Regional Business Director
Company: Sun Pharmaceutical Industries, Inc.
Location: Princeton
Posted on: October 23, 2024
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Job Description:
Regional Business Director of Field Reimbursement -The Region
Business Director of Field Reimbursement is a field based
leadership role supporting the market access strategy for the Sun
family of products across the branded business units. -This role
provides leadership related to health policy, reimbursement,
patient access and coverage within an assigned geography managing a
team of approximately 7 Field Reimbursement Managers. The person in
this role will lead their team of Reimbursement managers supporting
primarily the Biologic Dermatology Business Unit, the Specialty
Dermatology Business Unit, and the Oncology Business Unit. - In
this role this individual will serve as a field subject matter
expert on access and reimbursement, coding, coverage, payer
processes, and payer policies. - This individual will have a deep
knowledge of U.S. payer landscape and understand the changes
associated with Health Care Reform as it relates to patient
coverage. -As an expert in patient access and coverage the Region
Business Director will be expected to have extensive knowledge of
local, regional and national payer policies. Their expertise needs
to include strong understanding of government and commercial
payers, the buy and bill process, working with alternate sites of
care, appeals and exceptions processes, CMS coverage determination
updates, HUB support and field operations. This individual will
need to have a strong ability to manage complexity and work in a
dynamic, fast-paced business environment - - Finally, this
individual will be the technical expert coaching their team members
on appropriate coding guidelines, CPT, J-code, and Diagnosis code
utilization while elevating their understanding of the market
access landscape. - The Region Business Director will be critical
in the process to identify, triage, and elevate reimbursement
issues to the appropriate internal and external stakeholders.
-Marketplace Knowledge and AcumenThese individuals will support all
Market Access initiatives within the field such as coding and
coverage, providing approved practice/patient materials, executing
on Access In-Services and Access and Reimbursement Speaker's
programs. -This individual will need exceptional knowledge of
medical benefit, pharmacy benefit, buy and bill products, coding
and coverage as it relates to the products supports for the above
mentioned teams.Furthermore this individual should understand the
critical medical societies, and spheres of influence which are
important to the business needs of the business units they support.
- Staying abreast of key policy changes or updates will be
essential in this role.The RBD will need an exceptional
understanding of Compliance issues as it relates to Market Access
job responsibilities and the ability to provide clear and strong
guidance to a field team as it relates to these Compliance
boundaries. -Prior experience and knowledge of the complexities of
pull through for biologics, oncolytics, injectable, infusible, and
oral therapies is preferred. -Strategy and Direction for Field
Reimbursement Team.This individual will serve as a field leader
within the Market Access function and is responsible for providing
direction and feedback to the Field Reimbursement team members. -
As a Strategic Leader this individual will be required to have
exceptional presentation skills, outstanding oral and written
communication skills, and strong interpersonal skills. This
position will help the members of their team create local strategic
plans outlining access opportunities and devise the tactics and
strategies to pull through all appropriate initiatives.This
position will support the National Lead when providing direction to
the Field Reimbursement team. - As a RBD this business lead will
need to be the example of collaboration encouraging routine
communication and partnership with other internal stakeholders. -
These critical business partners include: - Strategic Market
Directors, National Account Directors, Territory Managers, Region
Sales Managers, Corporate Account Directors, and National Sales
Directors. -A major portion of this role will be spent in the field
coaching and supporting the Field Reimbursement team. - This lead
role will be responsible to conduct routine field visits, quarterly
business reviews, attend Access programs, and assist in the
strategic pull through of key business initiatives. - Each Region
Business Lead will have approximately 7 direct reports for whom
they will be responsible to ensure local execution of all strategic
initiatives. - -Key Support for Internal Business Partners The RBD
position will work directly with the newly formed Corporate Account
Director team to identify, engage, and support those accounts that
present large opportunities for the organization. - The RBD will be
expected to be the subject matter lead with patient access, coding,
coverage, billing and reimbursement in these Corporate Accounts. -
These individuals will provide appropriate support to the Corporate
Account Director as they prepare resources to strategically support
patient access in these priority accounts. Understanding the local
market dynamics, payer restrictions and guidance, as well as
intimately understanding payer processes is essential.As stated
above Extensive knowledge of the National payers, Regional Payers,
and Local payer issues. This individual will be expected to work
cross functionally with all members of the field teams. - - Strong
collaboration across internal teams with Regional Sales Managers,
Corporate Account Directors, Strategic Market Directors, National
Account Directors, and Territory Managers. - -This position will be
critical in collecting field intelligence for internal business
partners to assess the market access environment. - -HUB interface
and management.This RBD position will working closely with the Sun
Access HUB pulling reports and analyzing issues, trends and
opportunities for the team/ organization. - A strong business
mindset will be essential when working with these reports to
mobilize local, regional and national response to access issues.
-This individual is encouraged to identify pathways or processes
that will assist in efficiency and the transfer of data. - This
position will not only be a conduit to the field delivering
insights and opportunities, but this role will play an essential
role in identifying process improvements with our HUB Support team.
-Working with Payer Marketing The RBD position will work closely
with Payer Marketing to identify resources and tools which may be
helpful or essential for their accounts in supporting patient
access. - This team will provide the necessary information,
documentation and insights to support the Payer Marketing team in
their build, creation and execution of brand strategy. - -
-Interface with TrainingFinally this team will work closely with
the Market Access Training lead to advise on appropriate content,
context and resources for the field. - The RBD will be responsible
to assist the Training team in their efforts of Training new hires
on critical business content. - -Education:A minimum of a
Bachelor's Degree is required. A Master's Degree is preferred but
not required. -Experience: - - -
Keywords: Sun Pharmaceutical Industries, Inc., Passaic , Regional Business Director, Executive , Princeton, New Jersey
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