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SERB Pharmaceuticals · 13 hours ago

Director of Reimbursement, Payer & Patient Services

Field, MN

Full-time

Hybrid

Director/Executive

10+ years exp

SERB Pharmaceuticals is a fast-growing specialty pharmaceutical company that equips healthcare providers worldwide with life-saving medicines for patients facing rare conditions and emergencies. The Director of Reimbursement, Payer and Patient Services is responsible for leading all commercial and government payer, reimbursement, and patient access activities across SERB’s specialty, rare disease, and oncology portfolio.

Emergency MedicineHealth CareManufacturingMedicalPharmaceutical

Responsibilities

Leads development and optimization of reimbursement tools (billing guides, coding support, claims assistance, site-of-care optimization)

Educates providers and HCDMs on NTAP, outlier payments, DRGs, and oncology/rare disease reimbursement pathways

Oversee chargemaster optimization and partners with billing teams on accurate CPT, HCPCS, J-, C-, Q-codes, and NDC usage

Serves as escalation point for complex reimbursement issues, denied claims, and appeals across inpatient, outpatient, and specialty pharmacy settings

Monitors reimbursement and policy trends to refine coding guidance and provider education

Oversee key HUB and specialty pharmacy operations, including enrollment, benefits investigation, prior authorizations, and pharmacy coordination

Ensures a seamless, compliant patient and provider experience supporting access and adherence

Partners cross-functionally and with vendors to optimize HUB performance, reporting, and launch readiness

Builds and leads a national Field Reimbursement Manager team delivering front-line access and reimbursement support

Defines team structure, deployment, metrics, and training aligned to portfolio and launch needs

Aligns field reimbursement with sales, account management, and payer teams to drive pull-through and issue resolution

Develops and executes national commercial and government payer strategies for specialty, rare disease, and oncology products

Manages relationships with major commercial payers, PBMs, Medicaid GPOs, and Medicare Administrative Contractors

Leads access and reimbursement negotiations, including discounts, rebates, and value-based arrangements

Assesses payer landscape to identify access risks, opportunities, and emerging trends

Communicates clinical and economic value propositions to payer stakeholders

Leads payer and reimbursement strategy for new product launches, including pre-launch planning and access readiness

Deploys launch infrastructure such as coding guidance, billing tools, HUB workflows, and field reimbursement support

Partners with Marketing, HEOR, and Medical Affairs to align value messaging and evidence strategy

Collaborates across Marketing, Sales, Medical, HEOR, Legal, Finance, and Compliance to support brand and lifecycle strategy

Serves as internal SME on reimbursement, payer policy, and market access trends

Qualification

Payer strategyReimbursement executionProvider supportField reimbursement leadershipPharmaceutical experienceOncology reimbursement modelsMarket access trendsStakeholder managementLeadership skillsCommunication skills

Required

Bachelor's degree required

Minimum 10 years of pharmaceutical or biotechnology industry experience, with significant focus on specialty, rare disease, and/or oncology products

Demonstrated experience leading payer strategy, reimbursement execution, and provider support across commercial and government channels

Proven success supporting new product launches, including team build-out and access infrastructure

Strong understanding of payer dynamics, Medicare Parts B and D, Managed Medicaid, MAC processes, ASP pricing, NTAP, and oncology reimbursement models

Experience leading and developing field-based reimbursement or market access teams

Excellent leadership, communication, and stakeholder management skills

Ability to travel up to 50%

Preferred

Master's degree preferred

Benefits

Remote Working

Vacation, Personal and Sick time

15 Paid Company Holidays

Medical, Dental, Vision and other Voluntary benefits

Paid Parental Leave

Tuition Assistance

Discretionary Bonus Plan

Competitive 401(k), $1 for $1 up to 6% of pay. The safe harbour match is vested immediately. In addition, SERB also offers a discretionary match of up to 4% of pay which vests 20% a year for 5 years.