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)