Associate Director, Reimbursement And Access Southwest

Job description

Overview Reporting to the Senior Director – Patient Access & Support Service, the Associate Director, Reimbursement and Access (RAD) will support patient and healthcare providers (HCPs) across sites of care in gaining access for patients to Ruconest. The goal is to ensure that HCPs have the most up to date information when prescribing and working through the approval and logistics processes for Ruconest. Successful execution will involve the RAD being a regional expert in patient access, reimbursement, prior authorization appeal, obtaining financial assistance, and navigation through any complex access related issues. RADs are regionally split across the U.S., supporting Pharming sales team territories in their assigned regions. This position would be responsible for the Southwest region primarily serving Texas, Arizona, Nevada, Oklahoma and Louisiana. This is an individual contributor role. Key Responsibilities Handling all coverage, reimbursement and access needs across their territories/regions and work directly with their respective Sales Representatives, Hub Case Managers, National Account Directors (NADs) and customers (HCP facing). Work directly with Hub vendor to understand payer coverage issues and assist with prior-authorization (PA) denials and appeals by working with physicians and staff, helping prepare HCPs for Peer-to-Peer needs. Proactively track patients from submission of enrollment form through to shipment in order to identify potential issues and work to enable timely resolutions. Provide training and education to HCPs on payor specific coverage policies and authorization documentation requirements, appeals processes and patient financial assistance support programs. Develop and maintain positive working relationships with both internal team members (e.g., Sales Reps, NADs, Case Managers and Clinical Educators) and external stakeholders (e.g., physicians, office staff, Specialty Pharmacy partners). Work with HCPs and specialty pharmacy to overcome quantity limits or high dollar overrides. Escalate and engage the NAD when payer coverage or payment issues are identified, providing detailed specifics on issues, steps attempted to resolve, and identify key items that need addressing with the payer. Communicate issues and status with internal stakeholders and leaders (NADs, RBDs, VP of Sales). Communicate opportunities and challenges related to patient access issues to internal stakeholders. Work collaboratively to improve access and reimbursement tools and processes. Performs other duties as assigned. Minimum Qualifications Bachelor’s Degree from an accredited university. 3+ years’ experience as a Field Reimbursement Manager. 5+ years cross-functional experience in the pharmaceutical/biotech industry. 2+ Years' experience with prior authorization and multi-level appeals. Preferred Qualifications 3+ years’ experience as a Field Reimbursement Manager for a biologic / buy & bill (physician-administered, IM/SC injectable, IV injection, infusion) drug experience highly preferred. Immunology background and rare or ultra-rare disease industry experience highly preferred. Excellent working knowledge of reimbursement and access challenges in the current healthcare environment. Ability to communicate payer coverage criteria and prior authorization/appeals processes to HCPs and staff including prepping HCP’s for Peer-to-Peer discussions. Experience working with Specialty Pharmacies to resolve access issues. Experience working with a Hub to obtain necessary payer information and facilitating next steps. Experience working with multiple internal stakeholders. (sales, managed markets, patient advocacy, government affairs, etc.) Demonstrated ability to apply reimbursement knowledge to address/resolve patient access barriers. Possess interpersonal skills including managing and resolving conflict and building strong working relationships. Proven track record for consistently meeting or exceeding goals and objectives. Proficient in working in a cross functional environment while handling multiple tasks. Travel - Include 50% travel time required for the position where travel occurs locally or internationally. Travel to HCP offices, with or without Sales Reps, to work with appropriate level stakeholders to respond to coverage or payment issues (i.e., 2 to 3 days in the field ). Commitment and alignment to Pharming’s mission, core values and behaviors. Who We Are We’re built on a simple belief: people living with rare diseases deserve more. Pharming is a global biotechnology company taking on some of the toughest rare disease challenges. We develop and commercialize innovative therapies for rare and ultra-rare immunological and genetic diseases with significant unmet need, where our scientific and commercial expertise, long-term commitment, and real partnership can help advance care. We put patients at the heart of our work. Their insights, along with those of caregivers, clinicians, scientists, and parters, shape our strategy, guide our decisions, and help turn science into meaningful progress. We keep it simple, act with urgency, and get it done – expanding access to approved therapies, advancing high-value pipeline programs, and building a leading global rare disease company. Our vision is simple: a world where people living with rare diseases don’t wait for progress or care. Together with the communities who inspire us, we’re opening new possibilities – proving that breakthroughs aren’t just discovered. They’re created together. Ready to make a difference? Join us. What it’s like to work here At Pharming, every role helps move rare disease therapies closer to the people who need them. We make it happen together, across teams, disciplines, and borders, because breakthroughs don’t happen in silos. Rare diseases are complex, and meaningful progress takes people who ask better questions, challenge each other, and turn insight into action. Here, you won’t work on the sidelines. Pharming is a place for builders, problem-solvers, and bold thinkers who move with urgency, take ownership, and stay focused on what matters most: improving the lives of people living with rare diseases. Advancing rare disease care isn’t the work of one team or one leader. It’s all of us, building what’s next together. Salary Range Pharming takes into consideration a combination of candidate’s work experience, training, and education, as well as the scope of the role, complexity, and external market and internal value when determining a salary level. The base salary range for this job is from $170,000 to $190,000 per year. Compensation & Benefits Flexible hybrid work schedule to promote a healthy work-life balance Competitive compensation package including annual target bonus Long-term incentive program 401(k) plan with company match Paid Time Off (PTO) 13 Company Holidays per year Other Benefits Excellent benefit plans including medical, dental, and vision Flexible spending accounts Company-provided life insurance, short-term disability, and long-term disability plans Optional accident, hospital indemnity, critical illness, and pet insurance plans Tuition reimbursement program Health and wellness program Choice of company provided mobile phone or cell phone stipend Additional Information Pharming Healthcare, Inc. is a merit-based equal opportunity employer. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected classes. An applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request via email to HR-US@pharming.com. Unsolicited resumes from agencies should not be forwarded to Pharming. Pharming will not be responsible for any fees arising from the use of resum