Director, Reimbursement Services/Patient Support (Specialty)

MEITHEAL PHARMACEUTICALS, INC; United States; Remoto; USD 190.000 - 225.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental, and vision insurance

Flexible spending accounts

Disability & life insurance

401(k) with match

Paid time off

Paid parental leave

Employee Assistance Program

Descrizione del lavoro

Meitheal Pharmaceuticals, Inc. in Chicago seeks a Director, Reimbursement Services & Patient Support to lead strategic patient access initiatives.

You will oversee FRM, Hub Services, and reimbursement programs, partnering with Market Access, Legal, Compliance, and Commercial teams to align access strategy with brand goals. This role requires deep knowledge of payer policies, coding, and provider workflows, with the ability to scale patient support across field and hub operations and travel up to

Competenze

• Bachelor's degree required.
• Minimum 10 years of healthcare, biotechnology, or pharmaceutical industry experience.
• Minimum 5 years of experience in Hub Services, Patient Support Programs, and/or Field Reimbursement.

Mansioni

• Provide strategic direction for patient access initiatives, reimbursement programs, and hub services.
• Lead Field Reimbursement Management and Hub Services to optimize vendor relationships and performance.
• Develop educational materials and resources for payer policies, coding, billing, and prior authorizations.
• Collaborate with Market Access, Marketing, Legal, Compliance, and Commercial teams to align access strategy with brand goals.
• Establish KPIs and SLAs; monitor and improve patient access and provider experiences.
• Lead development of reimbursement tools and resources for healthcare providers.

Conoscenze

Strategic leadership

Cross-functional collaboration

Reimbursement strategy

Vendor management

Formazione

Bachelor's degree

Advanced degree (MBA, PharmD, MPH, MS)

Strumenti

PowerPoint

Excel

CRM systems

Hub reporting platforms

Descrizione del lavoro

Description

ABOUT MEITHEAL PHARMACEUTICALS

Founded in 2017 and based in Chicago, Meitheal is focused on the development and commercialization of generic injectable medications and, as of 2022, has expanded its focus to include fertility, biologic, and branded products. Meitheal currently markets over 75 U.S. FDA-approved products across numerous therapeutic areas including anti-infectives, oncolytics, intensive care, and fertility. As of April 2026, Meitheal, directly or through its partners, has 32 products in the research and development phase, 9 products planned for launch in 2026, 4 products in clinical trial phases, and 13 products under review by the FDA. Meitheal’s mission is to provide easy access to fairly priced products through robust manufacturing, consistent supply, and rapid response to our customers’ needs. Ranked regularly as one of Crain’s Fast 50 in Chicago, and in the top 100 of Crain’s Best Places to Work in Chicago from 2022 to 2026, Meitheal emulates the traditional Irish guiding principle we are named for—working together toward a common goal, for the greater good.

Learn more about who we are and what we do at www.meithealpharma.com.

The pay range for this position is $190,000 to $225,000 / year. Payrate is determined by considering a person's prior experience and competence.

The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual base salary offered will be in accordance with state or local minimum wage requirements for the job location.

What We Offer

• Competitive pay and medical, dental, and vision insurance
• Flexible spending accounts
• Long- and short-term disability insurance, as well as life insurance
• 401(k) plan with match
• Competitive PTO and company-paid holidays
• Paid parental leave (maternity & paternity)
• Employee assistance program

Summary

The Director, Reimbursement Services & Patient Support is responsible for providing strategic leadership, development, implementation, and oversight of patient support, reimbursement, and hub service programs. This role serves as the organizational leader for patient access initiatives and is accountable for ensuring patients, healthcare providers, and provider offices receive exceptional support throughout the treatment journey.

The position provides strategic direction to the Field Reimbursement Management (FRM) and Hub Services organizations and partners closely with Market Access, Marketing, Legal, Compliance, Commercial, and external vendors to build and maintain industry-leading patient access and reimbursement support programs. The Director will proactively identify patient access barriers, develop innovative solutions, and ensure organizational alignment with brand strategy and market needs.

