Associate Director Field Access and Reimbursement

Associate Director Field Access and Reimbursement

The Associate Director, Field Access and Reimbursement (ADFAR) is a remote / field-based position that contributes to the company's success by proactively educating designated accounts. The ADFAR will report to the Director of Payor and Reimbursement. This role is critical and customer-facing, providing expertise in coverage, coding, and payment to support Curium customers and ensure patient access to prescribed Curium products. The ideal candidate will have a strong track record of helping customers navigate complex reimbursement challenges and facilitate patient access. They should excel in cross-functional collaboration and thrive in a fast-paced environment.

ADFARs primarily focus on accounts with complex processes and workflows, including integrated delivery networks (IDNs), academic medical institutions, large specialty provider practices, hospital outpatient departments, physician practices, and other alternate care sites. They will collaborate closely with healthcare providers (HCPs), pharmacists, and billing and coding staff to secure and resolve access and reimbursement issues related to Curium products. The ADFAR will serve as a key point of contact for our HUB service partners and interact with both internal and external stakeholders, including field sales, sales leadership, and market access teams, to ensure appropriate patient access to the product portfolio.

The ADFAR is expected to be a subject matter expert on reimbursement processes, effectively communicating market access requirements and addressing barriers related to local payer policies, coverage, billing and coding, claims processing, and the integration of patient support programs. Additionally, the ADFAR will need to build and maintain strong relationships with healthcare provider practices and facilities while managing field reimbursement responsibilities. This role requires high-level verbal and written communication skills, account coordination, cross-functional collaboration, and strong business acumen.

Essential Functions

• Interact with complex accounts and engage with key providers in multiple-state territories.
• Proactively educate providers and staff on programs to support the integration of products into office processes and workflows.
• Work with key members of the urology / oncology community (e.g., providers, administrators, billing and coding staff, claims departments, revenue cycle managers) to support patient access and minimize barriers for patients and providers.
• Work closely with Market Access and Field Sales, supporting providers in resolving access, coding, coverage, payment issues or concerns.
• Provide education on patient programs and HUB services, in collaboration with Market Access and Field Sales.
• Maintain expertise in regional and local access and payer landscape, anticipating changes and provide reimbursement support (as needed).
• Support pull-through on coverage decisions, proactively communicate policy changes or issues that could potentially affect coverage.
• Develop ethical and customer-oriented business plans focused on reimbursement and payer strategies.
• Identify, develop, and execute territory business plans by focusing on opportunities to improve patient and provider access to the Curium product portfolio.
• Collaborate and coordinate across functions (Sales, Market Access, Marketing, and Medical Affairs) to achieve business goals.
• Responsible for establishing preferred acquisition pathways.
• Educate and support buy-and-bill processes, workflows, and facilitate pull-through in complex accounts, including scenarios of centralized acquisition and use of alternative channels such and alternate site of care for administration.
• 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.).

Requirements

Working Conditions