Field Reimbursement Manager - East

UniQure NV; United States; Sur place; USD 168 000 - 218 000; Plein temps

Résumé du poste

uniQure is seeking a Field Reimbursement Manager to act as the field-based reimbursement expert within an assigned US territory. You will educate treatment sites on coverage, coding, and payment dynamics, and work to minimize barriers to patient access across the reimbursement journey.

The role involves collaborating with Payor Directors, Case Managers, and Medical Affairs, supporting onboarding of new sites, and traveling 50% or more.

Qualifications

• Bachelor’s degree in business, healthcare, life sciences, or a related field required; advanced degree preferred.
• Rare disease experience is an essential requirement; gene therapy experience is strongly preferred.
• 8+ years of experience in field reimbursement, market access, patient access, or related areas within the pharmaceutical, biotech, or healthcare industry required.
• Demonstrated success launching a high-value, high-innovation product (gene therapy, cell therapy, or other high-innovation therapy) within the last 3 years required.
• Deep understanding of US reimbursement, including buy-and-bill and specialty pharmacy channels, medical and pharmacy benefit design, coding, prior authorization and appeals, and Medicare, Medicaid, and commercial payer processes.

Responsabilités

• Serve as the field-based reimbursement expert within an assigned territory, educating treatment sites, billing staff, and liaising with referral sites on payer coverage, coding and claims submission to ensure appropriate and timely payment.
• Support the end-to-end reimbursement journey through benefit investigations, prior authorizations, appeals, and buy-and-bill versus specialty pharmacy considerations to help minimize barriers to patient access.
• Educate accounts on relevant medical benefit design, applicable coding (e.g., J-codes, CPT, ICD), site-of-care considerations, and payer policy requirements specific to a one-time gene therapy.
• Collaborate with uniQure’s patient support Case Managers and Payor Account Directors and externally with treatment centers, to resolve patient-specific and systemic access issues.
• Support onboarding and launch readiness of new treatment sites and disease centers of excellence, coordinating with cross-functional partners to ensure sites are prepared to deliver treatment.
• Proactively identify, track, and communicate payer policy changes, reimbursement trends, and access barriers to internal stakeholders, including Market Access and all field leadership.
• Partner cross-functionally with Regional Account Management, Payor Account Directors, Patient Support Services, and Medical Affairs teams while maintaining appropriate compliance firewalls between reimbursement support and other field-based activities.
• Deliver in-service education and training to office and billing staff on reimbursement processes and available patient support resources.
• Represent uniQure professionally at assigned accounts and at relevant conferences and stakeholder engagements.
• Operate at all times within uniQure’s legal, regulatory, and compliance guidelines, without engaging in selling, pricing or contract negotiations, or guaranteeing coverage or payment.

Connaissances

Communication skills

Presentation skills

Relationship building

Analytical skills

Cross-functional collaboration

Problem solving

Formation

Bachelor’s degree in business, healthcare, life sciences, or related field

Advanced degree preferred

Description du poste

Place in the Organization

At uniQure, we are delivering on the promise of gene therapy — and delivering hope for patients facing urgent unmet medical needs. Every role in our organization carries profound purpose; whether you’re in research, operations, access, or support, your contributions impact patients. We’re seeking passionate professionals who thrive in high-stakes environments, uphold rigorous quality standards, and share our relentless commitment to transforming the lives of patients. Join us in making the impossible possible, where your expertise becomes a catalyst for life-changing treatments.

Place in the Organization

At uniQure, we are delivering on the promise of gene therapy — and delivering hope for patients facing urgent unmet medical needs. Every role in our organization carries profound purpose; whether you’re in research, operations, access, or support, your contributions impact patients. We’re seeking passionate professionals who thrive in high-stakes environments, uphold rigorous quality standards, and share our relentless commitment to transforming the lives of patients. Join us in making the impossible possible, where your expertise becomes a catalyst for life-changing treatments.

Reporting to the Senior Director, Patient Access & Field Reimbursement, the Field Reimbursement Manager is a field-based subject matter expert dedicated to supporting patient access to, uniQure’s novel gene therapy, within an assigned territory. Serving as the local reimbursement expert, the role educates healthcare providers at potential and active treatment sites on appropriate coverage, coding and payment dynamics. This individual is responsible for identifying issues, completing a root cause analysis and helping to resolve reimbursement and access barriers across the patient journey. Given the one-time nature of gene therapy, the role plays a critical part in preparing and supporting centers of excellence and treatment sites so that eligible patients can access treatment. All activities are conducted in strict adherence to uniQure’s legal, regulatory, and compliance standards, maintaining appropriate separation from Account Management.

