Director, Field Reimbursement Patient Services

Kyowa Kirin is a fast-growing global specialty pharmaceutical company that applies state-of-the-art biotechnologies to discover and deliver novel medicines in four disease areas: bone and mineral; intractable hematologic; hematology oncology; and rare disease.  A Japan-based company, our goal is to make people smile by delivering breakthroughs where no adequate treatments currently exist, working from drug discovery to product development and commercialization. In North America, we are headquartered in Princeton, NJ, with offices in California, Massachusetts, and Ontario.

Summary of Job

 As a key member of the Patient Services team, the Director, Field Patient Access Solutions is responsible for leading patient services field strategy and teams as well as for the field strategy and operations components of Kyowa Kirin’s Patient Support Programs for all products, focused on reimbursement, patient access, and initiation. This individual will be responsible for ensuring that all program operations are in line with relevant laws, regulations, and Company Policies including HIPAA and Patient Privacy guidelines. Overseeing the day-to-day operations of the Patient Services’ field teams and vendors, this key contributor is expected to ensure an efficient, timely, and compliant patient and customer experience with Kyowa Kirin’s products. This individual will be an expert in Kyowa Kirin’s Patient Support processes and ensure that patients and customers receive the highest level of service. They will ensure the internal and external teams are appropriately helping patients start and stay on prescribed medicines. The Director is required to exemplify strong leadership skills and provide adequate coaching and support to members of the Patient Services Field teams. They will be responsible for the hiring and oversight of the Patient Services field teams, including Field Reimbursement Managers (FRMs), and support the vendor selection process for additional field teams, as necessary. The Director will drive team business objectives and plans, enable field excellence, and empower cross-collaborative relationships. In addition, the Director, Field Patient Access Solutions will be responsible for establishing processes to monitor the performance of Patient Services vendors and partners. They will be expected to support program strategy, policy development, marketing, and technology enhancements acting as a subject matter expert in Patient Services and Reimbursement processes and procedures. Strong working knowledge of industry trends and requirements is necessary. They will work closely with the broader commercial teams to understand patient and customer needs and implement appropriate strategies across partners.

Essential Functions

• Patient Service’s lead and subject matter expert on Kyowa Kirin’s products’ payer landscape; responsible for related Patient Services training, education and resource development.
• Work with internal partners to build strategic patient access and reimbursement account plans that align with franchise, market access, and patient services business objectives provide insights and updates accordingly.
• Proactive anticipation of potential reimbursement issues and address via program strategy, process, or procedure updates
• Collaborate with marketing partners and agencies to develop access-related materials and resources.
• Key contributor expansion of internal Patient Services organization, including policy, technology, and organizational structure development.
• In collaboration with key team members, establish program metrics, key performance indicators, performance measurements, and incentive compensation model.
• Manage day-to-day patient access and support services including internal team member(s), field nurse vendors, other field partners; attend field calls with the team
• regularly to provide support and coaching opportunities.
• Responsible for integration of Patient Services teams and procedures into greater franchise processes and objectives
• Enhance the patient and customer experience via feedback, business insights, benchmarking, auditing, and active team monitoring.
• Participate in LMR (Legal/Medical/Regulatory) review process as Reimbursement and Patient Services subject matter expert
• Monitor and analyze data collection from partners; provide data updates and appropriate information to internal and external stakeholders.
• Executes on business objectives related to Patient Services with operational excellence.
• Develop and maintain all Field Access Solutions Program SOPs, Work Flows, Communication Guides/Templates, Training and Reports.
• Manage external partner and internal team performance against contractual arrangements, SOPs, and KPIs.
• Responsible for performance, development, and satisfaction of int