ED, Access and Reimbursement

Compensation Data

The base salary range for this position is $250,000 to $394,000.   The position may be eligible for a role specific discretionary bonus, relocation, and/or other compensation elements.  We continuously review market data and may adjust salary ranges as needed in the future.  Actual compensation will be based on job-related factors such as skills, experience, and qualifications, and other factors permitted by law. For an overview of our benefits please click here.

Description

Lead the development and implementation of access and reimbursement strategies and tactics to ensure optimal access to and coverage for BI´s emerging portfolio of specialty products and services for patients, providers, and payers. This team works at the local level to identify and resolve reimbursement and access challenges through various actions.  This position is remote.

As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies' success. We realize that our strength and competitive advantage lie with our people. We support our employees in a number of ways to foster a healthy working environment, meaningful work, mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim's high regard for our employees.

Duties & Responsibilities

• Develop, maintain, and effectively communicate a thorough understanding of the complex and rapidly evolving factors influencing reimbursement/patient access to products in the US specialty market (including personalized medicine/molecular diagnostics, reimbursement trends, payer concerns, provider business issues, dispensing physicians, 340B hospitals, accountable care organizations, pathway initiatives, patient co-pay and coinsurance concerns, compedia policies/guidelines, and private and public policy issues) to lead development of reimbursement and access strategies for BI specialty products.
• Collaborate with colleagues in other groups in Market Access, Marketing, Sales, HEOR, MAPOR, Analytics & Insights, CDMA, DRA, Patient Advocacy/Professional Relations, Government Affairs/Policy and plans and gain appropriate approvals for implementation.
• Hire, train, and develop staff (3 direct reports: Director Reimbursement Access, 2-3 Director, Area Reimbursement, and 20 Area Reimbursement Managers) necessary for optimal access and reimbursement at launch and throughout product life cycles. Work with Payor Sales, HEOR, FBM, Trade, Specialty Sales, and Specialty Strategic Accounts colleagues to coordinate activities of Specialty Area Reimbursement Managers with other customer facing BI teams to optimally meet the needs of payers, providers, patients and other stakeholders to insure appropriate access to BI specialty products. Manage department budget and contribute to achievement of specialty LTF goals.
• Co-lead the development with marketing teams and lead the implementation of BI´s ´best in class´ Specialty Access and Reimbursement Plan, including reimbursement hot line, patient assistance program (PAP), co-pay assistance program, patient support/AE management program. Monitor and benchmark services and performance to maintain quality and competitive advantage.
• Support maintaining of productive relationships with relevant specialty external stakeholders, including the Association of Community Cancer Centers (ACCC), the American Society of Clinical Oncology (ASCO), the Community Oncology Alliance (COA), the National Comprehensive Cancer Network (NCCN), as well as various specialty pharmacies, group purchasing organizations, pathways companies, payers and other stakeholders necessary to understand customer needs, anticipate shifts in market conditions, and help to shape the debate in emerging specialty polity issues.
• Effectively support contracts with specialty pharmacy/distribution partners to ensure that drive desired performance
• Availability of data necessary to fine-tune targeting strategy and field force incentive compensation
• Maximize access to BI specialty products for the patients who need them
• Allow for a competitive advantage for BI through positively influencing perceptions of specialty stakeholders.
• Contribute to the overall strategy, direction, and culture of the specialty franchise at BI through role and senior members of leadership team. Provide timely and relevant input regarding complex reimbursement issues to help prioritize and shape future specialty development programs through active participation in the specialty Therapeutic Area Strategy Team (TAST) as appropriate.

Requirements

• Bachelor´s degree from an accredited institution required, MBA from an accredited institution in Science (biology, chemistry healthcare (MD, Nursing) and/or Marketing, Finance)and/or MD, PhD helpful, but not required.
• At least fifteen (15) years of pharmaceutical experience and at least ten plus (10+) years in market access and/or specialty channel experience.
• At least five plus (5+) years of leadership experience
• Analytical skills, communication skills, learning and adaptability, leadership skills (both leading team and playing leadership role in specialty franchise), influencing skills (working across internal stakeholders in Ridgefield and Ingelheim, as well as external stakeholders in the specialty and payer community.
• Facility and experience interpreting clinical and health economic/outcomes research data.
• Broad functional experiences in the US specialty market (particularly sales/sales management and/or marketing, pricing/reimbursement and/or account management and/or managed markets, distribution/specialty pharmacy and/or policy/government relations and/or patient advocacy/professional relations).
• Plays a diverse and complex role
• Subject matter expert on understanding complex economic implications of reimbursement strategies on wide and varied stakeholders (patient co-pays/out-of-pocket, provider economics, network implications and specialty pharmacy impact, etc.)
• Works collaboratively with a wide range of internal and external stakeholders to develop, recommend, gain approval and implement of access, reimbursement, and patient support strategies and tactics
• Hires, trains, develops and leads three (3) direct reports plus team of customer facing Area Reimbursement Managers while clarifying roles and coordinating activities with other customer facing teams
• Plays leadership role in shaping direction and culture of specialty franchise as well as the primary care franchise (where appropriate) at BI.

Desired Skills, Experience and Abilities

• Clinical experience (nurse/nurse educator, pharmacist, clinical monitor/MSL, etc.) not required but helpful. Experience with oral targeted therapies strongly preferred; lung cancer market experience helpful but not required.