Reimbursement Services Director jobs in Daly City, CA

Reimbursement Services Director directs and supervises the activities of the claims and provider reimbursement personnel. Handles third-party reimbursement for services rendered to patients. Being a Reimbursement Services Director sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Additionally, Reimbursement Services Director develops policies and procedures compliant with fiscal and regulatory requirements. Oversees the collection of statistical and financial data needed for preparing annual and monthly health insurance reports. May require an advanced degree. Typically reports to top management. The Reimbursement Services Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Reimbursement Services Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Senior Director, Market Access & Reimbursement
  • Vera Therapeutics
  • Brisbane, CA FULL_TIME
  • Title: Senior Director, Market Access & Reimbursement

    Location: Brisbane, California (or Remote)

    About Us:

    Vera Therapeutics (Nasdaq: VERA), is a late-stage biotechnology company focused on developing treatments for serious immunological diseases. Vera’s mission is to advance treatments that target the source of immunologic diseases in order to change the standard of care for patients. Vera’s lead product candidate is atacicept, a fusion protein self-administered as a subcutaneous injection once weekly that blocks both B lymphocyte stimulator (BLyS) and a proliferation inducing ligand (APRIL), which stimulate B cells and plasma cells to produce autoantibodies contributing to certain autoimmune diseases, including IgA nephropathy (IgAN), also known as Berger’s disease and lupus nephritis. In addition, Vera is evaluating additional diseases where the reduction of autoantibodies by atacicept may prove medically useful. Vera is also developing MAU868, a monoclonal antibody designed to neutralize infection with BK Virus, a polyomavirus that can have devastating consequences in certain settings such as kidney transplant. For more information please visit: www.veratx.com.

    Our values are the cornerstone of our culture. Our values inspire us every day and guide everything we do—from how we hire great people, to advancing our mission together, to achieving our ultimate goal to improve medical treatment for patients suffering from immunological diseases.

    Position Summary:

    We seek a Senior Director, Market Access & Reimbursement to join a fast-paced, entrepreneurial, and collaborative team. The Senior Director will report to the Vice President of Commercial Strategy and will create and lead market access strategies and tactics that drive the successful commercialization of atacicept. This is a high-impact role where success will require the individual to develop strong cross-functional relationships in a multicultural environment, and to provide commercial leadership within a rapidly evolving organization.

    Responsibilities:

    • Create payer value proposition for atacicept’s lead indication of IgA Nephropathy and refine it via feedback received from US payer advisory boards.
    • Develop and deliver pricing strategies required to maximize the pipeline of atacicept through its lifecycle.
    • Partner on labelling strategy with regulatory, clinical, and health outcomes to meet payer needs and deliver on broad and smooth market access goal for US patients.
    • Create evidence generation plan. Identify and create mitigation plans against potential risks associated with unplanned coverage restrictions, price erosion, or delays to access.
    • As atacicept approaches product launch, oversee creation and on-time delivery of value evidence resources to achieve price and US access goals, including value dossiers, budget impact models, formulary kits, and access marketing materials.
    • As atacicept approaches product launch, oversee development and execution of payer value messaging resources (branded & unbranded).
    • Update and evolve atacicept’s US reimbursement strategy and provider-channel strategy over time as new data or market-events emerge.
    • As needed, generate global market access insights including European HTA assessments or global advisory feedback.
    • Support initial planning for trade and product distribution strategies.
    • Support initial planning for patient hub and patient support services including analysis of claims, billing, and co-pay assistance programs.
    • Manage plans, internal budgets, and contracts internally and with external agency partners.
    • Partner with legal, regulatory, and medical stakeholders to ensure compliant development and execution of initiatives.

