Director, Field Reimbursement Patient Services

Kyowa Kirin is a fast-growing global specialty pharmaceutical company that applies state-of-the-art biotechnologies to discover and deliver novel medicines in four disease areas: bone and mineral; intractable hematologic; hematology oncology; and rare disease.  A Japan-based company, our goal is to make people smile by delivering breakthroughs where no adequate treatments currently exist, working from drug discovery to product development and commercialization. In North America, we are headquartered in Princeton, NJ, with offices in California, Massachusetts, and Ontario.

Summary of Job

 As a key member of the Patient Services team, the Director, Field Patient Access Solutions is responsible for leading patient services field strategy and teams as well as for the field strategy and operations components of Kyowa Kirin’s Patient Support Programs for all products, focused on reimbursement, patient access, and initiation. This individual will be responsible for ensuring that all program operations are in line with relevant laws, regulations, and Company Policies including HIPAA and Patient Privacy guidelines. Overseeing the day-to-day operations of the Patient Services’ field teams and vendors, this key contributor is expected to ensure an efficient, timely, and compliant patient and customer experience with Kyowa Kirin’s products. This individual will be an expert in Kyowa Kirin’s Patient Support processes and ensure that patients and customers receive the highest level of service. They will ensure the internal and external teams are appropriately helping patients start and stay on prescribed medicines. The Director is required to exemplify strong leadership skills and provide adequate coaching and support to members of the Patient Services Field teams. They will be responsible for the hiring and oversight of the Patient Services field teams, including Field Reimbursement Managers (FRMs), and support the vendor selection process for additional field teams, as necessary. The Director will drive team business objectives and plans, enable field excellence, and empower cross-collaborative relationships. In addition, the Director, Field Patient Access Solutions will be responsible for establishing processes to monitor the performance of Patient Services vendors and partners. They will be expected to support program strategy, policy development, marketing, and technology enhancements acting as a subject matter expert in Patient Services and Reimbursement processes and procedures. Strong working knowledge of industry trends and requirements is necessary. They will work closely with the broader commercial teams to understand patient and customer needs and implement appropriate strategies across partners.

Essential Functions

• Patient Service’s lead and subject matter expert on Kyowa Kirin’s products’ payer landscape; responsible for related Patient Services training, education and resource development.
• Work with internal partners to build strategic patient access and reimbursement account plans that align with franchise, market access, and patient services business objectives provide insights and updates accordingly.
• Proactive anticipation of potential reimbursement issues and address via program strategy, process, or procedure updates
• Collaborate with marketing partners and agencies to develop access-related materials and resources.
• Key contributor expansion of internal Patient Services organization, including policy, technology, and organizational structure development.
• In collaboration with key team members, establish program metrics, key performance indicators, performance measurements, and incentive compensation model.
• Manage day-to-day patient access and support services including internal team member(s), field nurse vendors, other field partners; attend field calls with the team
• regularly to provide support and coaching opportunities.
• Responsible for integration of Patient Services teams and procedures into greater franchise processes and objectives
• Enhance the patient and customer experience via feedback, business insights, benchmarking, auditing, and active team monitoring.
• Participate in LMR (Legal/Medical/Regulatory) review process as Reimbursement and Patient Services subject matter expert
• Monitor and analyze data collection from partners; provide data updates and appropriate information to internal and external stakeholders.
• Executes on business objectives related to Patient Services with operational excellence.
• Develop and maintain all Field Access Solutions Program SOPs, Work Flows, Communication Guides/Templates, Training and Reports.
• Manage external partner and internal team performance against contractual arrangements, SOPs, and KPIs.
• Responsible for performance, development, and satisfaction of internal Patient Services Field Team members.
• Works closely with broader home office and field teams to facilitate seamless communication of Patient Services information and updates.
• Partners with Training team to develop necessary Patient Services training for internal and external teams
• Continuously evaluate platforms, processes, and data and implements improvements as needed.
• Work with internal and external Patient Services partners
• (Hub, PAP, co-pay, SPs, etc.) to ensure seamless patient experience on escalated cases.

