Kirby Hsu

About Kirby Hsu

Award-winning Access & Reimbursement professional with 26+ years of experience in the pharmaceutical industry, specializing in navigating complex healthcare systems to improve patient access and ensure reimbursement success. I bring deep expertise in buy-and-bill, specialty pharmacy, and reimbursement processes, with a proven record of aligning stakeholders across IDNs, CINs, hospitals, and outpatient networks to remove barriers to care.I thrive at the intersection of patient services, market access, and healthcare provider engagement—designing strategies that streamline coverage, optimize site-of-care pathways, and accelerate speed-to-therapy. Recognized with multiple VP Awards and a Business Performance Award, I combine strong business acumen with a patient-first mindset to drive measurable impact for both patients and organizations.My collaborative approach has allowed me to build trusted partnerships with revenue cycle managers, providers, clinical pharmacy teams, and internal customer engagement teams. Whether coaching field teams, educating on access pathways, or problem-solving complex reimbursement challenges, I bring a solutions-oriented mindset that creates lasting results.Key Expertise Patient Access & Reimbursement Strategy | Buy & Bill | Specialty Pharmacy Benefits Investigation | Prior Authorization | Billing & Coding Navigation Hospital & IDN Engagement | Access Pathway Design | Site of Care Strategy Payer & Provider Collaboration | Field Team Enablement | HUB Services Integration Business Impact & Performance Excellence | Multi-Award WinnerCareer Highlights Partnered with health systems to streamline patient access processes, reducing delays in therapy initiation Integrated cross-functional strategies with sales, marketing, and access teams to drive outcomes in complex hospital networks Earned multiple VP Awards and a Business Performance Award Expertise across cardiovascular, renal and metabolic disease statesLet’s Connect!I’m seeking leadership opportunities where I can leverage my access & reimbursement expertise to shape strategy, optimize patient services, and lead high-performing teams. Let’s connect to explore how I can add value to your organization.CliftonStrengths: Positivity | Woo | Communication | Activator | Competition Email: k•••••••@yahoo.com Columbus, Ohio

Experience

1. Access & Reimbursement Manager

   诺华

   Apr 2025 — Present · Cleveland-Columbus, OH, US

   Serve as a field-based Access & Reimbursement expert, partnering with hospitals, physician practices, and specialty pharmacies to navigate complex payer policies, billing, coding, and access pathways—ensuring timely patient access to therapy. • Educate and enable provider and revenue cycle teams on reimbursement processes, payer requirements, and manufacturer support programs to reduce delays and resolve access barriers. • Analyze reimbursement and access challenges at the account level, identify broader market trends, and implement proactive, scalable solutions across complex health systems. • Collaborate cross-functionally with sales, market access, patient support services, and internal stakeholders to align strategy and optimize site-of-care and coverage outcomes. • Act as the local market expert on payer dynamics, reimbursement changes, and specialty pharmacy processes, providing strategic guidance that improves speed-to-therapy and customer confidence

Education

• Kent State University

  Bachelor of Science (B.S.)

  1986 — 1990

Skills

• Pulmonology
• Clinical Research
• Nephrology
• Neurology
• Allergy
• Sales Effectiveness
• Cardiology
• Women's Health
• Internal Medicine
• Endocrinology
• Primary Care
• Pharmaceutical Industry
• Ob/Gyn
• Pharmaceutical Sales
• Urology
• Rheumatology
• Product Launch