Associate Director Field Access and Reimbursement

Summary of Position

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

• Bachelor Degree in Business and/or biological science education preferred.
• 12 or more years of relevant experience in the pharmaceutical/biotech industry required.
• 2 or more years of reimbursement- related experience (coverage, buy and bill, coding, payment, and policy) required.
• Experience in radiopharmaceutical, urology, oncology preferred.
• Demonstrates a solid understanding of both commercial and public payers and understands the process for authorizing therapies within the payer network.
• Ability to thrive in a cross-functional work environment and successfully manage multiple tasks while maintaining high attention to detail and responding to rapidly changing priorities.
• Experience launching new products.
• In-depth knowledge of current reimbursement trends, Buy and Bill, patient access, and HUB services.
• Possesses strong business acumen and presentation skills.
• Proven ability to build internal teamwork and collaboration centered on shared commitment and goals to achieve high standards of performance.
• Superb written and verbal communication skill.
• Demonstrated ability to develop relationships within highly matrixed organizations such as hospital IDNs and large oncology/urology group practices to communicate and implement successful strategic initiatives.
• Successful decision-making, strategic planning, and problem-solving skills.
• Field-based role; must be a self-starter with the ability to work independently and organize own work without continuous direct supervision.
• Proficient in MS Office (Word, Excel, Project), MS Teams, Adobe, and raw data sets.
• Ability to travel (50% ).

Working Conditions:

• Home office environment.
• Willingness to work in a team-based environment.
• Close attention to detail required.
• May be required to sit or stand for long periods of 8 hours a day while performing duties.
Must be able to work outside of regular work hours, including off shift, weekend, and holiday work as business needs require.