Director, Access and Reimbursement- Rare Disease

Biogen

2d•$199,000 - $274,000

About The Position

About This Role: As the Director of the Rare Disease Reimbursement Management (RDRM) team, you will play a crucial role in leading and supporting the efforts of our team to navigate and manage the reimbursement landscape for Spinal Muscular Atrophy (SMA), SOD-1 ALS, and Friedreich’s Ataxia (FA). Your leadership will be pivotal in ensuring proactive management of reimbursement environments, working closely with Account Management, Sales, and Family Access teams to implement effective reimbursement and clinical education strategies across the U.S. This role involves the selection, onboarding, coaching for performance and development, and managing employee processes. You will also lead the delivery of clinical education and in-service support to treatment sites, becoming an expert on SMA, ALS, and FA reimbursement policies, and translating local and national payer policies into actionable strategies. Collaborating with MA&R teams, you’ll identify trends, provide insights, and develop resources to educate hospital billing, finance, reimbursement, and revenue cycle teams on the evolving landscape of rare disease reimbursement. Your strategic direction will be essential for managing daily activities of field managers, guiding reimbursement support to accounts, and resolving site-of-care reimbursement challenges in line with the US Rare Disease business strategy. What You’ll Do: • Lead a team of 7 Rare Disease Reimbursement Managers. • Provide ongoing development, coaching, and planning for the team. • Ensure smooth reimbursement operations to support patient success. • Develop strategic plans that align with local needs and national goals. • Partner with Rare Disease leadership to execute U.S. business strategy effectively. • Monitor reimbursement policy changes impacting product adoption. • Create and evaluate access models that optimize patient and customer support. • Guide the development of favorable coverage and payment policies. • Support the expansion of treatment sites as needed. Who You Are: You are a dynamic leader who thrives in a collaborative environment, bringing vision and strategic depth to complex reimbursement processes. Your expertise in the healthcare industry enables you to navigate intricate payer landscapes and lead cross-functional initiatives with finesse. You possess strong analytical and communication skills, allowing you to translate complex reimbursement policies into actionable strategies that drive business success. You are dedicated to developing and coaching your team, ensuring that both individual and organizational goals are met with excellence.

Requirements

Significant pharmaceutical sales, managed care, and reimbursement experience.
Deep understanding of prior authorization process, including complex appeals and reimbursement processes such as coding, billing, and claims payment resolution.
Required experience working with complex buy and bill products.
Strong communication and analytical skills.
Minimum 5 years of people leadership experience.
Minimum 10 years of healthcare industry experience.
Proven ability to lead cross-functional initiatives in a matrixed environment.

Nice To Haves

Expertise in rare disease reimbursement policies.
Experience in developing educational resources for healthcare providers.
Ability to identify and adapt to emerging trends in the healthcare industry.

Responsibilities

Lead a team of 7 Rare Disease Reimbursement Managers.
Provide ongoing development, coaching, and planning for the team.
Ensure smooth reimbursement operations to support patient success.
Develop strategic plans that align with local needs and national goals.
Partner with Rare Disease leadership to execute U.S. business strategy effectively.
Monitor reimbursement policy changes impacting product adoption.
Create and evaluate access models that optimize patient and customer support.
Guide the development of favorable coverage and payment policies.
Support the expansion of treatment sites as needed.

Benefits

Medical, Dental, Vision, & Life insurances
Fitness & Wellness programs including a fitness reimbursement
Short- and Long-Term Disability insurance
A minimum of 15 days of paid vacation and an additional end-of-year shutdown time off (Dec 26-Dec 31)
Up to 12 company paid holidays + 3 paid days off for Personal Significance
80 hours of sick time per calendar year
Paid Maternity and Parental Leave benefit
401(k) program participation with company matched contributions
Employee stock purchase plan
Tuition reimbursement of up to $10,000 per calendar year
Employee Resource Groups participation