Associate Director - Field Reimbursement

Job Summary

The Associate Director, Field Reimbursement will serve as a subject-matter expert in reimbursement, payer access, and coverage policy. The role serves as a strategic liaison between HCPs, payers, internal stakeholders, and external partners to ensure seamless patient access to Liquidia’s products.

Job Responsibilities

• Improve referral to ship rates and turnaround times (TAT) by identifying and implementing changes that improve program performance.
• Improve adherence and persistency rates by identifying and implementing changes that improve program performance.
• Collaborate with sales/marketing teams, serving as the reimbursement expert.
• Act with a sense of urgency to address critical issues with referral pull through (such as missing referral information, unresponsive, authorization delays, etc.). 
• Establish relationships with key accounts through in-person and virtual meetings. 
• Educate HCPs on the prescription enrollment journey, Liquidia Access Programs, insurance coverage landscape, prior authorization guidelines, clinical criteria requirements, and insights into the medical necessity and appeals process. 
• Triage between urgent and non-urgent workflows. 
• Ensure timely follow-up with accounts on all open items. 
• Assist with implementing training programs for sales and marketing to ensure a firm grasp of Liquidia Access Programs, insurance coverage landscape, specialty pharmacy process flows, coverage criteria/reimbursement for Liquidia products.
• Monitor and analyze data to monitor product coverage and referral, pull through issues, and referral trends.
• Escalate issues impacting product access and program performance. 
• Remain current on insurance coverage, reimbursement, and clinical policies to provide timely and relevant information to accounts.
• Leverage company communication portals to ensure timely referral pull through updates with multiple stakeholders.
• Analyze and monitor pending referral cases with relevant stakeholders.
• Monitor and diagnose drivers for adherence and persistence trends. 
• Collaborate with internal stakeholders on Market Access needs.
• Maintain compliance with all company policies and procedures.

Job Requirements

Education and Experience:

• Bachelor’s degree required.
• Knowledge of reimbursement principles including pharmacy benefit design, prior authorization, and appeals processes.
• 5+ years of field reimbursement or sales in the rare disease space, patient access, prior authorizations, or specialty pharmacy or other relevant experience.
• Experience working with Specialty pharmacies and/or HUBs.

Knowledge, Skills, and Capabilities:

• Patient-centric mindset and team player mindset. 
• Strong analytical/problem solving skills.
• Exceptional verbal and written communication abilities, with proven presentation and training skills.
• Highly organized, self-directed, and capable of operating independently with strong multitasking capabilities.
• Proficiency with Microsoft Office (Outlook, Word, Excel, PowerPoint) and Customer Relationship Management (CRM) systems.
• Ability to travel up to 50%

Preferred Qualifications:

• Experience in pulmonary hypertension disease state.
• PACS (Prior Authorization Certification Specialist).
• Ability to navigate complex business circumstances.
• Ability to collaborate cross-functionally with internal/external customers.

Job Benefits

Liquidia offers a competitive compensation package as well as a comprehensive benefits package that includes Medical, Dental, Vision, STD, LTD, 401(k) Savings Retirement Plan, ESPP, and more!
 
Liquidia is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions of this position.
 
Recruiting Agencies, Please Note:
Liquidia will not accept unsolicited assistance from recruiting/search agencies for this employment opportunity. Please, no phone calls or emails. All resumes submitted by recruiting or search agencies to any employee at Liquidia via email, the Internet or in any form and/or method without a valid written search/recruitment agreement in place for this position will be deemed the sole property of Liquidia. No fee will be paid in the event the candidate is hired by Liquidia as a result of the referral or through other means.