Director ​/ Senior Director, Head of Patient Access & Reimbursement

Capricor Therapeutics (NASDAQ: CAPR) is a biotechnology company dedicated to advancing transformative cell and exosome-based therapies for rare diseases. At the forefront of our innovation is Deramiocel (CAP-1002), our lead cell therapy in late-stage development for Duchenne muscular dystrophy. We are also harnessing our proprietary StealthX™ exosome platform to unlock new possibilities in targeted delivery and vaccinology. Every program reflects our commitment to pushing the boundaries of science and delivering life-changing treatments to patients and families who need them most.

Essential functions of the Director / Senior Director will include engagement and alignment with key internal company stakeholders and external vendors, with an emphasis on ensuring seamless patient access of Capricor’s approved therapies. The Director / Senior Director will be accountable for building a strategic partner team, responsible for ensuring timely site of care activation and operational readiness. The field-team will deliver key Capricor Patient access and reimbursement offerings and ensure execution of all patient referrals and product distribution, with the objective of adding to the provider / patient brand experience.

It is critical that the person has past Commercial rare disease launch, Patient Services, and specialty infused drug distribution experience, and can identify and drive innovative initiatives around US Market / patient access strategy, patient referral and adherence management, patient affordability, operational process and programs, and patient / caregiver customer engagement models.

The position is a field-based position, and will partner closely with Patient Services, Trade & Distribution, Medical Affairs, Sales, Sales Operations, Marketing, Patient Advocacy, Legal and Compliance teams to identify and remove patient access barriers, and enhance the overall patient and provider treatment experience.

• Serve as a strategic leader to build and lead a regionally aligned Patient Access & Reimbursement field team
• Hire, onboard, and facilitate the training of the field-team.
• Develop the field-based role and ways of working in partnership with the cross-functional Commercial leadership team.
• Develop a field-based patient access team that serves as the strategic partner to HCPs and sites of care, by delivering billing and coding reimbursement education to support the patient access journey for their DMD families
• Establish access goals, productivity measures, and ensure account plans are created and executed quarterly / annually.
• Work collaboratively with cross functional teams, including Commercial Operations to monitor patient scripts through the fulfillment process.
• Partner with the Patient Services lead to ensure timely identification of access issues and resolution.
• Create an environment of ongoing learning and development for the field-based team.
• Work collaboratively with Trade and Patient Services functional leaders to identify process efficiencies with all third-party service providers.
• Support the creation of stakeholder analytics and Key Performance Indicators (KPIs) to the business that helps improve forecasting, contracting and pricing decisions, timing and general business planning.

• Gain a deep understanding of site capabilities, operational gaps and develop gap resolution plans in partnership with HCPs and sites of care.
• Engage with institutional leadership, administration, revenue cycle management, finance, managed care team, contracting, pharmacy, prior authorization departments, and care teams
• Support HCP champion through formulary inclusion/decision process and monitor Pharmacy and Therapeutic Committee timelines to confirm site readiness.
• Responsible for eliminating and/or significantly reducing barriers to patient access and reimbursement for Capricor’s product portfolio across all payer segments.
• Support a high-touch patient and caregiver support programs, including site of care referral management, travel logistics, and patient affordability.
• Support the development of training material, SOP’s, and work instructions as needed to educate around…