Director, Field Reimbursement Manager (FRM)

Director, Field Reimbursement Management (FRM)

Position Overview

We are seeking an experienced, transformative leader to serve as the Director, Field Reimbursement Management for our Nephrology and Central Nervous System (CNS) divisions. This role will lead a team of HCP-facing Field Reimbursement Managers, ensuring optimal patient access and reimbursement support for our specialty products through providing education on various payer processes.

Key Responsibilities

• Lead, mentor, and develop a high-performing team of Field Reimbursement Managers and/or manage vendor-owned FRMs
• Establish and implement comprehensive Patient Access and Affordability Strategies
• Drive post-prescribing performance through strategic planning and execution
• Ensure compliance adherence through in-field visits, call and case monitoring, aligning operations with legal requirements
• Develop and implement program enhancements aligned with Brand and Sales leadership goals
• Partner with Managed Markets and other matrix partners to address market challenges
• Foster a culture of employee engagement, accountability, and continuous improvement
• Collaborate with cross-functional teams to optimize patient access and affordability strategies
• Develop and maintain relationships with key stakeholders, including healthcare providers, payers, and industry partners

Qualifications

• Bachelor's degree in Business, Healthcare Administration, or related field; advanced degree preferred
• 10+ years of experience in healthcare, with at least 5 years in a leadership role
• Proven track record in transformational leadership (2+ years)
• Strong background in reimbursement, access, and affordability for specialty medications
• Deep understanding of reimbursement processes, payer policies, and healthcare
• Strong analytical and strategic planning skills
• Excellent communication and interpersonal abilities
• Willingness to travel up to 70% within the assigned region

Key Competencies

• Strategic leadership and team management
• Patient-centric approach to healthcare delivery
• Operational excellence and process optimization
• Cross-functional collaboration and stakeholder management
• Data-driven decision making and performance analysis
• Change management and program implementation
• Regulatory compliance and risk management

Preferred Skills

• Comprehensive knowledge of Medicare, Medicaid, and commercial insurance reimbursement regulations
• Experience with specialty injectable/infusible medicines and their unique market dynamics
• Familiarity with drug acquisition and dispensing in the specialty pharmaceutical space
• Experience in training and developing teams on complex reimbursement topics
• Understanding of the "Buy and Bill" model and specialty pharmacy operations

Competencies
Accountability for Results - Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.
Strategic Thinking & Problem Solving - Make decisions considering the long-term impact to customers, patients, employees, and the business.
Patient & Customer Centricity - Maintain an ongoing focus on the needs of our customers and/or key stakeholders.
Impactful Communication - Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.
Respectful Collaboration - Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals.
Empowered Development - Play an active role in professional development as a business imperative.

Minimum $183,335.00 - Maximum $274,160.00, plus incentive opportunity: The range shown represents a typical pay range or starting salary for candidates hired to perform the work. Other elements may be used to determine actual salary such as the candidate’s job experience, specific skills, and comparison to internal incumbents currently in role. This information is provided to applicants in accordance with states and local laws.

Company benefits: Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits.

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