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Field Reimbursement Director
Osteal TherapeuticsHead of Field Reimbursement role supporting the launch of an FDA Breakthrough Therapy in a biotech firm. Manage reimbursement strategies while collaborating with sales and hospitals.
About the role
Key responsibilities & impact- The Head of Field Reimbursement is an exciting opportunity to make a meaningful impact for patients. This is a remote, field-based role. This role will report into the Senior Director of Market Access and HEOR. The FRM will support the launch of an upcoming drug, exclusively in the inpatient setting, for use during surgical procedures. They will work in collaboration with the sales and market access teams to provide full support to hospitals. Unlike buy-and-bill outpatient drugs, inpatient drugs are bundled into a DRG payment, often not separately reimbursed, and can be financially risky for hospitals.
- The FRM will play a critical role in communicating the financial story to hospitals with a budget impact model and understanding of the standard of care reimbursement dynamics. This role will educate on MS-DRG, NTAP, and outlier payments. They will also support proper coding of ICD-10-PCS procedure codes, accurate diagnosis capture, and proper documentation. Inservice support providing hospital education and managing objections will be imperative.
- This is a strategic leadership role and will be responsible to build out and hire a team of Field Reimbursement Managers over the next 6 months. Financial acumen and soft skills to ensure an open and ongoing relationship with hospitals is imperative. Operating within a fast-paced, pre-commercial environment, this individual will partner cross-functionally to align strategy and execution, while proactively navigating reimbursement, policy, and health system dynamics to optimize patient access and account performance.
Requirements
What you’ll need- Bachelor's Degree required
- 8+ years’ experience within the Pharmaceutical/biotech industry in a role related to either sales or access
- Experience working in reimbursement is required
- Experience in hospital reimbursement / DRGs is required
- Comprehensive understanding of the full reimbursement continuum; coding, coverage, and payment across inpatient and outpatient settings and all major payer segments.
- Ability to own and build critical relationships with office staff and partner to provide support, as needed
- Strong financial and business acumen, with the ability to analyze total cost of care, evaluate economic impact, and translate insights into actionable account strategies.
- Some customers may have certain credentialing requirements that apply to field roles to gain access to preform the essential functions of the position. In these cases, credentialing requirements must be met (which may include vaccinations such as COVID-19).
- Executive presence and a history of interfacing with high level health system executives.
- Ability to manage multiple priorities and thrive in a fast-paced, evolving organization.
Benefits
Comp & perks- 100% of Health Insurance paid by OstealTx for Employee & Dependents
- Dental & Vision Insurance
- Short & Long Term Disability Insurance paid 100% by OstealTx
- 401k (Regular & Roth)
- Holiday Pay & PTO
- Competitive compensation: Base ($220,000 - $250,000) + Bonus + Equity
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
reimbursementhospital reimbursementDRGsICD-10-PCS codingbudget impact modelfinancial analysiseconomic impact evaluationaccount strategiescodingcoverage
Soft Skills
financial acumenrelationship buildingcommunicationstrategic leadershipcross-functional collaborationproblem-solvingadaptabilityexecutive presenceteam managementprioritization