Director, Field Reimbursement

Role Overview

• Lead and develop a team of Field Reimbursement Managers (FRMs), setting clear performance expectations aligned to patient impact and business priorities
• Define and execute the national field reimbursement strategy, ensuring consistent, high-quality support across territories
• Drive accountability through clear metrics (time to therapy initiation, PA approval rates, appeal success, patient onboarding progression, etc.)
• Partner cross-functionally with Market Access, Patient Services, Commercial, Compliance, and Specialty Pharmacy partners to proactively address systemic access barriers
• Analyze field trends across payers, regions, and provider types; escalate patterns and recommend strategic interventions to leadership
• Build strong external relationships with key neurology practices, specialty pharmacies, and access stakeholders to strengthen Praxis’ reputation as a credible access partner
• Recruit, coach, and retain top-tier reimbursement talent aligned with Praxis values of Trust, Ownership, Curiosity, and Results

Requirements

• Bachelor’s degree required; advanced degree a plus
• 6+ years of experience in reimbursement and access
• 3+ years of direct management of field reimbursement teams
• Demonstrated experience in rare disease and Limited Distribution Drug (LDD) models
• Deep expertise in pharmacy benefit design (commercial and government), PA/appeals processes, and specialty pharmacy workflows
• Experience supporting neurology or CNS-focused practices strongly preferred
• Experience with inpatient access within hospitalizations and high-cost medication scenarios
• Proven ability to translate field insights into scalable strategy and measurable improvement
• Strong executive presence and credibility with providers, access leaders, and internal stakeholders
• High integrity and disciplined compliance mindset
• This role requires regular use of a computer and other office tools, clear communication, and occasional movement. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.
• Travel requirement: This role requires travel to support field team members, provider engagement, and internal meetings. Travel may range from 40–60%.