Regional Director, Field Reimbursement (South Region)

Position Summary:

Reporting to the National Director of Reimbursement, the Regional Associate Director, Field Reimbursement will lead a team of field reimbursement managers responsible for supporting retina practices with patient access to Apellis' Ophthalmology products. The vision of the team is to be the industry leader in support and education for patient access by anticipating stakeholder needs and providing expertise, connection, and empathy. This individual will use their experience and technical knowledge to help their team in identifying, understanding, and addressing reimbursement challenges that impact patient access to therapy obtained through both "buy and bill" and specialty pharmacy. As a member of the Field Leadership Team, the Associate Director (FRD) will work with cross-functional partners to create and deploy solutions within their region that drive patient access, ensuring team alignment in overall execution of strategy.

Key Responsibilities Include:

• Develop (in conjunction with National Director) and provide clear direction to the Field Reimbursement Managers (FRMs) to ensure their daily activities are aligned with current Apellis strategies and maximize patient access.
• Foster a high-performance and forward-thinking culture in line with Apellis' values that places an emphasis on compassion, collaboration, scientific integrity, resourcefulness, and fearlessness in the face of a challenge.
• Provide quarterly field coaching rides to every FRM with a clearly documented field coaching report to support employee development.
• Monitor FRM key performance indicators and operational data points and utilize them to coach and mentor the team.
• Promote and train to the proper use of Apellis tools, resources, and systems.
• Identify areas of training to continue to elevate individual and team business acumen and competency within access and reimbursement landscape.
• Coach team to have expert knowledge of coverage landscape within each aligned geography and patient support programs and processes.
• Establish and support local market diagnostics related to outlier payers and facilitate approach to ensure access equivalent to FDA label.
• Under the advisement of their manager, FRD will be responsible for leading specific national strategies and tactic development.
• Establish expectations for working in close collaboration with cross functional partners to facilitate ongoing feedback of team in support of shared accounts.
• Maintain strong one team relationships and collaboration by providing regular proactive cross functional communication.
• Develop FRMs into future leaders, facilitating the pursuit of developmental opportunities and by providing ongoing coaching and feedback.
• Provide feedback to Corporate Account Directors, Government Affairs/Public Policy and Account Management teams on engagement strategies and tactics regarding payers, including Medicare Administrative Contractors (MAC's), Medicare Advantage and Commercial Payers.
• Provide insight in the development of marketing tools and resources necessary to support the FRM team discussions with practices to ensure they are educated on Apellis Assist offerings, access levels, and support of practice and patient portals in tangent with external vendors
• In collaboration with Training, iterate on and execute a reimbursement learning & development plan as well as the educational content to build team members knowledge about product-specific coverage, coding and payment dynamics, Apellis support programs and other areas impacting patient and access to Apellis products.
• Ensure compliance with all corporate and industry policies in collaboration with Apellis Legal, Regulatory and Compliance.

Education, Registration & Certification:

• Bachelor's degree required; MBA an advantage.

Experience:

• 12+ years of commercial experience in the pharmaceutical or biotech industry.
• 5+ years of experience in Healthcare Provider Reimbursement, Payer Relations or Account Management.
• 4+ years management experience demonstrating the ability to build and sustain high performing teams.
• Ophthalmology experience strongly preferred.

Skills, Knowledge & Abilities:

• Deep knowledge of "buy and bill", Medicare Part B, medical benefit, and their associated reimbursement pathways. Deep understanding of healthcare ecosystems, reimbursement and account management approach.




• Technical expertise in ICD 10, HCPCS and cpt coding along with payer policy and reimbursement for in office administered products.




• Ability to manage and influence in a highly matrixed environment.
• Experience in developing and directing the implementation of strategic, high-impact business plans.
• Breadth of experience in commercial, marketing, market access, trade, and patient services.
• Exemplary presentation skills. Ability to clearly and succinctly convey ideas to key internal organizational stakeholders as well as specific decision makers in key accounts.
• A self-starter with the ability to prioritize needs, lead and drive results in an ambiguous environment.
• Strategic thinker. Understands the origin and reasoning behind key policies, practices, and procedures, as well as how and when to influence for change.
• Exceptional business acumen. Knows the competition; is aware of how strategies and tactics work in the marketplace.
• Advanced understanding of compliance with OIG & regulatory requirements.
• Ability to drive and lead through change.
• Proven record of leadership and development of people and teams.
• Passion for the patient journey and addressing patient needs.

Travel Requirements:

• Ability to travel up to 70% of the time.

Benefits and Perks:

Apellis offers a comprehensive benefits package, including a 401(k) plan with company match, inclusive family building benefits, flexible time off, summer and winter shutdowns, paid family leave, disability and life insurance, and more! Visit https://apellis.com/careers/benefits/ to learn more.

Company Background:

Apellis Pharmaceuticals, Inc. is a global biopharmaceutical company that combines courageous science and compassion to develop life-changing therapies for some of the most challenging diseases patients face. We ushered in the first new class of complement medicine in 15 years and now have two approved medicines targeting C3. These include the first and only therapy for geographic atrophy, a leading cause of blindness around the world. With nearly a dozen clinical and pre-clinical programs underway, we believe we have only begun to unlock the potential of targeting C3 across many serious diseases.

For more information, please visithttp://apellis.comor follow us onTwitterandLinkedIn

EEO Statement:

Apellis is an equal opportunity employer and complies with all applicable federal, state and local fair employment practices laws. Apellis strictly prohibits and does not tolerate discrimination against employees, applicants or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy), gender (including gender nonconformity and status as a transgender or transsexual individual), age, physical or mental disability, citizenship, past, current or prospective service in the uniformed services, genetic information, marital status, AIDS/HIV status, smoker/nonsmoker, and occupational pneumoconiosis or any other characteristic protected under applicable federal, state or local law.

For San Francisco postings: Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.