    Qualifications:

    • Bachelor's degree required, advanced degree in related field (e.g., MBA, MPH, MPA, or PharmD) preferred.
    • 10 years pharmaceutical/biotech experience, with a minimum 5 years of market access experience including specific access experience launching new indications or new products.
    • Experience with global markets and payer environment, (e.g. HTAs, US payer coverage and reimbursement, pricing and contracting, specialty pharmacies, formulary management, health technology assessment and payment policy). Direct experience in payer negotiations desirable.
    • Strong negotiating skills and ability to develop relationships and appropriately influence all partners, ideally from local experience influencing and leading access and pricing negotiations in relevant geographic markets.
    • Ability to make clear business arguments and strategic recommendations leveraging both quantitative and qualitative evidence.
    • Excellent communication, negotiation, presentation, and influencing skills while addressing the needs of multiple stakeholders.
    • Ability to work on multiple projects simultaneously and effectively prioritize work with a sense of urgency. Ability to work in a rapidly changing environment.
    • Highly skilled in partnering with teams in cross-functional matrix environments including interfacing with key internal and external groups in different regions.


    Vera Therapeutics Inc. is an equal-opportunity employer.

    Vera Therapeutics is committed to fair and equitable compensation practices, and we strive to provide employees with total compensation packages that are market competitive. The starting base pay range for this position is $275,000 per year. The exact base pay offered for this role will depend on various factors, including but not limited to the candidate’s geography, qualifications, skills, and experience.

    At Vera, base pay is only one part of your total compensation package. The successful candidate will be eligible for an annual performance incentive bonus, new hire equity, and ongoing performance-based equity. Vera Therapeutics also offers various benefits offerings, including, but not limited to, medical, dental, and vision insurance, 401k match, flexible time off, and a number of paid holidays.

    COVID-19 Policy

    Vera’s top priority is the health and safety of our employees, their families and the communities where they live and work. As part of our commitment to health and safety, we require all U.S. employees to be fully vaccinated against COVID-19. If your role at Vera requires you to work or otherwise be on Vera’s premises, full or part-time, we require our employees to comply with Vera’s mandatory COVID-19 vaccination policy (currently requiring full vaccination). Anyone unable to be vaccinated, either because of a sincerely held religious belief or a medical condition or disability that prevents them from being vaccinated, may request a reasonable accommodation with Human Resources. Your employment is also subject to ongoing compliance with the mandatory vaccination policy and all other Vera policies, as they may be modified from time to time, at the sole discretion of Vera.

    Notice to Recruiters/Staffing Agencies

    Recruiters and staffing agencies should not contact Vera Therapeutics through this page. All recruitment vendors (search firms, recruitment agencies, and staffing companies) are prohibited from contacting our hiring manager(s), executive team members, or employees.

    We require that all recruiters and staffing agencies have a fully executed, formal written agreement on file.

    Vera Therapeutics’ receipt or acceptance of an unsolicited resume submitted by a vendor organization to this website or employee does not constitute an actual or implied contract between Vera Therapeutics and such organization and will be considered unsolicited and Vera Therapeutics will not be responsible for related fees.




  • 11 Days Ago

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Director of Housing and Services
  • Abode Services
  • San Francisco, CA FULL_TIME
  • Abode Services, one of the largest and effective nonprofits working to end homelessness in the Bay Area, is seeking a skilled Director of Housing and Services to over see our programs in San Francisco...
  • 11 Days Ago

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Director of Engagement Services
  • LARKIN STREET YOUTH SERVICES
  • San Francisco, CA OTHER
  • Job Details Level: Management Job Location: San Francisco Office - San Francisco, CA Salary Range: $95,000.00 - $100,000.00 Salary/year DescriptionPRIMARY RESPONSIBILITIES The Director of Engagement S...
  • 18 Days Ago

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Division Director of Client and Clinical Services
  • LARKIN STREET YOUTH SERVICES
  • San Francisco, CA OTHER
  • Job Details Level: Experienced Job Location: Administrative offices - San Francisco, CA Position Type: Full Time Education Level: Graduate Degree Salary Range: $125,000.00 - $130,000.00 Salary/year Tr...
  • 2 Days Ago

