

Aufgaben

• Serve as a player-coach within ANI Rare Disease Patient Support, balancing direct patient access responsibilities with day-to-day leadership of reimbursement professionals.
• Drive operational excellence and consistent execution across patient cases.
• Maintain a portfolio of complex or escalated patient cases.
• Provide frontline leadership, coaching, and oversight for Reimbursement Directors, Reimbursement Managers, Reimbursement Specialists, and Field Case Specialists.
• Serve as the first point of escalation for reimbursement challenges.
• Provide proactive education to HCPs on insurance requirements and payer policies related to ANI Rare Disease Business Unit brands.
• Manage complex reimbursement cases with direct engagement with HCP offices and patients.
• Partner with Hub case managers and in-network Specialty Pharmacies on prior authorization submissions and follow-up.
• Facilitate access to patient assistance programs, including copay support and free goods.
• Coordinate with Nurse Access Specialists on patient support activities.
• Partner with Market Access on payer trends, policy changes, and access barriers.
• Collaborate with Sales on field education and account strategy in accordance with Compliance guidelines.
• Serve as a reimbursement and access subject matter expert.
• Monitor team productivity, workload distribution, case quality, and KPIs.
• Support onboarding and ongoing team development.
• Conduct regular 1:1 meetings, team meetings, case reviews, and development discussions.
• Model professionalism, ethical conduct, and compliance

Kenntnisse

Reimbursement Management

Team Leadership

Cross-Functional Collaboration

Pharmacy Benefit Knowledge

Medical Benefit Knowledge

KPI Monitoring

Regulatory Compliance

Ausbildung

Bachelor’s Degree

Jobbeschreibung

• Serve as a player-coach within ANI Rare Disease Patient Support, balancing direct patient access responsibilities with day-to-day leadership of reimbursement professionals
• Drive operational excellence and consistent execution across patient cases
• Maintain a portfolio of complex or escalated patient cases
• Provide frontline leadership, coaching, and oversight for Reimbursement Directors, Reimbursement Managers, Reimbursement Specialists, and Field Case Specialists
• Serve as the first point of escalation for reimbursement challenges
• Provide proactive education to HCPs on insurance requirements and payer policies related to ANI Rare Disease Business Unit brands
• Manage complex reimbursement cases with direct engagement with HCP offices and patients
• Partner with Hub case managers and in-network Specialty Pharmacies on prior authorization submissions and follow-up
• Facilitate access to patient assistance programs, including copay support and free goods
• Coordinate with Nurse Access Specialists on patient support activities
• Partner with Market Access on payer trends, policy changes, and access barriers
• Collaborate with Sales on field education and account strategy in accordance with Compliance guidelines
• Serve as a reimbursement and access subject matter expert
• Monitor team productivity, workload distribution, case quality, and KPIs
• Support onboarding and ongoing team development
• Conduct regular 1:1 meetings, team meetings, case reviews, and development discussions
• Model professionalism, ethical conduct, and compliance

Requirements

• Bachelor’s Degree
• 10+ years of experience working in a patient access role for a specialty medication
• Demonstrated expertise with both pharmacy and medical benefit in a specialty disease market
• Strong collaboration with Hub partners and cross-functional colleagues
• Familiarity with OIG guidance, HIPAA guidelines and FDA protocols
• Ability to travel up to 25% with some evening and weekend commitments
• Ability to lead, motivate, and develop high-performing teams
• Ability to prioritize competing demands while balancing individual contributor and leadership responsibilities
• Problem-solving ability in ambiguous or challenging access scenarios
• Strong interpersonal and communication skills

Core Competencies

Demonstrates expertise in managing complex reimbursement cases and leading high-performing teams within the specialty medication landscape. Proficient in collaborating with healthcare providers and navigating payer policies to ensure patient access and operational excellence.

Highest-signal resume keywords

• Patient Access Management
• Reimbursement Expertise
• Team Leadership
• Cross-Functional Collaboration
• Regulatory Compliance

Hard Skills

• Reimbursement Management
• Patient Assistance Programs
• Prior Authorization Submissions
• Pharmacy Benefit Knowledge
• Medical Benefit Knowledge
• KPI Monitoring
• Case Quality Assessment
• Operational Excellence
• Problem-Solving
• Complex Case Management

Soft Skills

• Interpersonal Skills
• Communication Skills
• Leadership Skills
• Motivational Skills
• Collaboration Skills

Certifications & Qualifications

• Bachelor’s Degree

Industry Keywords

• Specialty Medication
• OIG Guidance
• HIPAA Guidelines
• FDA Protocols
• Patient Support
• Market Access
• Payer Policies
• Healthcare Provider Education
• Compliance Guidelines
• Access Barriers