Assoc Dir, Access & Reimbursement, (East)

Requirements

• Bachelor's degree (Master's degree preferred) with 10+ years of relevant experience in pharma/biotech industry.
• Experience in patient access or reimbursement experience, preferably with clinical understanding within relevant therapeutic area (including in-patient and out-patient care management).
• Substantial experience in patient support programs, financial assistance, and patient assistance programs.
• Market Access payer and/or patient access support programs experience.
• Substantial experience of the US healthcare system across major payer segments (Medicare, Medicaid, Federal, and Commercial)
• Substantial experience working with medical and pharmacy benefits, coverage policies, and reimbursement.
• Experience monitoring the US healthcare payment system, including national and local challenges for strategic planning for portfolio of therapies.
• Substantial experience of the various distribution systems within the US healthcare environment.
• Project management experience driving complex

Benefits

Additional Information

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. This role will lead the Eisai Access and Reimbursement Managers (ARMs), Eisai's field-based access and reimbursement team within Market Access, supporting our Oncology business unit. The position will possess deep and broad understanding of reimbursement and access trends across our healthcare landscape, as well as cross-functional business knowledge to drive Eisai's mission to create optimal access for patients and drive our human health care mission. This individual will lead the ARM team in providing appropriate support for patient access to prescribed Eisai products, including through communication with healthcare professionals (HCPs) about insurance coverage and reimbursement for Eisai products and Eisai's patient support programs. This position will be a member of the Market Access leadership team and will work collaboratively with appropriate Eisai stakeholders regarding access and reimbursement issues, including Payer Markets, Market Access and Reimbursement Services, Sales, Marketing, Government Affairs, Legal, Compliance, Medical, and Training. Ultimately, this individual will be responsible for delivering superior expertise and operational excellence across the Oncology portfolio of products related to field reimbursement services. Working closely with and reporting to the Senior Director, Patient Services, the Associate Director, Access and Reimbursement (AD ARM), will be the functional lead for Access and Reimbursement Manager activities across HCP offices and institutions, Medicare Administrative Contractors (MACs) and State Societies. The AD ARM is responsible for the leadership, direction, and management of a team of ARMs. As such, the position plays a key role in developing and driving compliant execution of access and reimbursement programs. In addition to the above leadership responsibilities, the AD ARM is also responsible for maintaining appropriate relationships with accounts, as needed, to ensure appropriate access and reimbursement for Eisai's portfolio. Due to the leadership and access expertise, the Associate Director, Access and Reimbursement is viewed by colleagues and customers as an important knowledge owner of information about patient access and reimbursement to prescribed Eisai medications. Key External Stakeholders: Health Care Professionals and stakeholders responsible for physician reimbursement and patient coverage and access issues. These stakeholders are, but not limited to the following: Practice Mangers, Financial Counselors, Pharmacy Managers/Directors, Business Administrators, State Societies, and DME/MAC personnel. Responsibilities: Lead field access and reimbursement team in providing appropriate support for patient access for prescribed Eisai products. Direct and oversee HCP communication on insurance coverage/reimbursement for Eisai products and relevant patient support programs. Collaborate with cross-functional teams to drive resolution of access and reimbursement issues. Develop and drive compliant execution of access and reimbursement programs. Maintain appropriate relationships with accounts, as needed, to ensure appropriate access and reimbursement for Eisai's portfolio. Recruit, develop, train, coach, assess, motivate and retain access and reimbursement talent to support appropriate access and reimbursement.

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