National Director, Field Reimbursement - Diabetes

Job description

The National Director of Field Reimbursement is responsible for the development and performance of all field reimbursement activities with the assigned partner. This position builds and manages a team of Regional Access Directors and provides leadership towards the achievement of our partner's objectives in line with company vision and values. The National Director will identify market opportunities and challenges, then develop, implement, and follow through on action plans that address them through the team, including coaching team members to support corporate growth. The National Director is responsible for evaluation of success, optimizing the opportunity and effectively communicating results to partners and EVERSANA internal stakeholders. ESSENTIAL DUTIES AND RESPONSIBILITIES: Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by: Coordinate in-field activity to achieve results and agreed-upon specialty targets Maximize market, segment, and team dynamics to drive both top- and bottom-line results Ensure smooth, collaborative efforts in both day-to-day and long-term business execution Set tone and pace for business process and organization Maintain required technical expertise to respond accurately to all questions regarding products, policies, and business-related issues from customers and representatives Effectively plan and conduct plan of action and other meetings with members of Corporate Leadership Have complete understanding of all relevant compliance laws, policies and processes Ensure actions of self and team are fully compliant Provide direction and insights to key internal partners in business planning process Consistently exemplify both EVERSANA and Client’s Cultural Beliefs and high ethical standards. Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias. All other duties as assigned. PEOPLE LEADER People leaders must possess both the skills to effectively accomplish these tasks and the emotional intelligence to do so in alignment with our cultural values. In addition to the critical management and leadership tasks listed above, this role also includes the following unique responsibilities: Coach, mentor, educate and develop direct and indirect team members to enhance individual skills and elevate overall team performance Hold direct reports accountable to behaviors and expectations Interview, select and supervise the activities of the department staff; communicate interpret and discuss with team the company policies and procedures. Day to day management of entire field reimbursement leadership and team Determine job objectives, work methods, and performance standards; review performance relative to departmental objectives; engage in performance appraisal discussions with each employee; authorize and communicate salary changes, promotions, transfers, discipline and discharge and administer all other personnel actions. EXPECTATIONS OF THE JOB: The requirements below represent the experience, education, knowledge, skills, and abilities needed for this role. Highly effective organizational skills to balance multiple priorities Advanced presentation skills for the delivery of corporate approved materials Advanced business analytical skills to identify trends, opportunities and threats Ability to solve problems and determine actions to drive business or overcome challenges Ability to utilize corporate reporting tools and technology Must have documented successful field reimbursement management results Demonstrates solid clinical product knowledge Business analysis and planning skills that drive field reimbursement objectives Excellent judgment and decision-making skills Ability to articulate the scientific aspects of treatments and therapeutic areas Proven ability to deliver candid, effective feedback and efficiently manage performance Ability to develop talent for promotional opportunities Ability to create a culture of winning and full team engagement Collaborates and can influence without authority across organizations. #LI-CG1 MINIMUM KNOWLEDGE, SKILLS AND ABILITIES: The requirements below represent the experience, education, knowledge, skills, and abilities needed for this role. Bachelor’s degree required. Healthcare degree strongly preferred, including MS, RN, PA, PharmD, PhD, or similar advanced healthcare/scientific degree. 15+ years in pharmaceutical industry with experience in payer policy and product access. 8+ years of experience in benefit verifications and/or prior-authorization requirements or equivalent experience in patient access. 5+ years leading successful field access teams. Detailed understanding of both pharmacy and medical benefit product models. Knowledge of Centers of Medicare & Medicaid Services (CMS)policies and processes with experience in Medicare Parts B & D coverage. Knowledge and understanding of specialty markets, HUB/reimbursement services and patient access programs. Strong analytical skills to assess market dynamics, competitor activity, and continuous diabetes monitoring trends. Ability to gather and interpret data to guide regional strategy, including understanding the role of HUB and patient claims data. Technology/Equipment Computer Skills; Word, PowerPoint, Excel, Outlook and videoconferencing platforms (Teams, Zoom, GoTo Meeting. PREFERRED QUALIFICATIONS: Education: Advanced Degree preferred. Pediatric Endocrinology and/or Endocrinology experience preferred. Previous experience in other functions within the biopharmaceutical industry a plus (e.g. product marketing, managed care, field sales, case management or large healthcare practice experience).