Jobs · Healthcare

Access & Reimbursement Manager (Salt Lake City)

Travere Therapeutics · Idaho, United States · 2 wk ago
RemoteRemoteHealthcare$162k–$211k/yrFull-time

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 provide clear explanations to offices
    • Partner with reimbursement stakeholders to communicate challenges, identify solutions, and ensure the patient is progressing 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 complexities surrounding the pharmaceutical reimbursement process
    • Maintain expertise on specific payors and requirements for claim approvals
    • Log calls and notes within a standardized platform to provide clear and concise updates
    • Lead weekly case status update meetings with sales force and sales leadership
    • Coordinate with Hub, specialty pharmacies, and REMS administrator stakeholders to share information and move cases forward efficiently
  • Proactive Trend Identification and Key Account Education
    • Deliver expertise in regional and local access landscape
    • Anticipate changes in the healthcare landscape
    • Act as the Subject Matter Expert for FILSPARI onboarding, including reimbursement
    • Identify and address trending barriers to reimbursement within your geography
    • Create quarterly business plans to address identified barriers
    • Bring forth opportunities and proposals for HCP office education
    • Work collaboratively with sales counterparts to develop and execute strategies

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 / 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 are required

Total Rewards Offerings

  • Comprehensive total rewards offerings that demonstrate Travere’s commitment as a diverse, equitable, people-centric, and pay-for-performance organization
  • Benefits: Premium health, financial, work-life and well-being offerings for eligible employees and dependents, wellness and employee support programs, life insurance, disability, retirement plans with employer match and generous paid time off
  • Compensation: Competitive compensation package including a combination of cash compensation (base pay and short-term incentive) and long-term incentive compensation (company stock)

Similar jobs