Senior Director, Field Reimbursement

Capricor Therapeutics, Inc.

. Build and lead Capricor's U.S.

Posted 11/10/2026full-timeSan Diego • California • United StatesSenior💰 $246,420 - $317,850 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in building and leading field reimbursement teams, with a strong focus on patient access and market access strategies for cell therapies. Proficient in navigating complex reimbursement landscapes, ensuring compliance with regulatory standards, and fostering collaboration across cross-functional teams.

Highest-signal resume keywords

Field Reimbursement LeadershipPatient Access StrategyMedical-Benefit ReimbursementVendor ManagementRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Field ReimbursementPatient AccessPrior AuthorizationCodingHub ServicesBuy-and-BillSpecialty PharmacyDocumentation StandardsProcess DevelopmentTerritory Design

Soft Skills

Problem-SolvingDecision-MakingAttention to DetailInfluencing Without AuthorityCoaching

Tools & Technologies

CRM SoftwareCollaborative Software Platforms

Certifications & Qualifications

Bachelor's DegreeAdvanced Degree (MBA, MPH Preferred)

Industry Keywords

Duchenne Muscular DystrophyRare DiseaseCell TherapyFDA ComplianceOIG GuidancePhRMA CodeAnti-Kickback StatuteInfusion SitesTreatment CentersSpecialty Pharmacies

About the role

Key responsibilities & impact

Build and lead Capricor's U.S. field reimbursement team for the anticipated launch of deramiocel, a cell therapy for Duchenne muscular dystrophy.
Design the U.S. field reimbursement model, including territory alignment, team size, engagement rules, and launch sequencing.
Build site-of-care readiness plans across buy-and-bill, specialty pharmacy, and medical-benefit pathways.
Translate payer coverage policies and coding guidance, including HCPCS and ICD-10, into field tools and training.
Establish the operating model between the field team and hub vendor, including referral flow, case handoffs, and escalation paths.
Serve as escalation point for complex benefits investigations, prior authorizations, denials, and appeals.
Hold hub vendor and specialty pharmacy partners accountable to SOPs, service levels, and KPIs.
Lead education for prescribers, treatment-center staff, and families on access pathways, support programs, and the treatment journey.
Establish account plans, productivity measures, and field cadence for the Liaison team.
Capture field insights on access friction, payer trends, and family experience, and report them to Market Access and Commercial leadership.
Own field reimbursement SOPs, documentation standards, CRM use, and budget.
Ensure compliance with FDA, OIG, PhRMA Code, HIPAA, and the firewall between patient services and promotional activities.
Represent Capricor at patient access and patient services conferences.
Recruit, coach, develop, and manage Patient Engagement & Reimbursement Liaison staff.
Own territory design, workload planning, training, staffing, future hiring, and organizational development.
Partner with Trade & Patient Services, Payer Strategy & Engagement, hub vendor, National Account Directors, Sales, Infusion Site Nurse Educators, Medical Affairs, Legal, and Compliance.

Requirements

What you’ll need

Bachelor's degree required; advanced degree (MBA, MPH, or related) preferred.
10+ years of biopharmaceutical experience, including 5+ years in field reimbursement, patient access, or market access roles.
4+ years leading a field reimbursement or patient access team.
Rare-disease or specialty launch experience required.
Hands-on knowledge of medical-benefit reimbursement, buy-and-bill, specialty pharmacy, prior authorization, appeals, coding, and hub services.
Strong working knowledge of HIPAA, OIG guidance, and the Anti-Kickback Statute as applied to field reimbursement and patient services.
Demonstrated ability to build processes and teams in a launch or rapidly scaling environment.
Cell or gene therapy field reimbursement or patient services experience preferred.
Neuromuscular, DMD, or pediatric rare-disease experience, including engagement with families and treatment centers, preferred.
Experience standing up a field reimbursement team at launch preferred.
Established relationships with DMD treatment centers, infusion sites, and specialty pharmacies preferred.
Experience selecting and managing hub, specialty pharmacy, or field nurse vendors preferred.
Strong problem-solving and decision-making ability.
Vendor management and negotiation skills.
Ability to work in a fast-paced, rapidly scaling environment.
Exceptional attention to detail and documentation discipline.
Ability to influence without authority across cross-functional teams.
Approximately 50–60% domestic travel required for field coaching, treatment-center engagement, conferences, and internal meetings.
Ability to work extended periods of computer-based work, including video conferencing and collaborative software platforms.

Benefits

Comp & perks

Discretionary annual performance bonus eligibility
Long-term equity incentive awards, depending on role level
Employer-sponsored medical coverage
Employer-sponsored dental coverage
Employer-sponsored vision coverage
Company-paid basic life insurance
Company-paid AD&D insurance
401(k) plan with company match
Paid time off
Company holidays
Paid parental leave
Additional voluntary benefits
Wellness programs