Associate Director, Market Access & Reimbursement - Permanent - Seattle, WA
Are you ready to be the strategic force behind market access success? Step into a high-impact leadership role that drives strategy, access, and results.
The Territory you will be overseeing will include: OR, WA, ID, MT, NV
The Associate Director, Market Access & Reimbursement (ADMAR) serves as the primary field-based person for healthcare providers (HCPs) and sites of care, offering education, assistance, and issue resolution regarding patient access and reimbursement. The role requires a strong foundational knowledge of the market access and reimbursement ecosystem, including procurement, payer policies, coverage criteria, benefit design, prior authorizations, appeals, denials, coding (CPT/J-Code/ICD-10), and government/commercial payment guidelines.
Primary Responsibilities:
This individual will also have a comprehensive understanding of site of care regulations, operational readiness, and pricing structures associated with public payers like Medicare and Medicaid. Utilizing strong business acumen and account management capabilities, the ADMAR will support onboarding, assess site readiness, and help optimize operational efficiency to remove access barriers and enable timely patient care.
The role involves close collaboration with cross-functional teams, including Patient Services, Field Education, Payer Access, and Trade/Distribution colleagues. The ADMAR also acts as an internal subject matter expert on access and reimbursement topics.
Skills & Requirements:
- Bachelor's degree required; MBA or relevant graduate degree preferred.
- 10+ years of experience in the biopharmaceutical industry, with at least 5-8 years in a field-based market access or reimbursement role.
- Strong understanding of access and reimbursement processes for rare diseases, neuromuscular disorders, oncology, or other specialty therapeutic areas.
- Experience with hospital finance, claims processing, and/or billing/coding is preferred.
- Familiarity with HIPAA and OIG guidance and compliance requirements.
- Knowledge of buy-and-bill models, specialty pharmacy distribution, and payer approval processes.
- Understanding of infused-biologic therapies and experience in launch settings preferred.
- Excellent communication, problem-solving, and organizational skills.
- Comfortable navigating complex payer environments and reimbursement challenges.
- Strong collaboration skills with the ability to influence cross-functional stakeholders.
- Must possess a valid driver's license in good standing.
- Willingness to travel up to 60% (or up to 80% if residing outside the assigned territory).
The Associate Director, Market Access & Reimbursement's responsibilities will be:
- Act as the field-based expert and point of contact for access and reimbursement support for HCPs and sites of care.
- Provide education and guidance around access pathways, payer requirements, and coding practices.
- Identify and resolve reimbursement obstacles across multiple sites of care (e.g., hospitals, infusion centres, specialty clinics).
- Partner with internal stakeholders to drive site readiness and minimize delays in patient access.
- Support training and implementation of access support services for external providers.
- Monitor changes in reimbursement landscapes and payer policies; share insights with internal teams.
If you are having difficulty in applying or if you have any questions, please contact Jakub Hanas at j.hanas@proclinical.com
If you are interested in applying to this exciting opportunity, then please click 'Apply' or to speak to one of our specialists please request a call back at the top of this page.
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