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Harrow

Sr. Director, Field Reimbursement

RemoteUnited States only
Published
Role
Sales
Experience
Lead
Salary not disclosed
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Open to US only. Set where you work from to check your eligibility.

No BS summary

Senior market access/reimbursement leader with 10+ years in buy-and-bill specialty pharma or biotech and 5+ years leading field reimbursement/access teams. Must know payer policy, coding, billing workflows, claims/appeals, and be able to build a national FRM team across Retina and Surgical franchises. US remote role with up to 75% travel.

Core skills

Field ReimbursementClaims Analysis

Required skills

CPTHCPCSICD-10

What you'll do

  • Build, lead, coach, and scale a national team of FRMs, instilling a hard-charging, customer-first, results-oriented culture
  • Define team structure, territory alignment, KPIs, and performance standards; conduct regular field visits, ride-alongs, and performance reviews
  • Recruit and develop top reimbursement talent; create career pathing and training curricula for the FRM function
  • Foster cross-functional collaboration with Sales, Trade, Marketing, Market Access/Payer Strategy, Legal, and Compliance
  • Set the national strategy for field reimbursement support across the Retina and Surgical buy-and-bill portfolio
  • Ensure customers (physicians, practice administrators, billing/coding staff) have reimbursement confidence through proactive education on coverage policy, coding, billing, and claims submission for Harrow brands
  • Establish and lead a cadence of business reviews with key accounts to assess reimbursement performance, identify barriers to access, and develop corrective action plans
  • Serve as the senior-most escalation point for complex payer, coding, or claims issues in the field
  • Maintain deep, current expertise in payer dynamics (commercial, Medicare, Medicare Advantage, Medicaid) as they relate to buy-and-bill specialty products
  • Provide authoritative guidance on HCPCS/CPT/J-code assignment, ICD-10 coding, modifiers, prior authorization, and appeals specific to Retina and Surgical procedures
  • Ensure all guidance provided by the team is accurate, compliant, and appropriately scoped (education, not billing/coding advice on the customer's behalf)
  • Direct claims analysis to identify reimbursement trends, payer denial patterns, coverage gaps, and access barriers at the account, regional, and national level
  • Translate data insights into targeted field action plans and customer-facing recommendations
  • Partner with Market Access and Trade teams to inform payer strategy, contracting priorities, and policy engagement using field and claims intelligence
  • Own reporting and dashboards that track access metrics, team performance, and franchise-level reimbursement KPIs for executive leadership
  • Ensure all team activities strictly adhere to Harrow's compliance policies, OIG guidance, and applicable state/federal regulations governing field reimbursement support and interactions with healthcare providers
  • Partner with Legal/Compliance on training, materials review, and monitoring of field activities

What they require

  • Bachelor's degree required; advanced degree (MBA, MHA, or related) a plus
  • 10+ years of progressive experience in market access, reimbursement, or trade, including significant experience in buy-and-bill / specialty pharmaceutical or biotech environments
  • 5+ years of people leadership experience, including building and managing field-based reimbursement or access teams
  • Deep, demonstrable expertise in payer policy, medical and pharmacy benefit dynamics, coding (CPT/HCPCS/ICD-10), billing workflows, and claims/appeals processes
  • Preferred: Experience in Retina, Ophthalmology, or Surgical specialty markets strongly preferred
  • Proven ability to conduct and lead claims data analysis to drive business decisions and customer-facing recommendations
  • Track record of setting strategy and driving measurable improvements in patient access and reimbursement outcomes
  • Strong executive presence; experience presenting to and influencing senior internal and external stakeholders
  • Working knowledge of compliance requirements governing reimbursement support programs (PhRMA Code, OIG guidance, anti-kickback considerations)
  • Travel Up to 75%

Harrow (Nasdaq: HROW) is a leading provider of ophthalmic disease management solutions in North America.

Pharmaceuticalsharrowschool.org.uk
Salary not disclosed