Associate Director, Field Reimbursement (West/Mountain West)

Liquidia Technologies; United States; On-site; USD 170,000 - 250,000; Full time

Job summary

Liquidia Technologies is seeking an Associate Director, Field Reimbursement to serve as a subject-matter expert on reimbursement, payer access, and coverage policy. You will align with HCPs, payers, and internal teams to ensure patient access to Liquidia products across the market.

You will lead education on enrollment journeys, insurance coverage landscapes, and prior authorization guidelines, while driving program performance through data analytics and cross-functional collaboration, with up

Qualifications

• Bachelor’s degree required.
• 5+ years in field reimbursement or related roles (rare disease space, patient access, or specialty pharmacy).
• Experience with Specialty pharmacies and HUBs.

Responsibilities

• Improve referral to ship rates and turnaround times by identifying and implementing changes that improve program performance.
• Improve adherence and persistency rates by identifying and implementing changes that improve program performance.
• Collaborate with sales/marketing teams, serving as the reimbursement expert.
• Address urgent issues with referral pull through and authorization delays with a sense of urgency.
• Establish relationships with key accounts through in-person and virtual meetings.
• Educate HCPs on enrollment journeys, Liquidia Access Programs, insurance coverage landscape, prior authorization guidelines, and medical necessity where applicable.
• Monitor data to analyze coverage, referral trends, and program performance.
• Escalate issues impacting product access and program performance.
• Stay current on coverage policies to provide timely information to accounts.

Skills

Analytical skills

Communication skills

Patient-centric mindset

Independent / multitasking

CRM systems

Microsoft Office

Travel readiness

Education

Bachelor's degree

Job description

The Associate Director, Field Reimbursement will serve as a subject-matter expert in reimbursement, payer access, and coverage policy. The role serves as a strategic liaison between HCPs, payers, internal stakeholders, and external partners to ensure seamless patient access to Liquidia’s products.

Education and Experience

• Bachelor’s degree required.
• Knowledge of reimbursement principles including pharmacy benefit design, prior authorization, and appeals processes.
• 5+ years of field reimbursement or sales in the rare disease space, patient access, prior authorizations, or specialty pharmacy or other relevant experience.
• Experience working with Specialty pharmacies and/or HUBs.

Knowledge, Skills, and Capabilities

• Patient-centric mindset and team player mindset.
• Strong analytical/problem solving skills.
• Exceptional verbal and written communication abilities, with proven presentation and training skills.
• Highly organized, self-directed, and capable of operating independently with strong multitasking capabilities.
• Proficiency with Microsoft Office (Outlook, Word, Excel, PowerPoint) and Customer Relationship Management (CRM) systems.
• Ability to travel up to 50%

Preferred Qualifications

• Experience in pulmonary hypertension disease state.
• PACS (Prior Authorization Certification Specialist).
• Ability to navigate complex business circumstances.
• Ability to collaborate cross-functionally with internal/external customers.

• Improve referral to ship rates and turnaround times (TAT) by identifying and implementing changes that improve program performance.
• Improve adherence and persistency rates by identifying and implementing changes that improve program performance.
• Collaborate with sales/marketing teams, serving as the reimbursement expert.
• Act with a sense of urgency to address critical issues with referral pull through (such as missing referral information, unresponsive, authorization delays, etc.).
• Establish relationships with key accounts through in-person and virtual meetings.
• Educate HCPs on the prescription enrollment journey, Liquidia Access Programs, insurance coverage landscape, prior authorization guidelines, clinical criteria requirements, and insights into the medical necessity and appeals process.
• Triage between urgent and non-urgent workflows.
• Ensure timely follow-up with accounts on all open items.
• Assist with implementing training programs for sales and marketing to ensure a firm grasp of Liquidia Access Programs, insurance coverage landscape, specialty pharmacy process flows, coverage criteria/reimbursement for Liquidia products.
• Monitor and analyze data to monitor product coverage and referral, pull through issues, and referral trends.
• Escalate issues impacting product access and program performance.
• Remain current on insurance coverage, reimbursement, and clinical policies to provide timely and relevant information to accounts.
• Leverage company communication portals to ensure timely referral pull through updates with multiple stakeholders.
• Analyze and monitor pending referral cases with relevant stakeholders.
• Monitor and diagnose drivers for adherence and persistence trends.
• Collaborate with internal stakeholders on Market Access needs.
• Maintain compliance with all company policies and procedures.