Executive Director, Patient Services & Field Reimbursement

Verastem Oncology; Boston (MA); On-site; USD 230,000 - 325,000; Full time

Job summary

Verastem Oncology is seeking an Executive Director, Patient Services to lead U.S. patient services and field reimbursement for its current and future portfolio.

This leader owns the strategy, design and performance of Verastem’s patient support programs, including Verastem Cares, hub services and affordability programs, while building the patient services model for the VS-7375 launch. The role reports to the Vice President, Market Access, and will build and lead the Patient Services

Qualifications

• Bachelor’s degree; MBA or other advanced degree preferred.
• 12+ years of pharmaceutical or biotech experience, with at least 7 years in patient services, hub operations, field reimbursement or market access.
• Experience managing and working with oncology products.
• Demonstrated success supporting at least one U.S. product launch.
• Experience selecting, contracting and managing hub and patient support vendors.
• Working knowledge of copay, patient assistance and foundation program design, and the compliance requirements that govern them.
• Understanding of oncology reimbursement across commercial, Medicare Part D and Medicaid, including specialty pharmacy dispensing.
• Experience with patient services data and KPIs and using them to manage program and vendor performance.
• Experience leading field-based teams, ideally field reimbursement, including managing through a front-line leader.

Responsibilities

• Own patient support programs end to end, including benefits investigation, prior authorization and appeals support, copay assistance, the patient assistance program, bridge and quick-start supply, and referrals to independent charitable foundations.
• Manage the hub vendor relationship, including the statement of work, service levels, KPIs, quarterly business reviews, audits and budget.
• Oversee the copay program and patient assistance program operations, including eligibility criteria, program caps and annual program reviews.
• Coordinate the referral, triage and data flow between the hub and specialty pharmacy partners to reduce time to first fill and prescription abandonment.
• Track and report program performance, including enrollment, time to therapy, approval rates, abandonment, adherence and persistence, and patient and provider satisfaction.
• Monitor payer and copay accumulator and maximizer trends and adjust program design accordingly.
• Develop the VS-7375 patient services strategy and model, reflecting the needs of patients across multiple tumor types and settings of care, including speed to therapy for rapidly progressing disease.
• Ensure all programs and field reimbursement activities comply with the federal Anti-Kickback Statute, OIG guidance, HIPAA and state requirements, and maintain audit readiness in partnership with Legal and Compliance.
• Ensure the hub and program vendors meet adverse event and product complaint reporting obligations.
• Manage the patient services budget, including program, vendor and free drug costs.
• Build and lead the Patient Services team, including the Field Reimbursement lead, program management and patient services operations roles.
• Partner with Marketing and Patient Advocacy on patient-facing materials and program awareness.
• Serve as Verastem’s patient services subject matter expert for Commercial leadership, Brand, Sales, Trade & Distribution, Medical Affairs and Commercial Analytics.

Skills

Leadership

Healthcare experience

Oncology

Vendor management

Field reimbursement

Strategy development

Education

Bachelor's degree

MBA

Job description

Verastem Oncology is seeking an Executive Director, Patient Services to lead U.S. patient services and field reimbursement for its current and future portfolio.

This leader owns the strategy, design and performance of Verastem’s patient support programs, including Verastem Cares, hub services and affordability programs, while building the patient services model for the VS-7375 launch. The role reports to the Vice President, Market Access, and will build and lead the Patient Services