Demo

Assoc. Director, Access & Reimbursement – So. California/San Diego/Hawaii

TG Therapeutics, Inc.
HI Full Time
POSTED ON 4/1/2025
AVAILABLE BEFORE 4/21/2025

JOIN US

Open Position

Title : Access & Reimbursement, Associate Director

If you are interested in the below position, please send your resume to careers@tgtxinc.com and REFERENCE THE POSITION TITLE within the subject line.

Organizational Overview

TG Therapeutics is a fully integrated, commercial stage, biopharmaceutical company focused on the acquisition, development and commercialization of novel treatments for B-cell diseases. In addition to a research pipeline including several investigational medicines, TG has received U.S. Food and Drug Administration (FDA) approval for BRIUMVI (ublituximab-xiiy), for the treatment of adult patients with relapsing forms of multiple sclerosis (RMS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, as well as approval by the European Commission (EC) and the Medicines and Healthcare Products Regulatory Agency (MHRA) for BRIUMVI to treat adult patients with RMS who have active disease defined by clinical or imaging features in Europe and the United Kingdom, respectively. TG Therapeutics is headquartered in Morrisville, North Carolina. For more information, visit www.tgtherapeutics.com .

Role

The Access & Reimbursement field-based personnel will be integral in helping MS patients and MS provider accounts with gaining access to TG therapies. The individual will have a specified geography and will serve as the primary point of contact for MS accounts. The individual will optimize the experience for both the patient and the account by reviewing operational metrics and assisting with access and reimbursement challenges for patients prescribed TG MS therapies. This individual will educate and support accounts by providing information and education on the MS product / infusion, patient support services, coordinate infusion training, and product access and reimbursement.

Key Responsibilities

  • Collaborate with internal and external stakeholders to ensure an optimal patient experience.
  • Help build trust with MS accounts within specified geography, including private practices, community hospitals, academic hospitals, and infusion sites by acting as a subject matter expert on all aspects of product reimbursement and access coverage for TG product(s).
  • Educate MS accounts on TG service offerings through regularly scheduled site visits, Business Reviews, and educational programs.
  • Build strategies unique to each Key Account that optimizes the MS patient journey including timely access to TG product fulfilment.
  • Maintain a high level of payer and related Managed Markets insights, including benefit structures, payer restrictions, reimbursement mechanisms, the evolving legal and regulatory landscape, health management programs, and product distribution knowledge necessary to accomplish goals.
  • Maintain accurate records of all account activity and provide management with regular reporting on reimbursement issues at the customer level.
  • Understand and identify the short and long-term strategic vision and objectives within assigned territory.
  • Create awareness of TG Patient Support amongst MS accounts.
  • Act as the subject matter expert on payer reimbursement by educating MS accounts on regional payer coverage issues, coding and billing changes and appropriate claims submission processes.
  • Assist with determining coverage and access options available for TG product(s).
  • Work with hub and provider office to address payor reimbursement challenges by providing approved materials.
  • Partner with Payer Account Team to track payer coverage outcomes.
  • Collaborate with hub, Sales and Market Access teams to triage and address reimbursement challenges from customers.
  • Prioritize and manage multiple project timelines and deliverables.
  • Serve as a TG Patient Support expert by having a thorough understanding of the MS Patient Support Program and its offerings along with payer and reimbursement landscape.

Professional Experience / Qualifications

  • 8-10 years of biopharmaceutical industry experience in MS with a proven history of increasing responsibilities and accomplishment.
  • Proven experience successfully launching new to market buy-and-bill product(s) and resolving difficult access challenges, including utilization management tools, prior authorizations and appeals.
  • Detailed understanding of the appropriate use of Patient Health Information (PHI) under HIPAA.
  • Deep understanding of payer landscape for buy and bill products, including but not limited to commercial / private payers, Medicare Part B, Medicaid.
  • Previous experience working closely with buy-and-bill products. Strong knowledge of biologics and specialty products.
  • Account management experience highly preferred (Neurology clinics and hospital systems).
  • Subject Matter Expert (SME) in billing and coding in MS product (preferably infusion products).
  • Ability to establish and maintain executive relationships (C-Suite and Pharmacy Director) in health systems and Neurology clinics / practices.
  • Solid understanding of the current environment and reimbursement trends in community neurology practices, including alternative payment models.
  • Superior communication, teamwork, and ability to work in a high matrix environment.
  • This position requires travel (50 %); must reside within geography.
  • Education

  • BS or BA required; MBA preferred.
  • At least 8 years’ experience with payer Reimbursement and Pharma patient services programs is required.
  • TG Therapeutics is an equal employment opportunity employer, and does not discriminate on the basis of race, color, religion, gender, sexual orientation, gender identity or expression, age, disability, national origin, ancestry, genetic information, military or veteran status, pregnancy or pregnancy-related condition or any other protected characteristic.

    J-18808-Ljbffr

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Assoc. Director, Access & Reimbursement – So. California/San Diego/Hawaii?

    Sign up to receive alerts about other jobs on the Assoc. Director, Access & Reimbursement – So. California/San Diego/Hawaii career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $128,536 - $205,780
    Income Estimation: 
    $201,260 - $351,109
    Income Estimation: 
    $153,694 - $218,864
    Income Estimation: 
    $182,352 - $239,442
    Income Estimation: 
    $182,352 - $239,442
    Income Estimation: 
    $347,923 - $493,999
    Income Estimation: 
    $84,709 - $99,086
    Income Estimation: 
    $91,985 - $114,933
    Income Estimation: 
    $133,558 - $163,050
    Income Estimation: 
    $113,057 - $145,929
    Income Estimation: 
    $153,694 - $218,864
    Income Estimation: 
    $113,057 - $145,929
    Income Estimation: 
    $182,352 - $239,442
    Income Estimation: 
    $153,694 - $218,864
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at TG Therapeutics, Inc.

    TG Therapeutics, Inc.
    Hired Organization Address New York, NY Full Time
    Organizational Overview: TG Therapeutics is a fully-integrated, commercial-stage, biopharmaceutical company focused on t...
    TG Therapeutics, Inc.
    Hired Organization Address Syracuse, NY Full Time
    Organizational Overview: TG Therapeutics is a fully-integrated, commercial-stage, biopharmaceutical company focused on t...
    TG Therapeutics, Inc.
    Hired Organization Address California, MO Full Time
    JOIN USOpen Position Location : California / Hawaii / Nevada – remote with travel Apply (by clicking the relevant button...

    Not the job you're looking for? Here are some other Assoc. Director, Access & Reimbursement – So. California/San Diego/Hawaii jobs in the HI area that may be a better fit.

    AI Assistant is available now!

    Feel free to start your new journey!