Sr. Director, Field Reimbursement

Harrow, Inc.Remote · Posted 15 days ago

Full-timeRemoteEst. 140,000 USD

Description

Before reading the job post, we encourage you to watch this video about our company. It gives you an inside look at how we started, the team and culture that made us successful, and where we're going. It's easy to read a job post and apply, but people often wonder about the culture and whether they would fit in. If you want to call Harrow your home and genuinely want to be part of a family and something big, then we encourage you to click this link and get to know us.

Who is Harrow?

Harrow (Nasdaq: HROW) is a leading provider of ophthalmic disease management solutions in North America. Harrow is an incredible entrepreneurial company – where we celebrate the ability of every member of the Harrow Family to be the CEO of their job. Harrow’s values have driven interest over the past decade in attracting high-performing professionals in a variety of disciplines. Members of our Harrow Family often express their pride in being a part of our commitment to (1) innovation, (2) patient access to affordable medicines, and (3) our track record of having never turned down an ophthalmologist doing mission work around the world – providing free medicines in support of mission work aimed at giving or maintaining the gift of sight to those most in need. We encourage you to learn more about Harrow and its unique culture to see if you’re the right person to help contribute as we build a truly exceptional company, one we are all so proud of!

Harrow’s ophthalmic pharmaceutical portfolio is one of the most comprehensive in the industry, including:

An expanding Retina Portfolio including IHEEZO®, TRIESENCE®, BYOOVIZTM, and OPUVIZTM
A broad Dry Eye Disease product line, led by VEVYE® and bolstered by well-known adjacent ocular surface disease products such as FLAREX® and FRESHKOTE®
A peri-operative Surgical product line, led by TRIESENCE®, and BYQLOVITM
A Rare and Specialty product line, which includes various high-need and utility products such as ILEVRO®, NATACYN®, and VERKAZIA®
A robust internal development pipeline with multiple late-stage candidates, including MELT-300, MELT-210, H-N08, and CR-01

Position Summary

Harrow is seeking a National Senior Director, Field Reimbursement to build and lead a high-performing team of Field Reimbursement Managers (FRMs) supporting our buy-and-bill drug portfolio across the Retina and Surgical franchises. This leader will be the architect of Harrow's field reimbursement strategy and culture — ensuring physician practices and their staff have the confidence, tools, and technical expertise needed to successfully navigate coverage, coding, billing, and claims processes for Harrow brands.

The ideal candidate combines deep payer and reimbursement expertise with strong people leadership, a bias for action, and the analytical rigor to translate claims data into actionable guidance for customers and internal stakeholders. This is a highly visible, cross-functional leadership role responsible for expanding appropriate patient access at scale.

This role sits within the leadership team for the Market Access Organization at Harrow.

Core Responsibilities

Team Leadership & Culture

Build, lead, coach, and scale a national team of FRMs, instilling a hard-charging, customer-first, results-oriented culture
Define team structure, territory alignment, KPIs, and performance standards; conduct regular field visits, ride-alongs, and performance reviews
Recruit and develop top reimbursement talent; create career pathing and training curricula for the FRM function
Foster cross-functional collaboration with Sales, Trade, Marketing, Market Access/Payer Strategy, Legal, and Compliance

Strategy & Customer Confidence

Set the national strategy for field reimbursement support across the Retina and Surgical buy-and-bill portfolio
Ensure customers (physicians, practice administrators, billing/coding staff) have reimbursement confidence through proactive education on coverage policy, coding, billing, and claims submission for Harrow brands
Establish and lead a cadence of business reviews with key accounts to assess reimbursement performance, identify barriers to access, and develop corrective action plans
Serve as the senior-most escalation point for complex payer, coding, or claims issues in the field

Payer, Billing & Coding Expertise

Maintain deep, current expertise in payer dynamics (commercial, Medicare, Medicare Advantage, Medicaid) as they relate to buy-and-bill specialty products
Provide authoritative guidance on HCPCS/CPT/J-code assignment, ICD-10 coding, modifiers, prior authorization, and appeals specific to Retina and Surgical procedures
Ensure all guidance provided by the team is accurate, compliant, and appropriately scoped (education, not billing/coding advice on the customer's behalf)

Claims & Business Analytics

Direct claims analysis to identify reimbursement trends, payer denial patterns, coverage gaps, and access barriers at the account, regional, and national level
Translate data insights into targeted field action plans and customer-facing recommendations
Partner with Market Access and Trade teams to inform payer strategy, contracting priorities, and policy engagement using field and claims intelligence
Own reporting and dashboards that track access metrics, team performance, and franchise-level reimbursement KPIs for executive leadership

Compliance

Ensure all team activities strictly adhere to Harrow's compliance policies, OIG guidance, and applicable state/federal regulations governing field reimbursement support and interactions with healthcare providers
Partner with Legal/Compliance on training, materials review, and monitoring of field activities

Qualifications & Requirements

Bachelor's degree required; advanced degree (MBA, MHA, or related) a plus
10+ years of progressive experience in market access, reimbursement, or trade, including significant experience in buy-and-bill / specialty pharmaceutical or biotech environments
5+ years of people leadership experience, including building and managing field-based reimbursement or access teams
Deep, demonstrable expertise in payer policy, medical and pharmacy benefit dynamics, coding (CPT/HCPCS/ICD-10), billing workflows, and claims/appeals processes
Experience in Retina, Ophthalmology, or Surgical specialty markets strongly preferred
Proven ability to conduct and lead claims data analysis to drive business decisions and customer-facing recommendations
Track record of setting strategy and driving measurable improvements in patient access and reimbursement outcomes
Strong executive presence; experience presenting to and influencing senior internal and external stakeholders
Working knowledge of compliance requirements governing reimbursement support programs (PhRMA Code, OIG guidance, anti-kickback considerations).

Position Type

Remote

Travel

Up to 75%