Now Hiring - Senior Director, Market Access & Reimbursement in Parsippany, NJ

Pacira BioSciences, Inc. is a leading provider of non-opioid pain management and regenerative health solutions dedicated to improving outcomes for health care practitioners and their patients.

Each of our 3 marketed products, both in pharmaceutical and medical device, represent cutting edge technologies for pain management.

We have 700+ employees and have averaged double digit growth year over year for the past 5 years, with $500M in revenue. We are small enough for you to make your mark, and big enough for you to learn and grow!

We have facilities in New Jersey, California and Florida, Our San Diego, CA campus is a world class manufacturing and R&D facility. We are rapidly growing and have opportunities across all our sites and functional areas.

Why work with us?

Rarely do you have an opportunity to do work that really matters. What drives us is our mission. What makes us successful are our people. At Pacira, you are part of an inclusive culture that fosters collaboration, growth, and innovative thinking – a place where you can make an impact and help change the standard of care in non-opioid pain management. Be part of our movement, let’s pursue excellence together.

Essential Duties & Responsibilities:

The Senior Director, Market Access and Reimbursement oversees the Market Access field team. This role is responsible for representing Pacira, and the value of its products to various types of Payers and Employers. Working with the Market Access field team to increase product reimbursement and coverage by removing “roadblocks” is the primary focus. This person will work with the Senior Director of National and Regional accounts with targeted payers including but not limited to commercial payers, workers’ compensation programs and State and Federal governments. Understanding quality and pay for performance metrics associated with them, building relationships and finding collaboration opportunities is essential to advance Pacira products and initiatives.

This position will represent Pacira's interests to build and manage relationships with high level influencers with National and regional & government payers as well as their networks, including ACOs, ASC Chains, HOPD’s and targeted Consulting Groups. This person will also support their team to be the internal expert advising, teaching, coaching and building support material for internal groups and customers on matters of coding, coverage, billing and reimbursement.

Job Responsibilities:

• Hire, Train & Coach a national team of account directors responsible for creating and pulling through access for the products that Pacira represents.
• Remove obstacles with respect to Coding, Coverage and Reimbursement that prevent patient access to Pacira products.
• Identify and implement opportunities to collaborate with Senior Director National and Regional Payers and other members of the market access leadership team.
• Work with various associations such as ASCA, AMCP, NAHPC, third party consultants and other payer and provider networks to find opportunities to educate the payer community about the value of Pacira products. Clearly deliver the products value message, understand the current reimbursement methodology and recommend changes needed to obtain unrestricted access for patients.
• Attend various conferences.
• Work closely with internal partners on pull-through opportunities with Payer customers on messaging and resources required to maximize patient access.
• Be the internal “go-to” resource for reimbursement questions from field and HQ.
• Continuously maintain a compliant environment.

Interaction:

This position will work closely with internal departments, such as, Marketing, Field Sales, Strategic Accounts, Medical Affairs, and with external consultants.

Supervisory Responsibilities:

Market Access Director Team

Qualifications:

• Current and relevant working relationships with executive level decision makers at payers, Associations and Coalitions
• An entrepreneurial mindset.
• Demonstrated understanding of CMS, Commercial payment models and trends.
• An in-depth understanding of the payer’s process & medical policy (not just pharmaceuticals) that has resulted in successfully improving market access.
• Understanding medical billing, coding, appeals, denials and single case rates
• Demonstrated ability to partner, communicate, and accomplish goals across the organization without direct reporting structure.
• Proven ability to think strategically and succeed with limited structure and direction.
• Proven problem-solving, analytic and negotiation skills with high value contracts and partnerships.
• Excellent written and verbal English communication skills including presentation skills to groups of all sizes at executive levels.
• Valid driver’s license in the state in which you reside.
• Easy commute to NJ or FL office

Education and Experience:

• Bachelor’s degree from an accredited college or university in Health Policy, Finance, Business Marketing, or other related fields.
• Minimum of 20 years related experience in the healthcare industry. Sales management a plus.
• Minimum of 15 years of relevant experience particularly managing national and regional payer and/or employer corporate relationships.
• Minimum of 10 years of relevant experience with KOL development and advocacy
• Experience with Direct Reports
• Ability to travel 70% plus

Physical Demands:

While performing the duties of this job, the employee is regularly required to sit, talk, move between spaces, reach with hands and arms, and stoop. Close vision and the need to focus on computer screen, use of hands, fingers and wrist to type on keyboard and manipulate mouse.

The base pay range for this role in CA, CT, RI, WA, OH, CO, MD, NV, NY is $190,400 per year to $261,800 per year.

The range is what we reasonably expect to pay for this role. The range considers, a wide range of factors that are considered in making compensation decisions, including but not limited to: geographic markets, business or organizational needs, skill sets, experience, training, licensure, and certifications.

Only For Washington State:

Hired applicant will be eligible to purchase company stock through our employee stock purchase plan, participate in an annual bonus or incentive program based on the job.

Hired applicants and their eligible dependents will be eligible to enroll in coverage for medical/dental/vision/basic life insurance/other voluntary insurance plans and participate in our Company’s 401k plan with discretionary Company match. In addition, hired applicant will be eligible for paid parental leave benefit, bereavement, jury duty, and paid holidays throughout the calendar year.

Hired applicant will also accrue 4.6154 hours of PTO per pay period basis and up to 24 hours of paid sick time in a calendar year.

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