Director, Cell Therapy Field Reimbursement Lead

仕事内容

We are seeking a highly motivated and knowledgeable individual to join our team as a Director, Cell Therapy Field Reimbursement Lead, supporting our CAR-T therapy portfolio. This field-based, customer-facing leadership role is focused on ensuring timely and seamless patient access to therapy by guiding a team of Field Reimbursement Managers (FRMs) and providing expert oversight on reimbursement and payer-related processes.

The Team Lead will serve as both a strategic partner and hands-on resource, working directly with Authorized Treatment Centers (ATCs), payers, and internal stakeholders. This role requires deep expertise in access and reimbursement—including billing and coding, payer policy navigation, and issue resolution—along with strong leadership and cross-functional collaboration skills.

Key Responsibilities:

Function Build-Out & Infrastructure Development

• Design and implement SOPs, workflows, and policies for the Field Reimbursement team.
• Develop scalable training programs and onboarding materials for new FRMs.
• Establish documentation standards and operational playbooks to ensure consistency across regions.
• Create performance metrics and reporting tools to monitor team effectiveness and impact.

Team Leadership & Development

• Recruit, train, and manage a high-performing team of FRMs.
• Provide ongoing coaching, performance feedback, and career development support.
• Foster a culture of accountability, collaboration, and continuous improvement.

Strategic Oversight

• Align team activities with broader Market Access and Patient Services strategies.
• Monitor regional performance metrics and ensure consistent execution of access initiatives.
• Identify trends and proactively address systemic reimbursement barriers.

Operational Excellence

• Ensure FRMs deliver expert guidance on benefit verification, prior authorization, site-of-care authorization (SCA), claims submission, and appeals.
• Oversee escalation pathways for payer delays and denials, ensuring timely resolution through internal and HUB channels.

Cross-Functional Collaboration

• Partner with Case Management, HUB Services, Payer National Account Directors, Sales and Market Access to ensure coordinated support for ATCs.
• Serve as a key conduit for field insights, informing policy, strategy, and payer engagement efforts.

Compliance & Training

• Ensure all team activities are conducted in a compliant, non-promotional manner.
• Lead training initiatives to enhance FRM knowledge of billing, coding, payer policy, and institutional reimbursement models.

Basic Qualifications:

• Advanced scientific degree (i.e., MD, PharmD, PhD) and 8+ years of relevant experience OR
• Master’s Degree and 10+ years of relevant experience OR
• Bachelor’s Degree and 12+ years of relevant experience

Preferred Qualifications:

• 7+ years of experience in reimbursement, patient access, or provider support, ideally in oncology, rare disease, or cell/gene therapy
• Deep expertise in buy-and-bill, institutional billing, and payer coverage policy
• Proven ability to address and escalate complex payer issues including prior auth delays and denials
• Prior support of autologous or CAR-T therapies
• Familiarity with workflows from leukapheresis to infusion
• Experience supporting academic or hospital-based treatment centers
• Experience navigating and educating providers on HUB services
• Strong interpersonal, presentation, and problem-solving skills

People Leader Accountabilities:

• Create Inclusion - knowing the business value of diverse teams, modeling inclusion, and embedding the value of diversity in the way they manage their teams.
• Develop Talent - understand the skills, experience, aspirations and potential of their employees and coach them on current performance and future potential. They ensure employees are receiving the feedback and insight needed to grow, develop and realize their purpose.
• Empower Teams - connect the team to the organization by aligning goals, purpose, and organizational objectives, and holding them to account. They provide the support needed to remove barriers and connect their team to the broader ecosystem