Key Result Areas (major Duties, Accountabilities And Responsibilities)

• Serve as the field-based reimbursement expert within an assigned territory, educating treatment sites, billing/office staff, and liaising with referral sites on payer coverage, coding and claims submission to ensure appropriate and timely payment.
• Support the end-to-end reimbursement journey through benefit investigations, prior authorizations, appeals, and buy-and-bill versus specialty pharmacy considerations to help minimize barriers to patient access.
• Educate accounts on relevant medical benefit design, applicable coding (e.g., J-codes, CPT, ICD), site-of-care considerations, and payer policy requirements specific to a one-time gene therapy.
• Collaborate, as needed, uniQure’s patient support Case Managers and Payor Account Directors and externally with treatment centers, to resolve patient-specific and systemic access issues.
• Support onboarding and launch readiness of new treatment sites and disease centers of excellence, coordinating with cross-functional partners to ensure sites are prepared to deliver treatment.
• Proactively identify, track, and communicate payer policy changes, reimbursement trends, and access barriers to internal stakeholders, including Market Access and all field leadership.
• Partner cross-functionally with Regional Account Management, Payor Account Directors, Patient Support Services, and Medical Affairs teams while maintaining appropriate compliance firewalls between reimbursement support and other field-based activities.
• Deliver in-service education and training to office and billing staff on reimbursement processes and available patient support resources.
• Represent uniQure professionally at assigned accounts and, as appropriate, at relevant conferences and stakeholder engagements.
• Operate at all times within uniQure’s legal, regulatory, and compliance guidelines, without engaging in selling, pricing or contract negotiations, or guaranteeing coverage or payment.

Qualifications & Skills

• Bachelor’s degree in business, healthcare, life sciences, or a related field required; advanced degree preferred.
• Rare disease experience is an essential requirement; gene therapy experience is strongly preferred.
• 8+ years of experience in field reimbursement, market access, patient access, or related areas within the pharmaceutical, biotech, or healthcare industry required.
• Demonstrated success launching a high-value, high-innovation product (gene therapy, cell therapy, or other high-innovation therapy) within the last 3 years required.
• Deep understanding of US reimbursement, including buy-and-bill and specialty pharmacy channels, medical and pharmacy benefit design, coding, prior authorization and appeals, and Medicare, Medicaid, and commercial payer processes.
• Experience supporting complex, high-innovation specialty or provider-administered products, and working with IDNs, hospital outpatient settings, surgical settings and centers of excellence preferred.
• Strong problem-solving and analytical skills, with the ability to navigate complex access scenarios and translate them into clear guidance for provider accounts.
• Excellent communication, presentation, and relationship-building skills, with a demonstrated ability to work cross-functionally in a fast-paced, matrixed environment.
• Strong compliance orientation and sound judgment operating within legal and regulatory guidelines.
• Ability to travel extensively within the assigned territory, with periodic travel to uniQure’s home office as business needs dictate (50%+).

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, relevant years of 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 where 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.

US Salary Range

$168,000—$218,000 USD

uniQure is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, marital status, veteran or military status, or any other characteristic protected by applicable federal, state, or local laws. If you need assistance or a reasonable accommodation during the application process, please contact [e-mail].

uniQure posts all open positions exclusively on our official Careers page and LinkedIn. We do not recruit through any other job boards, third-party websites, or unsolicited outreach via text or messaging apps. All legitimate communication from uniQure’s Talent Acquisition team will come from an @uniqure.com email address. We will never request financial information nor payment of any kind during the application process. If you receive suspicious outreach claiming to be from uniQure, do not respond or share personal information. Inquiries can be made via [e-mail].

uniQure processes personal data submitted through this application for recruitment and hiring purposes only. Depending on your location, you may have specific rights regarding your personal data. For full details on how we collect, use, store, and protect your information — including disclosures for California residents under the CCPA and for applicants under the GDPR — please review our applicant privacy notice.