Director Payor and Reimbursement

The Director of Payor and Field Reimbursement position is a strategic customer facing leader with the core responsibility to ensure coverage and create access for Curium's therapies with national and regional payer accounts, pharmacies, distributors, and GPOs. This role will lead a team of Reimbursement Field Managers and report to the Director of Market Access. They will communicate field directives and coach core competencies.

This position will develop and maintain key customer relationships, execute account plans for targeted national payers, GPOs, and will coordinate case management with the sales team and internal partners. This role serves as the primary point of contact for channel partners.

The Director of Payor and Field Reimbursement will collaborate with the HUB services, FRM, Territory Managers, and Regional Business Directors to ensure minimal barriers to product access for patients and providers.

• Oversee day-to-day reimbursement operations, including driving the reporting and analysis of on key operational measures and developing and implementing strategies to improve them.
• Ensure patient access by building relationships and formulating strategies at aligned payer accounts and Urology/Oncology practices.
• Lead the management of key customers, develop and cultivate relationships with clinical, medical, pharmacy, policy, and Industry Relations contacts within targeted MCOs, Urology/Oncology GPOs, distributors, and provider offices.
• Independently lead account projects/initiatives addressing changing customer and market requirements, present business cases for opportunity evaluation, and coordinate/manage project implementation.
• Communicate with FRMs, Marketing, Territory Managers, and Patient Services team regarding account-specific programs, activities, and pull-through messages.
• Lead and partner with the FRM team, sales team, patient hub, and to support accounts with reimbursement issues and patients facing insurance delays. Use problem-solving skills to address concerns at both the system and individual case level.
• Identify issues and challenges with payer and provider accounts. Engage appropriate resources for developing customer solutions and contracts.
• Deliver presentations on disease state, clinical, economic, access, and business topics effectively.
• Develop goals and account plans aligned with US Market Access strategies. Execute comprehensive initiatives including financial analyses, strategy recommendations, and business plan development.
• Meet or exceed Market Access objectives and manage the optimization of product formulary and reimbursement positioning.
• Role involves significant travel (up to approximately 50% of time). The Director of Payor and Field Reimbursement will meet with payor customers channel partners, attend conferences, and coordinate with sales and regional colleagues to engage key providers and influencers.
• Must maintain operational compliance with US and international regulatory agencies and guidelines (i.e. FDA, EU, HC, TGA, PIC/S, ISO, USP, NRC, cGMP, etc.).

• Bachelor Degree in business, life sciences, or related discipline.
• Fifteen or more years of relevant experience with ten or more years of experience in the pharmaceutical or biotechnology industries, and three years Market Access experience calling on Payors with demonstrated cross functional leadership.
• Three or more years direct experience managing national and regional payors review newly approved drugs. Deep, broad, and measurable payer relationships and understanding of the legislative environment and the respective impact to patient access.
• Experience with product launches; establishing coverage and formulary acceptance.
• Ability and willingness to adapt and excel in new environments where the work or tasks may be unfamiliar.
• Excellent written and verbal communication skills.
• Demonstrated ability to deliver results in competitive markets.
• Demonstrated success or understanding of multiple commercial functions (e.g., marketing, market access, sales, insights/analytics).
• Authentic, humble, professional, able to build positive team spirit, and lead through the ups and downs of drug development. Supports team success and growth.
• Skilled at influencing cross-functional teams and interfacing with internal and external stakeholders across commercial and medical/clinical teams.
• Ability to work effectively at multiple levels within the organization and adapt to changes in the work environment.
• Manages competing demands, changes approach as needed, and handles frequent changes, delays, unexpected events, or uncertainty with maturity and professionalism.

Working Conditions:

• Must be willing to travel as needed.
• Willingness to work in a team based environment.
• Close attention to detail required.
• May be required to sit or stand for long periods of time while performing duties.
• Must be able to work outside of regular work hours.