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Vertex Pharmaceuticals · 3 weeks ago

Director, Field Reimbursement (West)

United States

Full-time

Remote

Director/Executive

$192K/yr - $288K/yr

10+ years exp

Vertex Pharmaceuticals is currently building a field reimbursement team to support their journey in advancing therapies for serious kidney diseases. They are seeking an Area Leader of Field Reimbursement to lead a team, develop strategies for patient access, and ensure compliance with regulatory standards.

BiotechnologyHealthcareMedical DevicePharmaceuticalHealth CareHealth DiagnosticsMedical

Growth Opportunities

No H1B

Responsibilities

Lead and manage FRMs, providing strategic direction, coaching, and performance feedback

Conduct team meetings and facilitate best practice sharing to ensure team consistency, nurture collaboration, and drive continuous improvement

Participate in the recruitment, development, and retention of top talent, and travel within the assigned region to support team members, attend field calls, and engage with healthcare providers

Develop and manage budgets, travel, and team operations in compliance with company policies

Develop and execute regional field reimbursement strategies aligned with organizational goals and patient services objectives

Monitor and analyze regional and national trends in access, reimbursement, and patient support to proactively address barriers and develop long-term solutions

Develop and utilize data-driven, access-related insights to inform decision making

Serve as a key point of contact for escalated issues related to patient access and reimbursement, working collaboratively with FRMs, market access, and patient support to resolve challenges

Enhance the patient experience via feedback, business insights, and continuous coaching of FRMs

Develop strategies for FRM engagement that adapt to existing office workflows and avoid introducing complexity or inefficiencies

Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications

Partner with external vendors and internal teams to ensure seamless patient access and support services, including the development of SOPs, training materials, and communication guides

Ensure compliance with company policies, industry regulations, and patient privacy guidelines, including HIPAA

Establish and track key performance indicators and performance metrics for the FRM team to ensure accountability and success

Work closely with appropriate cross-functional partners to facilitate development of approved external communications regarding Patent Support Program information and updates

Develop strong working relationships with internal case management and specialty pharmacy teams to compliantly coordinate support for patients

Embody a culture of compliant cross-functional collaboration, serving as a business partner to internal Vertex stakeholders

Qualification

Field Reimbursement ManagementMarket AccessPatient ServicesPharmaceutical/Biotech Industry KnowledgeSpecialty/Rare Disease ProductsPayer LandscapesReimbursement ProcessesRegulatory ComplianceHIPAAStrategic PlanningOperational EfficiencyPerformance MetricsCase ManagementSalesLaunch Experience

Required

Bachelor's degree in a relevant field

Minimum of 10 years' experience in market access, patient services, sales, or field reimbursement within the pharmaceutical or biotech industry

At least 5 years of experience leading a specialty/rare disease field reimbursement or patient access team

Proven experience in building and scaling case management, sales, access, or field reimbursement teams

Launch experience for specialty products

In-depth knowledge of payer landscapes, reimbursement processes, and specialty/rare disease products

Strong understanding of regulatory and compliance requirements, including HIPAA and patient privacy guidelines

Demonstrated ability to develop and execute strategic plans, operational efficiencies, and performance metrics

Excellent communication, leadership, and collaboration skills

Willingness to travel extensively within the assigned region (50-70%)

Preferred

Advanced degree (MBA, MPH, MHA)

Benefits

Eligible for an annual bonus

Annual equity awards

Overtime pay, in accordance with federal and state requirements

Inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations

Medical, dental and vision benefits

Generous paid time off (including a week-long company shutdown in the Summer and the Winter)

Educational assistance programs including student loan repayment

A generous commuting subsidy

Matching charitable donations

401(k)