Education

• Bachelor degree 

Experience

• 10+ years of experience in Market Access/Patient Services in the biotech/pharmaceutical industry required.
• 4+ years of experience leading a specialty/rare field reimbursement or patient access team is required
• Experience working with Specialty products required. Experience in Rare Disease required.
• Expert knowledge of Field Access Solutions, including field reimbursement managers, nursing support, and patient support program strategy, operational processes, technology, and data.
• Sufficiently experienced in team leadership and vendor management skills; can persuade and influence others; manage conflicts appropriately.
• Detailed understanding of Patient Services regulatory and compliance landscape and requirements.
• Experience in audit circumstances and knowledge of investigative processes.
• Detailed understanding of payer landscape, all product types (retail, specialty, buy-and-bill). Ability to build organization personnel structure.
• Demonstrated ability to effectively recruit, develop and retain top talent.
• Excellent tactical and operational execution skills.
• Product launch experience preferred.
• Proven ability to identify,develop, implement and execute operational efficiencies in process and procedures.
• Strong collaboration skills across internal and external stakeholders to drive brand vision through tactical patient services strategy and process.
• Patient-focused.
• Creative problem solver
• In-depth knowledge and understanding of specialty channel patient-level data.
• Experience with data analysis and evaluation required.
• Proven ability to drive operational growth and meet key standard performance objectives.
• Strong business acumen.
• Fluent understanding of reimbursement process terminology required

Technical Skills

• Proficient in MS Office Suite.

Non-Technical Skills

• Demonstrated ability to organize, prioritize, meet deadlines, make decisions, and change course of action quickly. Strong interpersonal and communication skills. Strong work ethic is required. Detail oriented and excellent follow through. Has the ability to flex and deal with ambiguity in a dynamic, fast-paced, high growth environment. Has a passion for personal learning and development to be able to grow with the company. Cultural sensitivity and ability to develop consensus within a multinational organization

Travel

Requires up to 50% domestic and international travel

KKNA and all of its employees have an obligation to act in accordance with the law and with integrity in all our operations and interactions

It is the policy of Kyowa Kirin North America, Inc. to provide equal employment opportunity to all qualified persons without regard to race, religion, creed, color, pregnancy, sex, age, national origin, disability, genetic trait or predisposition, veteran status, marital status, sexual orientation or affection preference or citizenship status or any other category protected by law.

When you apply to a job on this site, the personal data contained in your application will be collected and stored by Kyowa Kirin, Inc. (“Controller”), which is located at 510 Carnegie Center, Suite 6, Princeton, NJ 08540 USA and can be contacted by emailing kkus.talentacquisition.8h@kyowakirin.com. Controller’s data protection officer can be contacted at usprivacyoffice@kyowakirin.com. Your personal data will be processed for the purposes of managing Controller’s recruitment related activities, which include setting up and conducting interviews and tests for applicants, evaluating and assessing the results thereto, and as is otherwise needed in the recruitment and hiring processes. Such processing is legally permissible under Art. 6(1)(f) of General Data Protection Regulation (EU) 2016/679 (“GDPR”) as necessary for the purposes of the legitimate interests pursued by the Controller, which are the solicitation, evaluation, and selection of applicants for employment. 

Your personal data will be shared with Greenhouse Software, Inc., a cloud services provider located in the United States of America and engaged by Controller to help manage its recruitment and hiring process on Controller’s behalf. Accordingly, if you are located outside of the United States, your personal data will be transferred to the United States once you submit it through this site. The transfer will be made using appropriate additional safeguards under the standard contractual clauses approved by regulators for transfers of personal data outside the European Union.

Your personal data will be retained by Controller as long as Controller determines it is necessary to evaluate your application for employment.  Under the GDPR, if you are located in the European Union, you have the right to request access to your personal data, to request that your personal data be rectified or erased, and to request that processing of your personal data be restricted. You also have the right to data portability, and to lodge a complaint with an EU supervisory authority. If you have any questions about our use of your data, you may contact us by email at usprivacyoffice@kyowakirin.com.

Recruitment & Staffing Agencies

 

Kyowa Kirin does not accept agency resumes unless contacted directly by internal Kyowa Kirin Talent Acquisition. Please do not forward resumes to Kyowa Kirin employees or any other company location; Kyowa Kirin is not responsible for any fees related to unsolicited resumes. 

The anticipated salary for this position will be $220,000 to $250,000.  The actual salary offered for this role at commencement of employment may vary based on several factors including but not limited to relevant experience, skill set, qualifications, education (including applicable licenses and certifications, job-based knowledge, location, and other business and organizational needs.

Kyowa Kirin provides a comprehensive compensation and benefits package which includes:

• Medical, Dental & Vision Insurance, Basic and Voluntary Life and AD&D Insurance, Short- and Long-Term Disability Insurance, Flexible Spending Accounts, and Health Savings Account, Business Travel Insurance, Employee Assistance Programs
• Pet Insurance
• Retirement Savings 401k with company match 
• Well-Being and Work-Life Programs Including Gympass, Nutrition Counseling, , Volunteer Time Off, Flexible Work Arrangements, Parental Leave, Adoption Assistance, and TouchCare Insurance & Billing Support
• Generous Paid Time Off, Sick Time, & Paid Holidays
• Perks and Discounts with Tickets at Work and LifeMart
• Reward & Recognition Programs
• Career Development and Training 

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