- Serve as a player-coach within ANI Rare Disease Patient Support, balancing direct patient access responsibilities with day-to-day leadership of reimbursement professionals
- Drive operational excellence and consistent execution across patient cases
- Maintain a portfolio of complex or escalated patient cases
- Provide frontline leadership, coaching, and oversight for Reimbursement Directors, Reimbursement Managers, Reimbursement Specialists, and Field Case Specialists
- Serve as the first point of escalation for reimbursement challenges
- Provide proactive education to HCPs on insurance requirements and payer policies related to ANI Rare Disease Business Unit brands
- Manage complex reimbursement cases with direct engagement with HCP offices and patients
- Partner with Hub case managers and in-network Specialty Pharmacies on prior authorization submissions and follow-up
- Facilitate access to patient assistance programs, including copay support and free goods
- Coordinate with Nurse Access Specialists on patient support activities
- Partner with Market Access on payer trends, policy changes, and access barriers
- Collaborate with Sales on field education and account strategy in accordance with Compliance guidelines
- Serve as a reimbursement and access subject matter expert
- Monitor team productivity, workload distribution, case quality, and KPIs
- Support onboarding and ongoing team development
- Conduct regular 1:1 meetings, team meetings, case reviews, and development discussions
- Model professionalism, ethical conduct, and compliance
Requirements
- Bachelor’s Degree
- 10+ years of experience working in a patient access role for a specialty medication
- Demonstrated expertise with both pharmacy and medical benefit in a specialty disease market
- Strong collaboration with Hub partners and cross-functional colleagues
- Familiarity with OIG guidance, HIPAA guidelines and FDA protocols
- Ability to travel up to 25% with some evening and weekend commitments
- Ability to lead, motivate, and develop high-performing teams
- Ability to prioritize competing demands while balancing individual contributor and leadership responsibilities
- Problem-solving ability in ambiguous or challenging access scenarios
- Strong interpersonal and communication skills
Core Competencies
Demonstrates expertise in managing complex reimbursement cases and leading high-performing teams within the specialty medication landscape. Proficient in collaborating with healthcare providers and navigating payer policies to ensure patient access and operational excellence.
Highest-signal resume keywords
- Patient Access Management
- Reimbursement Expertise
- Team Leadership
- Cross-Functional Collaboration
- Regulatory Compliance
Hard Skills
- Reimbursement Management
- Patient Assistance Programs
- Prior Authorization Submissions
- Pharmacy Benefit Knowledge
- Medical Benefit Knowledge
- KPI Monitoring
- Case Quality Assessment
- Operational Excellence
- Problem-Solving
- Complex Case Management
Soft Skills
- Interpersonal Skills
- Communication Skills
- Leadership Skills
- Motivational Skills
- Collaboration Skills
Certifications & Qualifications
- Bachelor’s Degree
Industry Keywords
- Specialty Medication
- OIG Guidance
- HIPAA Guidelines
- FDA Protocols
- Patient Support
- Market Access
- Payer Policies
- Healthcare Provider Education
- Compliance Guidelines
- Access Barriers
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Team Lead, Field Reimbursement Director Arbeitgeber: Jobtailor
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