Associate Director, Reimbursement and Access

About Pharming

Pharming Healthcare Inc. is a global biopharmaceutical company dedicated to transforming the lives of patients with rare, debilitating, and life‑threatening diseases. We are developing and commercializing a portfolio of innovative medicines, including small molecules and biologics. Pharming is headquartered in Leiden, the Netherlands, with a significant proportion of its employees based in the U.S.

Our Vision is to develop a leading global rare disease company with a diverse portfolio and presence in large markets, leveraging proven and efficient clinical development, supply chain, and commercial infrastructure.

Today, more than ever, we’re positioned to realize our vision of becoming a leading global rare disease company. Our success will come from everyone's commitment to our patients, our ability to work with focus and clarity, and our shared dedication to building something meaningful together. We can only achieve this by embracing our biotech culture, Life at Pharming, which is dynamic, experimental, and shaped by what we learn together.

Reporting to the Senior Director - Patient Access & Support Service, the Associate Director, Reimbursement and Access (RAD) will support patient and healthcare providers (HCPs) across sites of care in gaining access for patients to Ruconest. The goal is to ensure that HCPs have the most up to date information when prescribing and working through the approval and logistics processes for Ruconest.

Successful execution will involve the RAD being a regional expert in patient access, reimbursement, prior authorization appeal, obtaining financial assistance, and navigation through any complex access related issues. RADs are regionally split across the U.S., supporting Pharming sales team territories in their assigned regions. This position would be responsible for the Northeast, Ohio Valley and Great Lakes region which includes the following states: IN, MI, IL, MA, NY, RI, NH, ME, VT, CT, PA, MD, WV, KY and OH.

This is an individual contributor role.

• Handling all coverage, reimbursement and access needs across their territories/regions and work directly with their respective Sales Representatives, Hub Case Managers, National Account Directors (NADs) and customers (HCP facing).
• Work directly with Hub vendor to understand payer coverage issues and assist with prior‑authorization (PA) denials and appeals by working with physicians and staff, helping prepare HCPs for Peer‑to‑Peer needs.
• Proactively track patients from submission of enrollment form through to shipment in order to identify potential issues and work to enable timely resolutions.
• Provide training and education to HCPs on payer specific coverage policies and authorization documentation requirements, appeals processes and patient financial assistance support programs.
• Develop and maintain positive working relationships with both internal team members (e.g., Sales Reps, NADs, Case Managers and Clinical Educators) and external stakeholders (e.g., physicians, office staff, Specialty Pharmacy partners).
• Work with HCPs and specialty pharmacy to overcome quantity limits or high dollar overrides.
• Escalate and engage the NAD when payer coverage or payment issues are identified, providing detailed specifics on issues, steps attempted to resolve, and identify key items that need addressing with the payer.
• Communicate issues and status with internal stakeholders and leaders (NADs, RBDs, VP of Sales).
• Communicate opportunities and challenges related to patient access issues to internal stakeholders.
• Work collaboratively to improve access and reimbursement tools and processes.
• Performs other duties as assigned.

• Bachelor's Degree from an accredited university.
• 3+ years' experience as a Field Reimbursement Manager.
• 5+ years cross‑functional experience in the pharmaceutical/biotech industry.
• 2+ Years' experience with prior authorization and multi‑level appeals.

• 3+ years' experience as a Field Reimbursement Manager for a biologic / buy & bill (physician-administered, IM/SC injectable, IV injection, infusion) drug…