Senior Director, Patient Access & Fulfillment

Position Summary

The Senior Director, Patient Access and Fulfillment (A&F) is responsible for collaborating with the BU Heads in developing and leading a high functioning team to ensure appropriate access and access solutions for patients and providers.

This position is responsible for strategy, design, and implementation of Patient A&F programs across the Otsuka portfolio. This includes effectively defining and communicating the patient support services strategy in how it best supports access and appropriate adherence; furthermore, would include development and execution of an intelligent patient support services tactical launch plan. This role will also be responsible for leading a team of direct reports and program and vendor management for all, adherence, and field reimbursement services. To be effective in the role, the candidate must be able to influence and manage various and complex expectations, identify opportunities that support patient access, and solve problems/challenges that surface across a continuum of requirements.

This position reports to Vice President, Market Access and Channel Strategy and is eligible to work in a hybrid or remote arrangement with travel to our headquarters in Princeton, New Jersey as required by business needs.

Job Description

Key responsibilities of this role include, but are not limited to:

• Lead the strategy development, design, and implementation of programs that support patient access and fulfillment operations for Otsuka’s portfolio in line with priorities.
• Monitor and manage vendor operations for program effectiveness, drive continuous process improvements, perform regular budget analyses and cost management activities – ensuring contractual requirements are met and financial implications are communicated at appropriate levels and across key functions.
• Establish measurable performance parameters, monitor performance and ensure execution against expectations.
• Coordinate with brand management, functional and executive leadership and other key internal stakeholders including but not limited to legal, compliance, privacy, trade, and Market Access leads in designing and delivering support of patient access and fulfillment to Otsuka products.
• Develop and nurture strong relationships across the Otsuka organization, with vendors and Customers where appropriate – supporting the Otsuka culture vision and goals.
• Assist with the development of performance tracking system and other tools to track engagement and performance metrics.
• Perform data reporting requirements with commercial analytics to assess performance of programs supporting patient access and fulfillment performance.
• Prepare and conduct quarterly business reviews with vendor partners, ensuring inclusion and transparency across internal matrix partners as appropriate.
• Budget and vendor management to ensure timely and fiscally responsible project execution.
• Maintain deep market access and health care policy expertise, anticipating implications to patient access across therapeutic areas.

Qualifications

• 15+ years of bio/pharmaceutical experience required with a key understanding of current US pharmaceutical patient support service models.
• 8+ years of US management experience (Patient Support Services, Payer Marketing, Retail and/or Specialty Pharmacy).
• 5+ years of experience in claim reimbursement, patient access navigation through HUB service platforms including navigation of coverage, coding, billing and payment aspects of the pharmaceutical value chain.
• Understanding of Payer medical and product acquisition policies that impact patient access to medicine, including dispensing across variable pharmacy models and office settings.
• Experience with new product and/or indication launches required.
• Ability to lead strategy development, design, vendor selection, and implementation phases for end-to-end patient support services partnership.
• Demonstrated experience leading the coordination with HUB, co-pay, and other patient access service providers.
• Experience with Commercial Brand Planning process, able to translate brand disease state and business drivers into patient support programs and operational requirements.
• In depth understanding of the pharmaceutical manufacturer compliance environment, including areas such as patient confidentiality regulations (HIPAA, PHI protection laws), product reimbursement and product access processes and guardrails and other relevant areas of guidance that ensure appropriate support of patient access to medicine.
• Knowledge and understanding of the Government and Private Payer channels of coverage (i.e. Medicare Part A-D, Medicaid, PBM, Health Plan) including the unique dynamics of reimburse