Director, Payer and Reimbursement Engagement

Pierre Fabre

  • USA
  • Permanent
  • Full-time
  • 10 days ago
Your missionDirector, Payer and Reimbursement EngagementAt Pierre Fabre Pharmaceuticals Inc. our mission is to deliver breakthrough therapies in oncology and rare diseases to patient populations with high unmet needs and limited treatment options. Our belief is that every time we care for a single person, we make the whole world better. We are the US pharmaceutical subsidiary of Pierre Fabre Laboratories Worldwide, a foundation-owned company with 7 decades of impact. Pierre Fabre Laboratories is a truly global healthcare company, established in 43 countries, with products distributed in 119 territories across the globe. Pierre Fabre's foundation ownership enhances our ability to focus on creating long-term value for patients.Building on the legacy of Pierre Fabre Laboratories, innovation is our life blood and patient experience drives everything we do. We aspire to design and develop therapeutic solutions inspired by patients and healthcare professionals; draw on science and nature as perpetual sources of inspiration; develop long-term partnerships with researchers and innovators worldwide; and place pharmaceutical ethics and climate transition at the heart of our action.Pierre Fabre Pharmaceuticals is headquartered in Parsippany, NJ alongside Pierre Fabre USA Inc., a Pierre Fabre Laboratories subsidiary focused on dermatology and cosmetics.SUMMARY:Pierre Fabre is a large private French multinational pharmaceutical and cosmetics company building a new US oncology division. We are looking for creative, highly motivated individuals to help prepare for the successful launch of potentially the first allogeneic T-cell immunotherapy approved in the US (“Therapy”). Patients with a history of bone marrow or solid organ transplant can suffer from this rare, often deadly lymphoma, which currently has no approved FDA therapies.The Directors of National Accounts and Reimbursement will play a critical role in preparing for launch and facilitating urgent access to the Therapy once approved. In the pre-approval phase, they will work closely with Pierre Fabre’s Cell Therapy Account Leads and Field Medical Directors to support site operational onboarding and readiness leading up to and after the anticipated approval of the Therapy. They will be responsible for pre- and post-approval information exchange with payers to ensure Payers have the appropriate data and information required to enable coverage decisions and provide a pathway to coverage for patients who may be prescribed the Therapy post approval. Critically, they will ensure that providers and payers have timely access to information needed to navigate the preparation for the relevant prior authorization process and single case agreements. Each patient that presents post approval will require an all-hands-on-deck approach. This is an exciting opportunity to be part of an organization that is preparing to launch a new class of advanced therapeutics while making a meaningful impact in the lives of patients with a life-threatening disease.ESSENTIAL FUNCTIONS:
  • Enable payer coverage assessment for the Therapy through pre-approval information exchange and post-approval with national and regional commercial payers
  • Educate payers on the urgent unmet need and provide resources to ensure a pathway to coverage
  • Ensure financial and reimbursement confidence and communicate payer coverage with providers post approval. Educate provider on reimbursement, coverage and coding details relevant for the Therapy post approval.
  • Provide ongoing education of Key Stakeholders within the provider on approval pathway post-certification. Provide best practices to ensure smooth registration and ensure they have the tools and resources necessary to secure appropriate coverage
  • Seek out opportunities for synergy and partnership to achieve both Pierre Fabre and customer goals through active and transparent planning and customer engagement
  • Develop, maintain, and execute pre-launch and post-launch business and account plans; update as needed
  • Proactively communicate payer coverage criteria to relevant field teams
  • Prepare practices as compliant and appropriate to be reimbursement ready before and after anticipated approval
  • Ensure that providers and payers have timely access to information needed to navigate prior authorizations and the negotiation of single-case agreements.
  • Educate sites on applicable coding information
  • Proactively communicate payer coverage criteria to relevant field teams and providers
  • Operate in compliance with all laws, regulations and policies that govern the conduct of Pierre Fabre activities
REQUIRED EDUCATION AND EXPERIENCE:
  • Strong, pre-existing working experience with national and/or regional payers
  • Deep knowledge of and experience with inpatient and outpatient reimbursement methodology and dynamics
  • Facility in working with excel-based models to address customer-specified reimbursement scenarios
  • Strong presentation skills
  • Rare diseases and/or oncology experience is highly desirable
  • Experience with biologics; cell or gene therapy experience is highly desirable
  • Bachelor’s degree required, healthcare degrees or credentials desirable
  • Oncology experience required; experience working in a healthcare practice environment is desirable
  • 10+ years of biotech/pharma required with at least 8 years of direct experience in field reimbursement
  • Scientific curiosity, creativity, and flexibility
  • Ability to thrive in a fast-paced startup environment with high expectations
  • Ability to appropriately access and handle business information in compliance with all applicable laws, regulations and / or Pierre Fabre policies
  • A passion for making a difference in the lives of patients
WORK ENVIRONMENT:
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
LOCATION: US, remoteBenefits of being a Pierre Fabre EmployeeJoin Pierre Fabre for competitive benefits including three medical plans, dental and vision coverage, voluntary benefits, a 401(k) plan, and more! Our offerings also include a hybrid work policy, a generous PTO policy and company holidays, paid parental leave, discounts on our products, learning and development opportunities, and access to mental health and wellness programs, creating a well-rounded work experience for our employees.Pierre FabrePierre Fabre has been recognized by Forbes as one of the "World's Best Employers" for the 3rd year running.Pierre Fabre is an equal employment opportunity employer and does not discriminate against any applicant because of race, creed, color, age, national origin, ancestry, religion, gender, sexual orientation, gender expression and identity, disability, genetic information, veteran status, military status, application for military service or any other class protected by state or federal law.Who you are ?We are convinced that diversity is a source of fulfillment, social balance and complementarity for our employees, which is why our offers are open to all, without restriction.

Pierre Fabre