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
• Provide appropriate support to providers and professional staff
• Cultivate expertise in the FILSPARI onboarding process
• Educate physicians and physician practices on the full onboarding process
• Work closely with offices to ensure cases progress through the onboarding process
• Escalated Support for Specific Cases
• Identify and solve complex patient access issues
• Collaborate with Hub, HCP offices, and field team to resolve reimbursement issues
• Coordinate with Hub and REMS Administrator partners to explain missing information
• Help physicians and office staff resolve access issues and avoid future hurdles
• Communicate challenges, identify solutions, and ensure the patient progresses through the reimbursement process
• Sales Force Communication / Partnership
• Seek out and provide timely updates on case statuses
• Periodically ride with and educate sales force on reimbursement complexities
• Maintain expertise on specific payors and requirements for claim approvals
• Log calls and notes using a standardized platform
• Lead weekly case status update meetings with sales force and leadership
• Coordinate with Hub, specialty pharmacies, and REMS administrator stakeholders to move cases forward efficiently
• Balance daily tasks and schedule to accommodate ad-hoc communication
• Proactive Trend Identification and Key Account Education
• Deliver expertise in regional and local access landscape
• Identify and address trending barriers to reimbursement
• Create quarterly business plans to address identified barriers
• Develop and execute strategies for HCP office education
• Monitor payer trends and changes and educate both internal and external stakeholders

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 area
• 3+ years reimbursement / access / case management experience
• Specialty pharmaceutical, nephrology, rare disease, REMs experience preferred

Additional Skills/Experience

• Embody Travere’s core values: Courage, Community Spirit, Patient Focus, and 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 products acquired through Specialty Pharmacy networks or specialty distributors
• Proven ability to build relationships with HCPs, office staff, sales team, and Hub counterparts
• Comprehensive understanding of private/commercial insurance reimbursement, government payer Medicare Part D, VA, etc.
• Demonstrated experience in helping to educate on reimbursement processes
• Excellent collaboration skills with strong attention to detail and the ability to multitask and manage complexity
• Strong interpersonal and organizational skills and excellent verbal and written communication skills
• Field-based position requiring flexibility to travel as needed (up to 35%)
• Ability to perform face-to-face work with customers, colleagues, and onsite in San Diego, and meet credentialling requirements for access to healthcare facilities and customer sites within your territory on an ongoing basis