Associate Director Field Reimbursement (West)
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AI Summary
Could you be our next Associate Director Field Reimbursement ? The job is fully remote. You will spend 50% of the week in the field. A team of Field Reimbursement Managers will report to this role. You will report to the Senior Director Patient Experience.
You will be a key role at CSL and member of the US patient experience leadership team. You will be responsible for leading one of two US field reimbursement teams (East and West). These teams provide comprehensive field-based reimbursement support for CSL Behring’s entire US portfolio of products and are critical in ensuring successful patient case level access to therapy, and optimizing the patient experience
The main responsibilities of this role include direct people management and developing and deploying strategic reimbursement methodologies to ensure case level access for new products, emerging technologies and to optimize life cycle management for our products. This involves analyzing and interpreting benefits, claims and governmental regulations to inform the design of reimbursement programs and the development of field reimbursement team resources. By observing case levels observations and assessing business impacts and payer trends, the Associate Director of Field Reimbursement creates innovative reimbursement support programs for both internal and external customers. Actively collaborate across the organization including sharing reimbursement program data and results to senior executives, sales and marketing teams and other key stakeholders to secure cross-functional support to enhance patient access to therapy. This role is also responsible for delivering on all applicable KPIs and operational best practices across their region.
The field reimbursement leads may also serve as reimbursement subject matter experts as members of cross functional working groups, supporting in-line brand planning, pre-launch planning and other strategic and tactical initiatives.
The position is based in the field, and the requirement is to reside within the geographic area covered by the by the supporting FRM team. Travel is necessary, including team ride-alongs, customer facing visits and participation in meetings and workshops at the head office in King of Prussia, Pennsylvania.
Main Responsibilities and Accountabilities:
Lead Eastern US, Field Reimbursement Manager team to optimize the patient experience on CSL Behring’s products by providing high quality case level reimbursement support that compliantly support efficient and effective case support.
Lead the FRM team in the provision of support to healthcare providers (HCPs) and office personnel with education and resources on prior authorization and appeals processes, reimbursement support, and patient service programs.
Operate as a key member of the US Patient Experience leadership team. Providing aggregated reimbursement case insights to inform activities across the function. Support patient service hub case manager training coupled with effective collaboration between field reimbursement managers and hub case managers.
Responsible for documentation and pull through of SOPs and leading execution according to defined best practices with appropriate training and support.
Champion collaboration across multiple stakeholders including patient services, patient engagement, corporate accounts, sales teams and vendors to deliver an exceptional customer experience in supporting patient access to therapy.
Operate as US reimbursement subject matter expert supporting head office based cross functional teams including patient experience, marketing, sales, health care systems, policy advocacy and government affairs (PAGA), medical affairs.
Oversee and champion reimbursement programs and team deployment to ensure compliance with legal and regulatory requirements.
Effective budget management including developing proposals, securing endorsement and execution within endorsed planning horizon and budget. Support brand planning in identifying adequate resourcing to support strategic and tactical requirements.
Responsible for the effective leadership of the Field Reimbursement Manager team including continuous investment in the attraction, retention and development of talent.
QUALIFICATIONS:
Bachelor’s degree required (business /management, healthcare discipline or life sciences preferred). MBA or other post graduate qualifications an asset.
8+ years sales, marketing, medical or related business operations experience.
5+ years in reimbursement support services required.
Experience in delivery of patient services preferred.
Demonstrated leadership/team building skills
Knowledge of relevant legal, compliance and regulatory requirements
The expected base salary range for this position at hiring is $183,000 - $217,000. Please note this salary range reflects the minimum and maximum base pay that CSL expects to pay for this position at the listed at the time of this posting. Individual base salary for a successful candidate is determined by qualifications, skill level, experience, competencies and other relevant factors. In addition to base salary, total compensation for this role may also include incentive compensation and equity.
About CSL Behring
CSL Behring is a global biotherapeutics leader driven by our promise to save lives. Focused on serving patients’ needs by using the latest technologies, we discover, develop and deliver innovative therapies for people living with conditions in the immunology, hematology, cardiovascular and metabolic, respiratory, and transplant therapeutic areas. We use three strategic scientific platforms of plasma fractionation, recombinant protein technology, and cell and gene therapy to support continued innovation and continually refine ways in which products can address unmet medical needs and help patients lead full lives.
CSL Behring operates one of the world’s largest plasma collection networks, CSL Plasma. Our parent company, CSL, headquartered in Melbourne, Australia, employs 32,000 people, and delivers its lifesaving therapies to people in more than 100 countries.
To learn more about CSL, CSL Behring, CSL Seqirus and CSL Vifor visit https://www.csl.com/ and CSL Plasma at https://www.cslplasma.com/.
Our Benefits
For more information on CSL benefits visit How CSL Supports Your Well-being | CSL.
You Belong at CSL
At CSL, Inclusion and Belonging is at the core of our mission and who we are. It fuels our innovation day in and day out. By celebrating our differences and creating a culture of curiosity and empathy, we are able to better understand and connect with our patients and donors, foster strong relationships with our stakeholders, and sustain a diverse workforce that will move our company and industry into the future.
To learn more about inclusion and belonging visit https://www.csl.com/careers/inclusion-and-belonging
Equal Opportunity Employer
CSL is an Equal Opportunity Employer. If you are an individual with a disability and need a reasonable accommodation for any part of the application process, please visit https://www.csl.com/accessibility-statement.
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