Regional Reimbursement & Access Leader - Southwest

Pharming Group; Louisiana; Hybrid; USD 170,000 - 190,000; Full time

Benefits offered by this job

Hybrid work schedule

Annual bonus

Long-term incentive program

401(k) with company match

PTO

13 Company Holidays

Medical, dental, and vision benefits

Flexible spending accounts

Life insurance

Disability plans

Phone stipend

Job summary

Pharming is seeking an Associate Director, Reimbursement and Access for the Southwest region. This role focuses on supporting patient access, payer coverage, and PA appeals across Texas, Arizona, Nevada, Oklahoma, and Louisiana, traveling up to 50% of the time.

You will collaborate with Sales Reps, NADs, case managers, and healthcare providers to ensure timely access to Ruconest and provide payer policy education. A strong clinical and reimbursement background in biotech is preferred.

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.
• Preferred: 3+ years Field Reimbursement Manager for biologic / buy & bill experience.
• Immunology background and rare or ultra-rare disease industry experience preferred.

Responsibilities

• Handle coverage, reimbursement and access needs across territories and work with Sales Reps, Hub Case Managers, NADs and customers (HCP facing).
• Collaborate with Hub vendor to understand payer coverage issues and assist with PA denials and appeals by working with physicians and staff.
• Proactively track patients from enrollment to shipment to enable timely resolutions.
• Provide training and education to HCPs on payer policies, documentation requirements and assistance programs.
• Develop and maintain relationships with internal teams and external stakeholders (physicians, staff, specialty pharmacies).
• Escalate payer issues to the NAD with detailed steps and required actions.

Skills

Field Reimbursement

Cross-functional collaboration

Prior authorization

Payer knowledge

Education

Bachelor's Degree

Job description

Pharming is seeking an Associate Director, Reimbursement and Access for the Southwest region. This role focuses on supporting patient access, payer coverage, and PA appeals across Texas, Arizona, Nevada, Oklahoma, and Louisiana, traveling up to 50% of the time.

You will collaborate with Sales Reps, NADs, case managers, and healthcare providers to ensure timely access to Ruconest and provide payer policy education. A strong clinical and reimbursement background in biotech is preferred.