Regional Reimbursement & Access Director

Pharming Healthcare, Inc.; Texas; Hybrid; USD 170,000 - 190,000; Full time

Benefits offered by this job

Flexible hybrid schedule

Annual target bonus

Long-term incentive program

401(k) plan with company match

Paid Time Off (PTO)

13 Company Holidays per year

Job summary

Pharming Healthcare, Inc. seeks an Associate Director, Reimbursement and Access to support patient and HCP access for Ruconest across the Southwest region, including Texas, Arizona, Nevada, Oklahoma and Louisiana.

You will serve as a regional expert in access, reimbursement, prior authorization, and patient financial assistance, and you'll travel ~50% to support field activities. The role is an individual contributor focusing on improving payer coverage, navigating complex access issues, and

Qualifications

• Bachelor’s Degree from an accredited university.
• 3+ years’ experience as a Field Reimbursement Manager.
• 5+ years cross-functional experience in the pharmaceutical/biotech industry.
• 2+ Years' experience with prior authorization and multi-level appeals.

Responsibilities

• Handle all coverage, reimbursement and access needs across their territories/regions.
• Work with Hub vendor to address payer coverage issues and assist with PA denials and appeals.
• Proactively track patients from enrollment to shipment to identify issues and enable timely resolutions.
• Provide training and education to HCPs on payor-specific coverage policies and documentation requirements.
• Develop and maintain relationships with internal teams (Sales Reps, NADs, Case Managers) and external stakeholders (physicians, office staff, Specialty Pharmacy partners).
• Collaborate with HCPs and specialty pharmacies to overcome quantity limits or high-dollar overrides.
• Escalate payer coverage or payment issues to NAD with detailed steps and actions taken.
• Communicate issues and status with internal stakeholders.

Skills

Field Reimbursement Manager

Cross-functional collaboration

Prior Authorization

Customer communication

Education

Bachelor’s Degree

Job description

Pharming Healthcare, Inc. seeks an Associate Director, Reimbursement and Access to support patient and HCP access for Ruconest across the Southwest region, including Texas, Arizona, Nevada, Oklahoma and Louisiana.

You will serve as a regional expert in access, reimbursement, prior authorization, and patient financial assistance, and you'll travel ~50% to support field activities. The role is an individual contributor focusing on improving payer coverage, navigating complex access issues, and