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Director of Wellness Services and Client Practice
  • LARKIN STREET YOUTH SERVICES
  • San Francisco, CA OTHER
  • Job Details Job Location: San Francisco - San Francisco, CA Salary Range: $90,000.00 - $120,000.00 Salary/year Job Category: Nonprofit - Social Services DescriptionSince 1984, we have helped more than...
  • 9 Days Ago

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S&T Regional Representative
  • Office of the Director of National Intelligence
  • San Francisco, CA FULL_TIME
  • The Policy & Capabilities Directorate ensures the IC is best postured for the threats and challenges of an uncertain future, through strategy, policy, and capabilities development. Comprised of 7 orga...
  • 15 Days Ago

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0 Reimbursement Services Director jobs found in Daly City, CA area

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Director of Development
  • De Marillac Academy
  • San Francisco, CA
  • POSITION Reporting to the President, the Director of Development oversees a comprehensive fund development program in su...
  • 4/26/2024 12:00:00 AM

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Bakery Director
  • Aspire Bakeries
  • Newark, CA
  • Aspire Bakeries is a North American baking company with a leadership position in specialty frozen baked goods. Formed fr...
  • 4/25/2024 12:00:00 AM

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Director/Associate Director, Biology
  • Firefly Bio
  • About Firefly Bio: Firefly specializes in Degrader Antibody Conjugates (DACs) which combine the unique strengths of ADCs...
  • 4/24/2024 12:00:00 AM

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Food Service Director
  • Aramark
  • San Francisco, CA
  • Job Description Aramark Healthcare+ is currently seeking a Food Service Director to join our team at CPMC Van Ness Campu...
  • 4/23/2024 12:00:00 AM

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Food Service Director
  • Aramark
  • San Francisco, CA
  • Job Description Aramark Healthcare+ is seeking a Food Service Director to oversee Food & Nutrition Services at Califorin...
  • 4/23/2024 12:00:00 AM

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Associate Director
  • Optima Partners
  • San Francisco, CA
  • Optima Partners is looking for an Associate Director within the San Francisco or Los Angeles Office, to have senior over...
  • 4/23/2024 12:00:00 AM

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Director of Operations
  • COREcruitment Ltd
  • San Francisco, CA
  • Director of Operations - Large Scale Restaurant Salary: $175,000 - $200,000 Location: San Francisco, CA The Company Our ...
  • 4/22/2024 12:00:00 AM

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Director of Sales
  • Sunrise Senior Living
  • Danville, CA
  • Overview Compensation listed is base only. Additional compensation available through bonus and commission. "Sunrise is t...
  • 4/12/2024 12:00:00 AM

Daly City (/ˈdeɪli/) is the largest city in San Mateo County, California, United States, with an estimated 2014 population of 106,094. Located immediately south of San Francisco, it is named in honor of businessman and landowner John Donald Daly. According to the United States Census Bureau, the city has a total area of 7.7 square miles (20 km2), all land. Daly City is bordered by the cities of San Francisco, Brisbane, Pacifica, South San Francisco, and the town of Colma. The city borders several unincorporated areas of San Mateo County. It surrounds Broadmoor, borders San Bruno Mountain State...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$188,280 to $268,114
Daly City, California area prices
were up 4.5% from a year ago

Reimbursement Services Director in Albuquerque, NM
The Manager will be responsible for either audit or reimbursement functions, and can be responsible for one of four primary roles – desk review/audit, reopenings/appeals, interim rate review/reimbursement or acceptance/finalization for all provider types as both a preparer and reviewer of work product.
December 27, 2019
Reimbursement Services Director in Little Rock, AR
The Manager assigns annual workload budget, distributes assignments to the team, ensures timely and accurate completion and review of all work, and makes final reimbursement determinations for all work assigned to the team.
February 24, 2020
Reimbursement Services Director in Las Vegas, NV
The Director of Reimbursement will consistently improve processes and develop their teams to exceed established KPIs and raise collection revenue, while lowering the overall cost to deliver these services.
January 05, 2020