Director, Reimbursement and Patient Services

Dova Pharmaceuticals Published: July 7, 2017
Location
Durham, NC
Job Type
Category

Description

The Director Reimbursement Patient Services will personally oversee the management of reimbursement support services for attaining prescription orphan drug benefits and co-pay assistance for oral drug therapy.  It will require coordination efforts with providers, patients and care givers for solutions to ensure treatment benefits.  This critical role requires a seasoned professional with leadership experience in new product launch and building new benefit services programs within the Bio/Pharma industry.  The candidate will lead the strategic design, implementation and operations for the company’s patient reimbursement services programs and report to Vice President Market Access.

Major responsibilities will include:

  • Responsibilities include but are not limited to Patient Reimbursement HUB, Financial Support Programs, Case Management Support and related patient support programs.
  • The role functions as a subject matter expert on patient reimbursement support services and collaborates cross functionally within the commercial organization to design and implement programs that support the company’s patient access objectives.
  • Maintains program SOPs, exceptions processes, workflows, scripting, training and report.
  • Supports Field Payer Team reimbursement needs with strong communication and timely customer service to address customer needs.
  • Leads the design, implementation and ongoing management of all patient reimbursement HUB services programs.
  • Develops performance dashboards and interprets hub data for purposes of assessing market access trends, hub program utilization.
  • Develops and maintains SOPs and business rules related to all US patient support.
  • Provides strategic insights into Marketing to develop compliant content for the company’s US reimbursement support website.  Drives material through marketing review process as required.
  • Demonstrates fiscal discipline and accountability to effectively and efficiently manage external partners and vendors performance through appropriate metrics.

We seek candidates with the following qualifications:

  • Bachelor’s degree required.  MBA preferred.
  • Requires 10+ years of experience within the biotech/specialty pharmaceutical/pharmaceutical industry.
  • At least 3+ years of proven experience working with Patient Access call center HUB operations.
  • Excellent analytical (qualitative and quantitative), strategic thinking, creativity and problem solving skills.
  • In depth knowledge of pharmaceutical manufacturer compliance requirements, patient confidentiality (HIPAA regulations), product reimbursement and product access.
  • Knowledge and experience in Medicare, Medicaid, and private payer policies, reimbursement process, health policy, areas of coverage, payment, coding, Specialty Pharmacy.
  • Experience with Commercial Brand Planning process, able to translate brand disease state and business drivers into patient support programs and operational requirements.
  • “Patient First” customer service orientation.  Puts the patient at the center of all business activities.
Apply
Drop files here browse files ...

Related Jobs

July 27, 2017
Director Managed Markets   Multiple Locations, United States
July 25, 2017
Director, Sales Training   Durham, NC
June 28, 2017
June 28, 2017
June 28, 2017