Director, Field Reimbursement Management - Remote

Director of Field Reimbursement Management (FRM)

Position Overview

We are seeking an experienced, transformative leader to serve as the Director of Field Reimbursement Management. 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, including both direct employees and 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 Required:

• 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

Qualifications Preferred:

• Bachelor's degree in Business, Healthcare Administration, or related field; advanced degree preferred

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.

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.

Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka.

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At Otsuka we take security and protection of your personal information very seriously. Please be aware individuals may approach you and falsely present themselves as our employees or representatives.  They may use this false pretense to try to gain access to your personal information or acquire money from you by offering fictitious employment opportunities purportedly on our behalf.

Please understand, Otsuka will never ask for financial information of any kind or for payment of money during the job application process. We do not require any financial, credit card or bank account information and/or any payment of any kind to be considered for employment. We will also not offer you money to buy equipment, software, or for any other purpose during the job application process. If you are being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive such an offer of employment.

Otsuka will also never ask you to download a third-party application in order to communicate about a legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo, Gmail, Hotmail, etc, and not from an official Otsuka email address. Please take extra caution while examining such an email address, as the scammers may misspell an official Otsuka email address and use a slightly modified version duplicating letters.

To ensure that you are communicating about a legitimate job opportunity at Otsuka, please only deal directly with Otsuka through its official Otsuka Career website https://vhr-otsuka.wd1.myworkdayjobs.com/en-US/External.

Otsuka will not be held liable or responsible for any claims, losses, damages or expenses resulting from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka’s call center at: 800-363-5670. If you believe you are the victim of fraud resulting from a job recruiting scam, please contact the FBI through the Internet Crime Complaint Center at: https://www.ic3.gov,  or your local authorities.

Otsuka America Pharmaceutical Inc., Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health, Inc. (“Otsuka”) does not accept unsolicited assistance from search firms for employment opportunities.  All CVs/resumes submitted by search firms to any Otsuka employee directly or through Otsuka’s application portal without a valid written search agreement in place for the position will be considered Otsuka’s sole property.  No fee will be paid if a candidate is hired by Otsuka as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.