ARD (Access & Reimbursement Director) - Northeast
BridgeBio
4 months ago
Remote friendly (United States)
United States
Market Access
What You’ll Do
- Execute the launch strategy across a rare disease portfolio by integrating provider-facing reimbursement strategy with patient access and support coordination.
- Serve as a regional expert in navigating complex reimbursement pathways and providing compliant education/coordination related to patient access and support programs.
- Partner with healthcare providers, consented patients and care partners, specialty pharmacies, and internal stakeholders to support patient understanding of reimbursement, affordability, and access processes.
- Report into Market Access / Patient Services leadership; collaborate with Medical, Compliance, Legal, Commercial, Sales, and Patient Services.
Responsibilities
- Reimbursement & Access Strategy (Provider-Facing)
- Serve as a regional subject matter expert on reimbursement and access for BridgeBio therapies.
- Educate provider offices on reimbursement processes (benefits investigation, prior authorization, appeals, coverage pathways).
- Identify and compliantly address access barriers in commercial and government payer environments.
- Support integration of access processes into provider office workflows.
- Provide compliant education on patient support programs and services.
- Share payer policy trends and field insights with Market Access leadership.
- Patient Support & Access Coordination
- Provide access and affordability education to consented patients and care partners in alignment with compliance/privacy.
- Support understanding of reimbursement processes and available patient support resources.
- Coordinate among hubs, specialty pharmacies, prescriber offices, and support programs to facilitate continuity of access.
- Identify and escalate access-related challenges impacting the patient journey.
- Support onboarding and ongoing engagement of consented patients in patient support programs per program rules.
- Cross-Functional Leadership & Insight Generation
- Act as a senior field partner to Market Access, Patient Services, Compliance, Legal, Medical, Commercial, and Sales.
- Provide compliant, de-identified field insights on access trends, barriers, and process gaps.
- Develop/refine access strategies, tools, and field materials.
- Participate in cross-functional initiatives to improve patient access pathways.
- Mentor and serve as a resource to field access colleagues (as appropriate).
- Compliance & Ethical Standards
- Operate in adherence to company policies and applicable laws/regulations (including HIPAA and OIG guidance).
- Ensure patient-facing support in a hybrid setting remains compliant, non-promotional, and within scope.
- Handle protected health information (PHI) per company policy.
Where You’ll Work
- U.S.-based field role; greater than 50% domestic travel based on regional needs.
Required Qualifications
- Bachelor’s degree.
- 8+ years of experience in biotech/pharma with significant experience in reimbursement, market access, patient services, or rare disease.
- Deep understanding of U.S. payer systems (commercial and government coverage pathways).
- Experience navigating specialty pharmacy and hub models.
- Strong knowledge of compliance requirements related to patient support and access services.
- Ability to work independently in a field-based, cross-functional environment.
Preferred Qualifications
- MBA, RN, or other advanced clinical/business degree.
- Rare disease experience.
- Experience supporting both provider reimbursement and patient access programs.
- Experience with complex health systems and specialty centers.
- Background in cardiology, neurology, pediatrics, or other specialty therapeutic areas.
- Execute the launch strategy across a rare disease portfolio by integrating provider-facing reimbursement strategy with patient access and support coordination.
- Serve as a regional expert in navigating complex reimbursement pathways and providing compliant education/coordination related to patient access and support programs.
- Partner with healthcare providers, consented patients and care partners, specialty pharmacies, and internal stakeholders to support patient understanding of reimbursement, affordability, and access processes.
- Report into Market Access / Patient Services leadership; collaborate with Medical, Compliance, Legal, Commercial, Sales, and Patient Services.
Responsibilities
- Reimbursement & Access Strategy (Provider-Facing)
- Serve as a regional subject matter expert on reimbursement and access for BridgeBio therapies.
- Educate provider offices on reimbursement processes (benefits investigation, prior authorization, appeals, coverage pathways).
- Identify and compliantly address access barriers in commercial and government payer environments.
- Support integration of access processes into provider office workflows.
- Provide compliant education on patient support programs and services.
- Share payer policy trends and field insights with Market Access leadership.
- Patient Support & Access Coordination
- Provide access and affordability education to consented patients and care partners in alignment with compliance/privacy.
- Support understanding of reimbursement processes and available patient support resources.
- Coordinate among hubs, specialty pharmacies, prescriber offices, and support programs to facilitate continuity of access.
- Identify and escalate access-related challenges impacting the patient journey.
- Support onboarding and ongoing engagement of consented patients in patient support programs per program rules.
- Cross-Functional Leadership & Insight Generation
- Act as a senior field partner to Market Access, Patient Services, Compliance, Legal, Medical, Commercial, and Sales.
- Provide compliant, de-identified field insights on access trends, barriers, and process gaps.
- Develop/refine access strategies, tools, and field materials.
- Participate in cross-functional initiatives to improve patient access pathways.
- Mentor and serve as a resource to field access colleagues (as appropriate).
- Compliance & Ethical Standards
- Operate in adherence to company policies and applicable laws/regulations (including HIPAA and OIG guidance).
- Ensure patient-facing support in a hybrid setting remains compliant, non-promotional, and within scope.
- Handle protected health information (PHI) per company policy.
Where You’ll Work
- U.S.-based field role; greater than 50% domestic travel based on regional needs.
Required Qualifications
- Bachelor’s degree.
- 8+ years of experience in biotech/pharma with significant experience in reimbursement, market access, patient services, or rare disease.
- Deep understanding of U.S. payer systems (commercial and government coverage pathways).
- Experience navigating specialty pharmacy and hub models.
- Strong knowledge of compliance requirements related to patient support and access services.
- Ability to work independently in a field-based, cross-functional environment.
Preferred Qualifications
- MBA, RN, or other advanced clinical/business degree.
- Rare disease experience.
- Experience supporting both provider reimbursement and patient access programs.
- Experience with complex health systems and specialty centers.
- Background in cardiology, neurology, pediatrics, or other specialty therapeutic areas.