Senior Director, Patient Access & Fulfillment

Position Summary

The Senior Director, Patient Access and Fulfillment (A&F) is responsible for collaborating with the BU Heads in developing and leading a high functioning team to ensure appropriate access and access solutions for patients and providers.

This position is responsible for strategy, design, and implementation of Patient A&F programs across the Otsuka portfolio. This includes effectively defining and communicating the patient support services strategy in how it best supports access and appropriate adherence; furthermore, would include development and execution of an intelligent patient support services tactical launch plan. This role will also be responsible for leading a team of direct reports and program and vendor management for all, adherence, and field reimbursement services. To be effective in the role, the candidate must be able to influence and manage various and complex expectations, identify opportunities that support patient access, and solve problems/challenges that surface across a continuum of requirements.

This position reports to Vice President, Market Access and Channel Strategy and is eligible to work in a hybrid or remote arrangement with travel to our headquarters in Princeton, New Jersey as required by business needs.

Job Description

Key responsibilities of this role include, but are not limited to:

• Lead the strategy development, design, and implementation of programs that support patient access and fulfillment operations for Otsuka’s portfolio in line with priorities.
• Monitor and manage vendor operations for program effectiveness, drive continuous process improvements, perform regular budget analyses and cost management activities – ensuring contractual requirements are met and financial implications are communicated at appropriate levels and across key functions.
• Establish measurable performance parameters, monitor performance and ensure execution against expectations.
• Coordinate with brand management, functional and executive leadership and other key internal stakeholders including but not limited to legal, compliance, privacy, trade, and Market Access leads in designing and delivering support of patient access and fulfillment to Otsuka products.
• Develop and nurture strong relationships across the Otsuka organization, with vendors and Customers where appropriate – supporting the Otsuka culture vision and goals.
• Assist with the development of performance tracking system and other tools to track engagement and performance metrics.
• Perform data reporting requirements with commercial analytics to assess performance of programs supporting patient access and fulfillment performance.
• Prepare and conduct quarterly business reviews with vendor partners, ensuring inclusion and transparency across internal matrix partners as appropriate.
• Budget and vendor management to ensure timely and fiscally responsible project execution.
• Maintain deep market access and health care policy expertise, anticipating implications to patient access across therapeutic areas.

Qualifications

• 15+ years of bio/pharmaceutical experience required with a key understanding of current US pharmaceutical patient support service models.
• 8+ years of US management experience (Patient Support Services, Payer Marketing, Retail and/or Specialty Pharmacy).
• 5+ years of experience in claim reimbursement, patient access navigation through HUB service platforms including navigation of coverage, coding, billing and payment aspects of the pharmaceutical value chain.
• Understanding of Payer medical and product acquisition policies that impact patient access to medicine, including dispensing across variable pharmacy models and office settings.
• Experience with new product and/or indication launches required.
• Ability to lead strategy development, design, vendor selection, and implementation phases for end-to-end patient support services partnership.
• Demonstrated experience leading the coordination with HUB, co-pay, and other patient access service providers.
• Experience with Commercial Brand Planning process, able to translate brand disease state and business drivers into patient support programs and operational requirements.
• In depth understanding of the pharmaceutical manufacturer compliance environment, including areas such as patient confidentiality regulations (HIPAA, PHI protection laws), product reimbursement and product access processes and guardrails and other relevant areas of guidance that ensure appropriate support of patient access to medicine.
• Knowledge and understanding of the Government and Private Payer channels of coverage (i.e. Medicare Part A-D, Medicaid, PBM, Health Plan) including the unique dynamics of reimbursement processes, health system protocols, and other relevant areas of coverage and payment. 
• Demonstrated skills in business planning and patient support services strategy with strong problem-solving skills.
• Demonstrated negotiation skills and financial acumen required to manage complex contractual agreements.
• Demonstrated ability to analyze data to drive decision-making and produce effective functional reports that translate data into insights.
• Strong verbal and written communication skills with the ability to align with others towards optimal goals, deliverables and outcomes.
• Strong leadership and teamwork skills with demonstrated ability to work cross functionally to gain alignment and improve business performance.
• Candidates must be flexible, possess positive mindsets, work with a high sense of urgency, and excel at collaboration with peers.
• Ability to travel as required for conferences, customer engagements and internal meetings (20-30%).

Education 

• Bachelor's Degree required; degree in health sciences or business/marketing preferred.
• MBA or other advanced degree preferred.

Competencies
Accountability for Results - Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.
Strategic Thinking & Problem Solving - Make decisions considering the long-term impact to customers, patients, employees, and the business.
Patient & Customer Centricity - Maintain an ongoing focus on the needs of our customers and/or key stakeholders.
Impactful Communication - Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.
Respectful Collaboration - Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals.
Empowered Development - Play an active role in professional development as a business imperative.

Minimum $225,490.00 - Maximum $337,180.00, plus incentive opportunity: The range shown represents a typical pay range or starting salary for candidates hired to perform the work. Other elements may be used to determine actual salary such as the candidate’s job experience, specific skills, and comparison to internal incumbents currently in role. This information is provided to applicants in accordance with states and local laws.

Company benefits: comprehensive medical, dental, vision and prescription drug coverage, company provided Basic Life, AD&D, Short-term and Long-term Disability insurance, tuition reimbursement, a 401(k) match, PTO allotment each calendar year, paid holidays, and paid leave programs as well as other company provided benefits.

Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka.

Disclaimer:  

This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. 

 

Otsuka is an equal opportunity employer.  All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic.   

 

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability.  You can request reasonable accommodations by contacting Accommodation Request. 

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At Otsuka we take security and protection of your personal information very seriously. Please be aware individuals may approach you and falsely present themselves as our employees or representatives.  They may use this false pretense to try to gain access to your personal information or acquire money from you by offering fictitious employment opportunities purportedly on our behalf.

Please understand, Otsuka will never ask for financial information of any kind or for payment of money during the job application process. We do not require any financial, credit card or bank account information and/or any payment of any kind to be considered for employment. We will also not offer you money to buy equipment, software, or for any other purpose during the job application process. If you are being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive such an offer of employment.

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Otsuka America Pharmaceutical Inc., Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health, Inc. (“Otsuka”) does not accept unsolicited assistance from search firms for employment opportunities.  All CVs/resumes submitted by search firms to any Otsuka employee directly or through Otsuka’s application portal without a valid written search agreement in place for the position will be considered Otsuka’s sole property.  No fee will be paid if a candidate is hired by Otsuka as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. 

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