Reimbursement Director & Team Lead (Remote)

ANI Pharmaceuticals; United States; Remote; USD 220,000 - 260,000; Full time

Benefits offered by this job

Health insurance

Life and disability insurance

Retirement plans

Paid leave programs

Paid holidays

Paid time off

Job summary

ANI Pharmaceuticals seeks a Team Lead, Reimbursement Director to guide a team of reimbursement professionals while handling complex patient access cases. This role balances frontline patient support with strategic leadership to optimize access outcomes.

The role requires 10+ years in patient access for specialty meds, deep payer expertise, and travel up to 25%. Collaboration with Market Access, Compliance, and Sales is essential to drive program performance and patient outcomes.

Qualifications

• Bachelor’s Degree required.
• 10+ years of experience in a patient access role for a specialty medication.
• Expertise with pharmacy and medical benefit in a specialty disease market.
• Strong collaboration with Hub partners and cross-functional colleagues.
• Familiarity with OIG guidance, HIPAA guidelines and FDA protocols.
• Ability to travel up to 25% with some evening and weekend commitments.

Responsibilities

• Provide proactive education to HCPs on insurance requirements and payer policies related to ANI Rare Disease Business Unit brands.
• Manage a limited number of complex reimbursement cases, maintaining direct engagement with HCP offices and patients.
• Partner with Hub case managers and in-network Specialty Pharmacies to support prior authorization submissions and follow-up.
• Facilitate access to patient assistance programs, including copay support and free goods, when applicable.
• Coordinate with Nurse Access Specialists to ensure alignment on patient support activities.
• Partner with Market Access colleagues to stay informed on payer trends, policy changes, and access barriers.
• Collaborate with Sales colleagues when appropriate and in accordance with Compliance guidelines to support field education and account strategy.
• Serve as a subject matter expert on reimbursement and access, contributing insights to broader team initiatives.
• Act as a player/coach, balancing individual case work with team leadership responsibilities.
• Mentor and coach team members, providing guidance on best practices, compliance, and patient-centric service.
• Monitor team productivity, workload distribution, case quality, and KPIs to ensure objectives are met.
• Support onboarding and ongoing development of team members, fostering integrity, excellence, and collaboration.
• Conduct regular 1:1 meetings, team meetings, case reviews and development discussions.

Education

Bachelor’s Degree

Job description

ANI Pharmaceuticals seeks a Team Lead, Reimbursement Director to guide a team of reimbursement professionals while handling complex patient access cases. This role balances frontline patient support with strategic leadership to optimize access outcomes.

The role requires 10+ years in patient access for specialty meds, deep payer expertise, and travel up to 25%. Collaboration with Market Access, Compliance, and Sales is essential to drive program performance and patient outcomes.