Soni ยท 3 days ago
Director of Contracts and Reimbursements
Florham Park, NJ
Full-time
Onsite
Director/Executive
$170K/yr - $180K/yr
10+ years expSoni Resources is partnering with a client near Morristown, NJ, to find a Director of Contracts and Reimbursements. This role is responsible for leading commercial payer strategy and contracting to drive profitable growth and optimize reimbursement across managed care channels.
Recruiting
Responsibilities
Lead commercial payer strategy, focusing on market access, reimbursement optimization, and profitable revenue growth across managed care and commercial insurance markets
Negotiate high-impact payer contracts with medical, pharmacy, and executive leadership to secure competitive reimbursement rates, favorable plan parameters, and improved margins
Analyze financial performance and contract economics to assess short- and long-term impact on revenue, profitability, and patient access
Develop and maintain strategic relationships with commercial and managed care payers, proactively managing access challenges and policy changes
Partner closely with Finance, Commercial Operations, Sales, Medical, Regulatory, and Legal teams to ensure contracts align with financial goals, compliance requirements, and corporate strategy
Oversee reimbursement strategy, including coordination with patient access hubs and management of patient purchase programs to ensure financial competitiveness
Translate managed market strategies into actionable guidance and training for field sales teams
Lead and develop Reimbursement Managers, setting performance expectations and ensuring execution aligns with access, compliance, and financial objectives
Monitor reimbursement trends, payer policies, and regulatory changes, including CMS, to inform contracting and access strategies
Qualification
Required
10+ years of experience in commercial payer contracting, reimbursement, managed markets, and financial analytics within pharmaceutical or medical device environments
Deep understanding of commercial insurance markets, including medical and pharmacy benefits, payment models, and payer decision-making
Proven expertise negotiating complex contracts with strong financial outcomes
Advanced financial acumen with the ability to model contract economics, rebates, and reimbursement scenarios
Strong understanding of contract structure, legal considerations, and contract interpretation
Bachelor's degree required
Preferred
Expertise in payer management tools, formulary management, performance-based contracts, and price protection strategies
Advanced knowledge of contract, rebate, and payment systems
Demonstrated ability to translate complex data into clear, actionable insights for executive decision-making
Experience working cross-functionally in matrixed organizations and leading geographically dispersed teams
Strong familiarity with CMS policies and reimbursement frameworks
Company
Soni
Soni is a premier staffing & recruitment company that is disrupting the human capital management space.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Sid Soni
Founder and CEO
Company data provided by crunchbase