General Description:
At Beigene, we are looking for a highly motivated individual to join our team as Sr. Director - US Field Reimbursement. The ideal candidate should possess a combination of advanced qualifications and strong interpersonal skills to effectively lead our US field reimbursement team. This role will require a strategic vision to drive the success of our reimbursement team, as well as the ability to develop and implement innovative solutions. The successful candidate will be a leader, working collaboratively with cross-functional teams and external stakeholders to ensure the success of our reimbursement strategies. The role will build and manage a team of Field Reimbursement Directors who will help minimize access & reimbursement barriers for patients and providers to optimize access. The leader will ensure that the team is addressing access barriers by strategically working with customers and accounts to solve the most complex patient access issues through all facets of the reimbursement cycle. As a manager of the front-line field team, they serve as the key contact responsible for reimbursement and access support-related matters.
Responsibilities
Build, manage and lead a field reimbursement team that will be responsible for addressing access barriers by strategically working with customers and accounts to solve the most complex patient access issues through all facets of the reimbursement cycle
Ensure field team is providing education on myBeiGene patient support program to accounts and customers
Execute on the account implementation plan within practices and sites of care where applicable
Work cross functionally to analyze reimbursement/access issues, and act as the local access and reimbursement resource for internal partners
The Sr. Director of Field Reimbursement will work closely with Field Sales, Corporate Account and Payor team management to support patient drug accessibility
Partner with internal and external stakeholders to identify, anticipate and address patient and practice reimbursement issues
Track and analyze reimbursement data to identify areas of improvement and make appropriate recommendations
Maintain/Update SOP’s, work instructions and other foundational department documents to reflect current practices on an on-going basis.
Proactively support Department leadership on projects as needed; Communicate effectively within department and cross functionally.
Education & Experience Required:
Minimum of a BA/BS Degree; Advanced degree preferred.Required Experience:
BS with 8 plus years of related pharmaceutical experience
3 plus years of direct experience in managing field reimbursement teams
Direct experience with Buy and Bill products, Medicare Part B and Miscellaneous J-Codes required
Bachelor's degree from a four-year college or university
Previous experience working with billing and medical claims personnel in various health care settings, including physician office, in patient/outpatient hospital, and Home health
Shown expertise in supporting healthcare provider offices with coding, billing, and submissions in range of payer environments
Well versed with implementing and executing Medicare, Medicaid, and other payer initiatives
Familiar with CPT, HCPCS, ICD-10 revenue codes
Familiarity with health insurance claim forms, explanation of benefits, prior authorization forms, and EMR/Practice Mgmt. systems, to troubleshoot cases where billing, claims submission or documentation errors may occur
Ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies
Candidate must reside within assigned territory and have the ability to travel up to 50-60%
Preferred Qualifications:
Possess leadership skills with a demonstrated ability to influence different styles.
Able to identify and implement recommendations for improving processes and efficiency.
Proven ability to collaborate and build relationships across all key internal & external stakeholders, including executive management.
Positive attitude to embrace occasional special projects as part of collaborative team or individual contributor.
Product launch experience, including J-code application process.
Computer Skills :
Strong PC literacy required; MSOffice skills (Outlook, Word, Excel, PowerPoint)All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.