Gene Therapy Field Reimbursement Lead

UniQure NV; United States; Presencial; USD 168.000 - 218.000; Jornada completa

Descripción de la vacante

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.

Formación

• 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.

Responsabilidades

• 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.

Conocimientos

Communication skills

Presentation skills

Relationship building

Analytical skills

Cross-functional collaboration

Problem solving

Educación

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

Advanced degree preferred

Descripción del empleo

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.