Director, Billing, Reimbursement, and Hub Services

Posted:
10/22/2024, 5:00:00 PM

Experience Level(s):
Expert or higher ⋅ Senior

Field(s):
Finance & Banking

Workplace Type:
Remote

Company Overview
ImmunityBio, Inc. (NASDAQ: IBRX) is a commercial-stage biotechnology company developing cell and immunotherapy products that are designed to help strengthen each patient’s natural immune system, potentially enabling it to outsmart the disease and eliminate cancerous or infected cells. We envision a day when we no longer fear cancer, but can conquer it, thanks to the biological wonder that is the human immune system. Our scientists are working to develop novel therapies that harness that inherent power by amplifying both branches of the immune system, attacking cancerous or infected cells today while building immunological memory for tomorrow. The goal: to reprogram the patient’s immune system and treat the host rather than just the disease.

Why ImmunityBio?
• ImmunityBio is developing cutting-edge technology with the goal to transform the lives of patients with cancer and develop next-generation therapies and vaccines that complement, harness and amplify the immune system to defeat cancers and infectious diseases.
• Opportunity to join a publicly traded biopharmaceutical company with headquarters in Southern California.
• Work with a collaborative team with the ability to work across different areas of the company.
• Ability to join a growing company with professional development opportunities.

Position Summary

The Director, Billing, Reimbursement and Hub Services will manage and lead the field-based Field Reimbursement team.  The role will ensure the team proactively delivers education and support to providers and their offices/staff on reimbursement programs for designated therapeutic products in their defined geography / aligned accounts.  The Director, Billing, Reimbursement and Hub Services will act as a point of contact for escalated support-related matters as well as be the market access expert on payer, policy and processes. The role will ensure reimbursement and access barriers (checks and step-edits) are addressed with the Payers and will solution avenues to ease access to company products for health care providers. 

Essential Functions

  • Manage field-based reimbursement team in support of ImmunityBio’s goals inclusive of coaching, hiring and assessing performance of team members.
  • Develop and strategize the execution of payer business plans while maintaining an agile mindset.
  • Develop the long-term plan, launch plan and budget for billing reimbursement.
  • Lead team in utilizing approved tools to support and educate physician office staff on the use of the patient assistance programs and call center support services.
  • Serve as reimbursement expert for team and proactively communicates changes to key stakeholders in a timely manner
  • Anticipate and proactively respond to reimbursement challenges around the US.
  • Educate team as well as healthcare professionals concerning information and processes involving ImmunityBio Support Services
  • Represent ImmunityBio at industry conferences as needed and proactively plan strategic interactions with providers.
  • Partner and collaborate with the US Commercial team on matters impacting billing reimbursement as well as with the finance team.
  • Achieve targets and objectives set by senior leadership
  • Monitor and analyze HUB portal data for all geographic markets; and use the data to advise on strategic initiatives and potential challenges.
  • Ensure the training and ongoing education of cross-functional partners
  • Perform other duties as assigned

Education & Experience

  • Bachelor’s Degree required; Master’s degree preferred
  • Minimum of 12 years of US pharmaceutical industry or other healthcare-focused reimbursement experience
  • 10+ years of experience working with customers in a market access capacity
  • 5+ years of experience of managing a team
  • Experience managing Hub services strongly preferred
  • Demonstrated ability to resolve access barriers
  • Diverse experience with an awareness of oncology sales, sales management, training and/or marketing preferred
  • Demonstrated ability to effectively collaborate with cross functional business partners
  • Demonstrated planning and communication skills; ability to present complex information to multiple stakeholders
  • Must have a valid driver’s license with a driving record that meets company requirements.

Knowledge, Skills, & Abilities

  • Comprehensive understanding of Medicare Parts A, B, C, D and knowledge of commercial insurance reimbursement including familiarity with HCPCS level I/II and IDC-10 billing codes
  • Clinical, technical, and scientific knowledge and aptitude in complex disease states
  • Ability to operate as a team player, collaborating with sales leadership, and internal colleagues to reach common goals
  • Demonstrated ability to inspire and lead a team
  • Excellent verbal and written skills, allowing for an open and effective dialogue throughout the company
  • Conducts self with high integrity, trust and ethical standards
  • Able to work in a dynamic, changing marketplace to meet corporate and patient needs is essential. 
  • Embodies strong Ethics and Values
  • Ability to anticipate issues and respond quickly, flexibly and creatively to solve problems and address challenges
  • Excellent planning, organization and time management skills, including the ability to support and prioritize multiple projects
  • Results-oriented individual who is highly motivated, decisive, flexible in thought, and has the creativity to excel in and contribute to a rapidly growing company
  • Forward thinking mindset with the ability to manage multiple projects, and identify and resolve issues

Working Environment / Physical Environment

  • Remote
  • Up to 70% Travel

This position is eligible for a discretionary bonus and equity award. The annual base pay range for this position is below.  The specific rate will depend on the successful candidate’s qualifications, prior experience as well as geographic location.

$215,000 (entry-level qualifications) to $240,000 (highly experienced) annually

The application window is anticipated to close on 60 days from when it is posted or sooner if the position is filled or closed.

ImmunityBio employees are as valuable as the people we serve. We have built a resource of robust benefit offerings to best support the total wellbeing of our team members and their families. Our competitive total rewards benefits package, for eligible employees, include: Medical, Dental and Vision Plan Options • Health and Financial Wellness Programs • Employer Assistance Program (EAP) • Company Paid and Voluntary Life/AD&D, Short-Term and Long-Term Disability • Healthcare and Dependent Care Flexible Spending Accounts • 401(k) Retirement Plan with Company Match • 529 Education Savings Program • Voluntary Legal Services, Identity Theft Protection, Pet Insurance and Employee Discounts, Rewards and Perks • Paid Time Off (PTO) includes: 11 Holidays • Exempt Employees are eligible for Unlimited PTO • Non-Exempt Employees are eligible for 10 Vacation Days, 56 Hours of Health Pay, 2 Personal Days and 1 Cultural Day •  We are committed to providing you with the tools and resources you need to optimize your Health and Wellness.

At ImmunityBio, we are an equal opportunity employer dedicated to diversity in the workplace. Our policy is to provide equal employment opportunities to all qualified persons without regard to race, gender, color, disability, national origin, age, religion, union affiliation, sexual orientation, veteran status, citizenship, gender identity and/or expression, or other status protected by law.

ImmunityBio is a mandatory vaccination employer for COVID-19 and its variants.   The Company requires that its employees be fully vaccinated as of their start date.  If you require a medical or religious accommodation we will engage in the interactive process with you.  Proof of vaccination will be required prior to start.  If we make you an offer and you are not yet vaccinated, we will accommodate a delay in start date.  ImmunityBio may also mandate that its employees receive vaccine boosters, and all accommodation laws will be followed.

ImmunityBio

Website: https://immunitybio.com/

Headquarter Location: Culver City, California, United States

Employee Count: 101-250

Year Founded: 2014

IPO Status: Public

Last Funding Type: Post-IPO Debt

Industries: Health Care ⋅ Health Diagnostics ⋅ Therapeutics