Regional Reimbursement Director, Oncology, Northeast & Mid Atlantic
Ipsen · Berkeley Heights, NJ, US
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About the Role
The Regional Reimbursement Director (RRD) is a field-based role responsible for managing the reimbursement environment for Ipsen's Oncology portfolio within the Northeast & Mid Atlantic region. This role involves supporting healthcare providers with coding, coverage, and payment to ensure patient access to therapies and managing relationships with local Medicare Administrative Contractors (MACs).
Responsibilities
- Collaborate with internal teams to expand access and reduce barriers for Ipsen's Oncology products.
- Assist in the design and development of reimbursement strategies, tactics, tools, and materials.
- Develop and maintain relationships with key contacts within MACs.
- Provide reimbursement support at advisory boards or professional conferences.
- Increase awareness of and work closely with the IPSEN CARES Patient support hub.
- Serve as an internal field reimbursement expert, providing competitive intelligence and identifying reimbursement barriers.
- Support patient access by providing timely reimbursement information related to coverage, coding, and payment policies.
- Coordinate with internal resources to support Ipsen presentations at payer and healthcare provider meetings.
- Achieve target metrics for customer requests for reimbursement support.
- Support strategic analysis and planning related to changes in local payer coverage policies.
- Advise Account Managers of specific payer access challenges and trends.
- Assist in the development of reimbursement-related training programs for healthcare providers.
- Translate local/regional payer payment trends, policies, and relationships to address non-clinical barriers impacting utilization.
- Partner with cross-functional teams to identify and address reimbursement and access barriers impacting product adoption and utilization.
- Provide field-based insights and access intelligence to support strategic initiatives.
- Collaborate with stakeholders to identify business growth opportunities by analyzing market dynamics.
- Support new oncology asset launches by evaluating reimbursement readiness, payer coverage, coding, and access barriers.
- Develop and implement launch-related reimbursement strategies, educational materials, and engagement plans.
- Serve as a field-based reimbursement lead during launch activities, providing market intelligence.
- Continuously monitor the oncology market access environment, including payer policies, requirements, and trends.
- Track competitive reimbursement and access developments and provide insights.
- Analyze the impact of payer policy changes on patient access and utilization.
- Monitor evolving site-of-care management strategies and HCP reimbursement trends.
- Develop and maintain relationships with key oncology practice administrators, reimbursement specialists, and advocacy organizations.
- Support educational programs and strategic discussions with healthcare providers on reimbursement best practices.
Requirements
- 10+ years of pharmaceutical, biotech, or consulting industry experience.
- 5+ years of related reimbursement experience with injectable or infused drugs, or medical device products.
- Expert level knowledge of coverage, coding, and payment policies.
- Exceptional verbal and written communication skills.
- Strong problem-solving and organizational skills.
- Strong business, analytical, administrative, and team-building skills.
- Ability to simplify complex messages compliantly.
- Ability to work independently and lead effectively in a fast-paced, matrixed environment.
- Ability to manage multiple priorities and appropriately prioritize workload.
- Highest personal integrity and ethics; strong sense of judgment and discretion.
- Excellent written, verbal, and interpersonal skills.
- PC literacy required: MSOffice skills (Outlook, Teams, Word, Excel, PowerPoint), e-mail, texting, use of mobile smart phone, Veeva CRM, Concur expense reporting software.
- Physical requirement to use relevant machines and/or equipment as needed.
- Ability to invest time as required, including evening and/or weekend hours.
- Ability to manage a large geographic territory and work effectively from a home office, vehicle, or customer location.
- Business travel of up to 60%, including regular overnight travel by air or car.
- Must reside within proximity to a major airport within the region.
- Previous reimbursement support experience with physician administered (“buy and bill”) oncology drugs is preferred.
- Experience with Medicare Part D products is strongly preferred.
Skills
- Reimbursement support
- Coding
- Coverage
- Payment policies
- Communication
- Problem-solving
- Organization
- Business analysis
- Team building
- Strategic planning
- Market access intelligence
- Competitive landscape analysis
- Provider engagement
- Stakeholder engagement
- Forecasting
- Lifecycle management
- Evidence dissemination
- Product planning
- Training program development
Location
- Northeast & Mid Atlantic Territory (CT, DE, ME, MD, MA, NH, NJ, NY, PA, RI, VT, WV, DC)
Work Type
- Field-based
- Hybrid (mix of live and virtual channels)
- Full-time
Experience Level
- 10+ years of industry experience
- 5+ years of reimbursement experience
Education Level
- Bachelor’s degree in public policy, economics, business administration, life sciences, or equivalent
- Advanced degree (MBA, MPH, MS) preferred
- Certification in Medical Coding preferred
Salary/Compensations
- $161,250 - $236,500
Benefits
- Eligible to participate in short-term incentives program
- 401(k) with company contributions
- Group medical, dental and vision coverage
- Life and disability insurance
- Short- and long-term disability insurance
- Flexible spending accounts
- Parental leave
- Paid time off
- Discretionary winter shutdown
- Well-being allowance
- Commuter benefits
About the Company
- Ipsen is a mid-sized global biopharmaceutical company focused on transformative medicines in Oncology, Rare Disease, and Neuroscience.
- Supported by nearly 100 years of development experience, with global hubs in the U.S., France, and the U.K.
- Tackles areas of high unmet medical need through research and innovation.
- Passionate teams in more than 40 countries focused on bringing medicines to patients in 88 countries.
- Builds a workplace that champions human-centric leadership and fosters a culture of collaboration, excellence, and impact.
- Empowers individuals to be their true selves, grow, and thrive.
- Journey towards sustainable growth, creating real impact on patients and society.
- For more information, visit https://www.ipsen.com/ and follow news on LinkedIn and Instagram.
Equal Opportunity
- Committed to creating a workplace where everyone feels heard, valued, and supported.
- Embraces diverse perspectives and experiences to drive inclusion and equal opportunities.
- Strives to better understand the communities served.
- Provides support during the application process if adjustments or support are required.
- Ipsen is an equal opportunity employer that strictly prohibits unlawful discrimination.
- Recruits, employs, trains, compensates, and promotes without regard to race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.