Associate Director Field Reimbursement Manager East
Job Summary
Were here for one reason and one reason only to cure cancer. Every moment is dedicated to developing treatments and every action moves us one step closer to our goal. Weve made incredible scientific breakthroughs and our pioneering personalized CAR T-cell therapies have changed the paradigm. But were not finished yet.
Join Kite as we make even bigger advances in cancer therapies and help shape where our business and medical science goes next.
We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future you are the key driver in evolving our culture and creating an environment where every employee feels included developed and empowered to fulfil their aspirations. Join Kite and help create more tomorrows.
Job Description
The Associate Director Field Access and Reimbursement serves as an access and reimbursement resource for assigned ATCs and internal Kite partners. The role supports compliant reimbursement education barrier identification appropriate escalation and field insight capture to help inform access planning and coordinated Market Access execution.
This role provides field-based access and reimbursement support within complex CAR-T treatment environments. The Associate Director Field Access and Reimbursement will work in coordination with established Kite stakeholders who engage with each ATC to support access planning reimbursement issue resolution barrier reduction and coordinated execution.
The individual in this role contributes reimbursement expertise captures relevant field insights and supports coordinated solutions that align with Kites access model and broader Market Access objectives.
Territory: US - East
This is a field-based position that will be responsible for US - East. Candidates should reside within the geography
Key Responsibilities
ATC Access and Reimbursement Support
Serve as a subject matter expert for field-based access and reimbursement for ATCs in assigned geography working in coordination with Key Account Directors Regional Account Directors National Account Directors Patient Services Market Access Medical Affairs Sales and other Kite stakeholders engaged with each center.
Provide reimbursement and access education consistent with approved resources role responsibilities company policies and compliant field engagement practices.
Reimbursement and Payer Process Support
Provide reimbursement process education as appropriate related to benefit verification prior authorization single case agreements claims submission payment delays and appeals processes.
Support stakeholder understanding of inpatient and outpatient billing and coding considerations including ICD-10 CPT HCPCS DRG and associated reimbursement methodologies.
Support provider understanding of payer-specific access requirements as appropriate including out-of-network exceptions Centers of Excellence networks single case agreements global case rate structures and medical policy.
Barrier Identification Escalation and Resolution
Help identify escalate and support resolution of reimbursement barriers including prior authorization delays denials payer contracting and claims issues.
Work through appropriate internal and external channels to support timely coordinated and compliant resolution of access challenges.
Patient Services and Program Alignment
Support appropriate case routing to Patient Services and Kite Konnect Case Manager consistent with program scope and approved processes.
Reinforce program scope capabilities and role boundaries across patient support and patient services programs.
Support alignment with patient support programs and broader Market Access strategy.
Revenue Cycle Engagement
Engage revenue cycle stakeholders to help assess reimbursement delays billing pathway challenges and operational barriers.
Identify opportunities in partnership with internal Kite cross-functional stakeholders to support education around financial predictability and program sustainability with approved resources.
Cross-Functional Collaboration and Governance
Coordinate with Key Account Directors Regional Account Directors National Account Directors Patient Services Sales Medical Affairs Market Access Trade and other stakeholders to support aligned access discussions with ATCs.
Collaborate with Legal Medical Regulatory and Market Access partners to support compliant execution and alignment with approved access strategies.
Contribute to coordinated compliant approaches to solving complex access challenges.
Field Insights and Resource Development
Gather and synthesize field insights related to payer policies reimbursement processes and recurring access challenges.
Contribute to the development of tools resources best practices and recommendations that may support access execution across treatment centers.
Document field activities insights and trends within CRM systems such as Veeva consistent with company expectations.
Education and Capability Support
Deliver reimbursement education as appropriate to ATC billing access and revenue cycle teams using approved materials and resources.
Provide education to internal stakeholders on reimbursement pathways payer dynamics and emerging access considerations.
Support the development and delivery of training initiatives that enhance organizational reimbursement knowledge.
Documentation and Account Planning Support
Maintain focused account planning inputs related to access risks opportunities and reimbursement priorities.
Ensure timely and accurate documentation of field activity insights and follow-up actions.
Compliance
Perform all responsibilities in a compliant non-promotional manner consistent with company policies applicable laws regulations and industry standards.
Basic Qualifications
Bachelors degree and 10 years of experience.
OR
Masters degree and 8 years of experience.
OR
Advanced degree (MD PharmD PhD) and 2 years of experience.
Preferred Qualifications
7 years of experience in reimbursement patient access provider support or related functions within oncology rare disease cell therapy or gene therapy.
Strong knowledge of buy-and-bill institutional billing payer coverage policy and medical benefit reimbursement pathways.
Demonstrated experience navigating prior authorization appeals denials and complex reimbursement scenarios.
Experience supporting CAR-T or similar therapies including familiarity with patient flow from leukapheresis through post-infusion management.
Strong knowledge of coding systems including ICD-10 CPT and HCPCS.
Billing and coding certification for example CPC or equivalent demonstrated expertise.
Experience supporting large complex treatment centers academic institutions and/or community practices.
Strong cross-functional collaboration and stakeholder influence skills.
Demonstrated ability to work collaboratively within complex provider and cross-functional environments.
Experience using CRM systems such as Veeva for documentation insight capture and account planning.
Ability to travel up to 40% of the time including field visits customer engagements internal meetings and other business needs.
For additional benefits information visit:
Kite Pharma is committed to providing equal employment opportunities to all employees and applicants for employment and is dedicated to fostering an inclusive work environment comprised of diverse perspectives backgrounds and experiences. Employment decisions regarding recruitment and selection will be made without discrimination based on race color religion national origin sex age sexual orientation physical or mental disabilitygenetic information or characteristic gender identity and expression veteran status or other non-job related characteristics or other prohibited grounds specified in applicable federal state and local order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Era Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact for assistance. NOTICE: EMPLOYEE POLYGRAPH PROTECTION ACT Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team. Please apply via the Internal Career Opportunities portal in Workday.
Kite is a biopharmaceutical company engaged in the development of innovative cancer immunotherapies with a goal of providing rapid long-term durable response and eliminating the burden of chronic care. The company is focused on chimeric antigen receptor (CAR) and T cell receptor (TCR) engineered cell therapies designed to empower the immune systems ability to recognize and kill tumors. Kite is based in Santa Monica CA. For more information on Kite please visit . Sign up to follow @KitePharma on Twitter at jobs in the United States:
For more information about equal employment opportunity protections please view theKnow Your Rights poster.
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT
Kite Pharma will not discharge or in any other manner discriminate against employees or applicants because they have inquired about discussed or disclosed their own pay or the pay of another employee or applicant. However employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information unless the disclosure is (a) in response to a formal complaint or charge (b) in furtherance of an investigation proceeding hearing or action including an investigation conducted by the employer (c) consistent with the legal duty to furnish information; or (d) otherwise protected by law.
Kite Pharma provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.
Required Experience:
Director
About Company
Kite is dedicated to curing cancer. Learn about the science of cell therapy, our cancer research, and our cancer treatments in the pipeline.