Access & Reimbursement Manager (North New Jersey)

Position Summary

The Access & Reimbursement Manager (ARM) will serve as a subject matter expert on access & reimbursement for FILSPARI (Sparsentan), providing education and case-specific support to internal and external stakeholders including health care providers (HCPs) and sales force within their assigned region.

Responsibilities

• Proactive Office Support Throughout FILSPARI Onboarding Process
• Key contact responsible for patient access and reimbursement in an assigned geography
• Supports offices through the FILSPARI onboarding process, from PSF submission to REMS enrollment to reimbursement
• Educates physicians and practices on the full onboarding process, including PSF completion, REMS enrollment, prior authorization, appeals, and reimbursement requirements
• Maintains oversight of cases as they progress through the onboarding process, escalating complex issues as necessary
• Cultivate the Highest Level of Expertise in the FILSPARI Onboarding Process
• Identifies and solves complex patient access issues by collaborating with various stakeholders
• Collaborates with Hub, HCP offices, and reimbursement stakeholders to resolve access issues and ensure proper education to prevent future hurdles
• Communicates challenges and solutions to sales force and sales leadership, coordinating with Hub, specialty pharmacies, and REMS administrators to move cases forward efficiently
• Sales Force Communication / Partnership
• Provides timely and regular updates on case statuses, leveraging a network of reimbursement stakeholders
• Partners with sales force to educate on complexities surrounding the pharmaceutical reimbursement process
• Coordinates with Hub, specialty pharmacies, and REMS administrators to share information and work together to move cases forward
• Manages daily tasks and schedules to accommodate ad-hoc communication from sales force and leadership
• Proactive Trend Identification and Key Account Education
• Identifies and anticipates changes in the healthcare landscape, acting as the Subject Matter Expert for FILSPARI onboarding and reimbursement
• Monitors payer trends and educates both internal (sales) and external (HCPs) stakeholders on changes
• Develops quarterly business plans to address identified reimbursement barriers

Education/Experience Requirements

• Bachelor’s degree in related field required
• Equivalent combination of education and applicable job experience may be considered
• 5+ years in pharmaceutical / health industry working with Hubs, payers, HCPs or related areas
• 3+ years reimbursement / access / case management experience
• Specialty pharmaceutical, nephrology, rare disease, REMs experience preferred

Additional Skills/Experience

• Core values: Courage, Community Spirit, Patient Focus, Teamwork
• Experience in managing access complexities associated with a new to market medication
• Prior account management experience or prior experience with complex accounts
• Experience with specialty pharmacy products or networks
• Strong interpersonal and organizational skills, excellent verbal and written communication skills
• Field-based position requiring flexibility to travel up to 35%
• Ability to perform face-to-face work with customers, colleagues, and onsite in San Diego