Essential Responsibilities

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Leadership

• Establish deployment strategies as needed for in-house or out-sourced Field Reimbursement Management (FRM) to maximize efficiency and effectiveness.
• Liaison between Meitheal organization and out-sourced Hub Services and Patient Support Programs
• Direct overall reimbursement support strategy, including vendor selection, process design, and program optimization.
• Develop innovative patient access solutions that improve speed to therapy and reduce reimbursement barriers.

Collaboration and Communication

• Partner with Market Access, Marketing, Legal, Compliance, and Commercial teams to develop comprehensive patient support programs.
• Lead development of reimbursement and patient support educational materials.
• Provide organizational expertise regarding reimbursement trends, legislative changes, and regulatory developments.
• Collaborate with payer teams to ensure alignment between reimbursement support programs and payer coverage policies.
• Serve as a key internal resource for access, reimbursement, and patient affordability initiatives.

Hub Management and Direction

• Provide strategic oversight of patient access and support service center operations.
• Develop and implement virtual reimbursement support models operated through hub partners.
• Establish and maintain strong relationships with hub vendors and service providers.
• Develop and monitor Key Performance Indicators (KPIs) and Service Level Agreements (SLAs).
• Conduct regular business reviews and implement process improvements to enhance patient and provider experiences.

Field Reimbursement Management

• Provide strategic direction to maximize field reimbursement team effectiveness.
• Collaborate with Field Reimbursement partners to identify and resolve reimbursement and coverage challenges.
• Guide development of reimbursement tools and resources to support healthcare providers.
• Provide expertise on payer medical policies, reimbursement pathways, coding, billing, prior authorizations, and appeals processes.

Knowledge, Education and Compliance

• Monitor industry trends impacting patient access and affordability, including IRA-related benefit changes, copay accumulators, maximizers, and Alternative Funding Programs.
• Participate in industry conferences and professional organizations as appropriate.
• Develop educational strategies to support external stakeholder understanding of coverage policy changes.
• Ensure all activities comply with HIPAA regulations, company policies, and applicable healthcare laws.

Competencies

• Business Acumen
• Judgement
• Change Management
• Project Management
• Ethics
• Interpersonal

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Demonstrated ability to lead large-scale patient support and reimbursement programs.
• Strong knowledge of pharmaceutical market access and reimbursement landscapes.
• Deep understanding of Commercial, Medicare, and Medicaid benefit structures.
• Extensive experience with provider reimbursement, coding, billing, prior authorizations, appeals, and HUB operations.
• Excellent communication, presentation, and relationship-building skills.
• Proof of ability to influence cross-functional stakeholders.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Experience leading teams in a highly regulated healthcare environment.

Education and/or Experience Required

• Bachelor's degree required.
• Minimum 10 years of healthcare, biotechnology, or pharmaceutical industry experience.
• Minimum 5 years of progressive experience in Hub Services, Patient Support Programs, and/or Field Reimbursement.

Strongly Preferred:

• Experience within Oncology, Immunology, Rare Disease, or Specialty Pharmaceuticals.
• Advanced degree (MBA, PharmD, MPH, MS, or equivalent).

Computer Skills

• Proficiency with Microsoft Office Suite, including PowerPoint, Word, Excel, and Outlook
• CRM and reimbursement support platforms
• Patient support and HUB reporting systems
• Data analytics and dashboard reporting tools

Work Environment

• The ability to travel up to 30%, including overnights, as dictated by business need and attend all company sponsored events/meetings/conferences.
• Field-base Role/Remote.
• While performing the duties of this Job, the employee is frequently required to stand; walk; sit and talk or hear. The employee must occasionally lift and/or move up to 20 pounds.

AAP/EEO

Meitheal Pharmaceuticals is an Equal Opportunity Employer. We welcome and encourage applications from all qualified individuals, including minorities, women, veterans, and individuals with disabilities.