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Director of Field Reimbursement & Access

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Primary Location: Parsippany, New Jersey, United States Additonal Locations: Atlanta, GA,USA; Austin, TX,USA; Birmingham, AL,USA; Boston, MA,USA; Charleston, SC,USA; Charlotte, NC,USA; Chicago, IL,USA; Cincinnati, OH,USA; Cleveland, OH,USA; Columbus, OH,USA; Dallas, TX,USA; Detroit, MI,USA; Houston, TX,USA; Kansas City, MO,USA; Lexington, KY,USA; Louisville, KY,USA; Miami, FL,USA; Nashville, TN,USA; New York, NY,USA; Orlando, FL,USA; Philadelphia, PA,USA; Raleigh, NC,USA; Saint Louis, Missouri, United States,USA; Tampa, FL,USA Full time R1252979

Job description

Duties and Responsibilities

  • Lead Reimbursement/Access service offerings (field and virtual) for IQVIA’s pharma clients including:
    • Direction, oversight, operations, management, and delivery of Reimbursement/Access teams
    • Offering development, go to market strategy, and new business pitches for Reimbursement/Access programs
    • Development of program specific solutions upon reimbursement/access team deployment to overcome access issues in a compliant manner
    • Serve as a Subject Matter Expert (SME) in Reimbursement/Access for IQVIA and our clients:
    • Consistently monitor the marketplace for market access issues impacting patient and provider access, identifying threats and opportunities, and adjusting strategy in response to changes (e.g. latest trends with prior authorizations, buy and bill, HUB services, specialty pharmacies etc.)
    • Make sure compliance requirements around reimbursement/access teams stay up to date with quality control measures in place to ensure adherence to requirements
    • Stay up to date on the latest trends in payer reimbursement models (medical and pharmacy), prior authorization and appeal requirements, coding changes, appropriate claim submission, integration of hub and patient assistance programs
    • Develop processes and programs in partnership with clients to overcome access issues around payer, plans and specific products in a compliant manner

Qualifications

  • 10+ years in commercial life sciences (pharma or biotechnology) or related industry, required
  • 1+ years of experience leading field reimbursement teams
  • Pharmaceutical sales and sales leadership experience preferred
  • Experience working with a CSO preferred
  • Proven experience in building and managing reimbursement and access teams; including developing and identifying capabilities, strategies, tools, key account targets, size, structure, programs/initiatives, compliance requirements (including around PHI), KPIs, analytics, integration with HUB services and client or 3rd party support services in order to effectively navigate the complexities of the US Healthcare System
  • Strong knowledge and understanding of:
    • Government and commercial payers for specialty products; especially as it relates to buy and bill and specialty pharmacy products
    • Payer reimbursement models (medical and pharmacy), prior authorization and appeal requirements, coding changes, appropriate claim submission, integration of HUB and patient assistance programs
    • Manufacturer compliance requirements for delivery of field or virtual reimbursement support services
  • Strong business acumen with an ability to quickly analyze data, identify meaning of data, and develop solutions to build on opportunities and overcome challenges
  • Proven ability to effectively manage ambiguity; can successfully cope with change, shift gears comfortably, decide and act without having the total picture, and manage risk and uncertainty
  • Demonstrated ability to develop innovative solutions, understands how to do the research to uncover missing information, and enjoys the challenge of being a solution architect

At IQVIA, we believe in pushing the boundaries of human science and data science to make the biggest impact possible – to help our customers create a healthier world. Learn more at https://jobs.iqvia.com

We are committed to providing equal employment opportunities for all, including veterans and candidates with disabilities.

https://jobs.iqvia.com/eoe

As the COVID-19 virus continues to evolve, IQVIA’s ability to operate and provide certain services to customers and partners necessitates IQVIA and its employees meet specific requirements regarding vaccination status.

https://jobs.iqvia.com/covid-19-vaccine-status

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