I & I Access and Reimbursement Regional Director, Central

Ladders; United States; Remote; USD 189,000 - 315,000; Full time

Benefits offered by this job

Travel opportunities

Professional development

Cross-functional collaboration

Impact on patient access

Job summary

Ladders is seeking an I & I Access and Reimbursement Regional Director, Central, to lead regional field reimbursement efforts and strengthen patient access across a large territory. This remote US-based role partners with cross-functional stakeholders to address payer and reimbursement challenges in a highly regulated environment.

You will manage a field-based team, set performance aligned with national KPIs, and translate access insights into practical action plans while traveling 50-60% as

Qualifications

• Bachelor's degree required; advanced degree preferred.
• 10+ years in pharmaceutical field operations, patient services, reimbursement, or access/hub management.
• 3-5+ years of people management experience leading field-based access or reimbursement teams.
• Direct experience with specialty pharmacy or patient support services in a regulated environment.
• Strong knowledge of access and reimbursement landscape, including prior authorization and payer policy.

Responsibilities

• Directly manage and oversee Field Reimbursement Managers (FRMs) in the region
• Set performance expectations aligned with national KPIs and conduct regular performance reviews
• Coach FRMs on end-to-end patient journey leadership and monitor access journey friction points
• Build and sustain team-level reimbursement expertise across the regional payer landscape
• Establish standards for HCP education and lead regional account-level access strategy
• Coordinate with cross-functional teams to ensure compliant and patient-centered execution
• Track and report regional performance metrics to connect activity measures to patient access outcomes

Skills

Leadership

Communication

Strategic thinking

Education

Bachelor's degree

MBA, MPH, PharmD preferred

Tools

Payer policy knowledge

Access/reimbursement workflows

Job description

For our client, we are seeking a I & I Access and Reimbursement Regional Director, Central to join the team of a leader in the Pharmaceuticals & Biotech space.

This role will lead regional field reimbursement efforts, with a focus on improving patient access, strengthening reimbursement execution, and supporting compliant engagement across a large territory. You will manage a field-based team, align performance to national priorities, and help convert access insights into practical action plans. The position partners closely with cross-functional stakeholders to address payer, reimbursement, and patient journey challenges in a highly regulated environment.

Location: Remote - US based candidates only, no visa sponsorship available

Compensation: $189,200 - $315,400 annually

Responsibilities

• Directly manage and oversee Field Reimbursement Managers (FRMs) in the region
• Set performance expectations aligned with national KPIs and conduct regular performance reviews
• Coach FRMs on end-to-end patient journey leadership and monitor access journey friction points
• Build and sustain team-level reimbursement expertise across the regional payer landscape
• Establish standards for HCP education and lead regional account-level access strategy
• Coordinate with cross-functional teams to ensure compliant and patient-centered execution
• Track and report regional performance metrics to connect activity measures to patient access outcomes

Qualifications

• Bachelor's degree required; advanced degree (MBA, MPH, PharmD) preferred
• 10+ years in pharmaceutical field operations, patient services, reimbursement, or access/hub management
• 3-5+ years of people management experience leading field-based access or reimbursement teams
• Direct experience with specialty pharmacy or patient support services in a regulated environment
• Strong knowledge of access and reimbursement landscape, including prior authorization and payer policy
• Working knowledge of medical and pharmacy billing processes
• Proven ability to build reimbursement expertise and translate insights into action plans
• Demonstrated ability to manage a large geographic territory and travel 50-60% of the time

Benefits

• Field-based role with significant travel opportunities
• Opportunity to lead a high-impact team in a dynamic environment
• Access to professional development and training resources
• Engagement with cross-functional teams and stakeholders
• Contribution to improving patient access and outcomes in healthcare

Our client is an equal opportunity employer. We encourage you to apply even if you don't meet every qualification - your background could be exactly what this team needs.