Remote Senior Director, Field Reimbursement Strategy

Harrow, Inc.; United States; On-site; USD 180,000 - 240,000; Full time

Job summary

Harrow, Inc. in the United States is seeking a National Senior Director, Field Reimbursement to build and lead a high-performing FRM team across Retina and Surgical portfolios.

You will set the field reimbursement strategy, enabling physician practices to navigate coverage, coding, billing, and claims with confidence. The ideal candidate has 10+ years in market access or reimbursement, 5+ years of leadership, and deep payer policy knowledge.

Qualifications

• Bachelor's degree required; MBA, MHA or related advanced degree a plus.
• 10+ years of progressive experience in market access, reimbursement, or trade, including buy-and-bill / specialty pharma or biotech environments.
• 5+ years of people leadership experience, including building and managing field-based reimbursement or access teams.
• Deep, demonstrable expertise in payer policy, medical and pharmacy benefit dynamics, coding (CPT/HCPCS/ICD-10), billing workflows, and claims/appeals processes.
• Experience in Retina, Ophthalmology, or Surgical specialty markets strongly preferred.
• Proven ability to conduct and lead claims data analysis to drive business decisions and customer-facing recommendations.
• Track record of setting strategy and driving measurable improvements in patient access and reimbursement outcomes.

Responsibilities

• Build, lead, coach, and scale a national team of FRMs, instilling a hard-charging, customer-first, results-oriented culture.
• Define team structure, territory alignment, KPIs, and performance standards; conduct regular field visits, ride-alongs, and performance reviews.
• Recruit and develop top reimbursement talent; create career pathing and training curricula for the FRM function.
• Foster cross-functional collaboration with Sales, Trade, Marketing, Market Access/Payer Strategy, Legal, and Compliance.
• Set the national strategy for field reimbursement support across the Retina and Surgical buy-and-bill portfolio.
• Ensure customers (physicians, practice administrators, billing/coding staff) have reimbursement confidence through proactive education on coverage policy, coding, billing, and claims submission for Harrow brands.
• Establish and lead a cadence of business reviews with key accounts to assess reimbursement performance, identify barriers to access, and develop corrective action plans.
• Serve as the senior-most escalation point for complex payer, coding, or claims issues in the field.
• Maintain deep, current expertise in payer dynamics (commercial, Medicare, Medicare Advantage, Medicaid) as they relate to buy-and-bill specialty products.
• Provide authoritative guidance on HCPCS/CPT/J-code assignment, ICD-10 coding, modifiers, prior authorization, and appeals specific to Retina and Surgical procedures.
• Ensure all guidance provided by the team is accurate, compliant, and appropriately scoped (education, not billing/coding advice on the customer's behalf).
• Direct claims analysis to identify reimbursement trends, payer denial patterns, coverage gaps, and access barriers at the account, regional, and national level.
• Translate data insights into targeted field action plans and customer-facing recommendations.
• Partner with Market Access and Trade teams to inform payer strategy, contracting priorities, and policy engagement using field and claims intelligence.
• Own reporting and dashboards that track access metrics, team performance, and franchise-level reimbursement KPIs for executive leadership.

Skills

Payer policy

Market access

Reimbursement

People leadership

Data analysis

Strategic thinking

Executive presence

Education

Bachelor's degree

MBA/MHA or related

Job description

Harrow, Inc. in the United States is seeking a National Senior Director, Field Reimbursement to build and lead a high-performing FRM team across Retina and Surgical portfolios.

You will set the field reimbursement strategy, enabling physician practices to navigate coverage, coding, billing, and claims with confidence. The ideal candidate has 10+ years in market access or reimbursement, 5+ years of leadership, and deep payer policy knowledge.