Jobs · Finance

Access & Reimbursement Manager (Southern California)

Travere Therapeutics · California, United States · 1 mo ago
RemoteRemoteFinance$162k–$211k/yrFull-time
We need to output HTML fragment with sections: About the role? The posting includes a paragraph about company mission etc. We need to use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. No Job ID etc. Remove boilerplate. We need to parse the posting and extract content for each relevant section. Let's identify sections: - About the role: maybe the Position Summary paragraph? The posting includes "Position Summary: The Access & Reimbursement Manager (ARM) will be a subject matter expert..." That's about the role. Also earlier paragraphs about company mission could be considered "About the role"? Usually "About the role" is a summary of the position. We'll put the Position Summary and maybe the introductory mission? But we need to preserve all substantive info. The mission statements about company could be considered "About the company" but not requested. We could include them under About the role? Might be okay. However we should not invent sections. We have to include only sections with real content. We have content for Responsibilities (clearly). Requirements/Education/Experience: there is "Education/Experience Requirements:" plus "Additional Skills/Experience:" which could be split into Requirements, Qualifications, Skills. The instruction says use headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide what goes where. We have: - Education/Experience Requirements: Bachelor’s degree ... 5+ years ... 3+ years reimbursement ... Specialty pharmaceutical, nephrology, rare disease, REMs experience preferred. - Additional Skills/Experience: list of many items: core values, experience managing access complexities, prior account management, experience with specialty pharmacy products, proven ability to build relationships, comprehensive understanding of insurance, computer skills, ability to resolve issues/virtually, well organized, excellent collaboration skills, strong interpersonal, position is field based, flexibility to travel up to 35%, ability to perform face to face work, meet credentialling requirements. We could map: Requirements: Education/Experience Requirements (degree, years). Qualifications: maybe the preferred experience (specialty pharmaceutical, nephrology, rare disease, REMs). Skills: the Additional Skills/Experience list. Benefits: The posting includes "Total Rewards Offerings: Travere provides comprehensive total rewards offerings..." then "Benefits: Our benefits include 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." Pay: "Compensation: Our competitive compensation package includes a combination of both cash compensation (base pay and short-term incentive) and long-term incentive compensation (company stock), designed to recognize, retain, and reward employees. Target Base Pay Range: $162,000.00 - $211,000.00" Schedule: Not explicitly mentioned. There's mention of flexibility to travel up to 35%, but not schedule like full-time, part-time, remote? The location says California - Remote. Could infer schedule is full-time? Not explicitly stated. We should not create Schedule section unless posting actually states them. There's no explicit schedule like "Full-time" or "Part-time". So we omit Schedule. We also need to include About the role: maybe the Position Summary plus the introductory mission? The mission paragraphs are about company, not role. But we could still include them as part of About the role? Might be considered filler but it's substantive about company. However the instruction: "Prefer a few substantive sections over many thin ones." We could combine company mission into About the role as context. It's not invented. It's present. So we can include that. Thus About the role content: The paragraphs starting from "Department: 104075 Global Market Access & HEOR Location: California - Remote" maybe we drop Department line? It's metadata; we can fold minor metadata into a short

or drop it. The instruction: "Do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

or drop it." So we can include Department and Location in a short paragraph. Thus About the role: include a short p with Department and Location, then the mission paragraphs, then Position Summary. Now Responsibilities: we have a big block under "Responsibilities:" with bullet-like sentences. We need to convert to

  • . We need to preserve all substantive information; do not invent or summarize away detail. So we need to break each sentence into list items? The original has sentences separated by periods. We'll create list items for each distinct duty. We'll need to parse. Let's extract responsibilities text: "Proactive Office Support Throughout FILSPARI Onboarding Process Access & Reimbursement Manager (ARM), serves as the key contact responsible for patient access and reimbursement in an assigned geography that provides appropriate support to providers and professional staff.Cultivate the highest level of expertise in the FILSPARI onboarding process, from Patient Start Form (PSF) submission through REMS enrollment to reimbursement.Walk offices through what to expect from the FILSPARI onboarding process, either when a new PSF comes in or when an opportunity for re-education is identified.Educate physicians and physician practices on the full FILSPARI onboarding process, including how to complete the PSF, how to enroll patients and physicians in REMS, requirements for prior authorization approvals, appeal approvals, and specific medical policy steps to obtain reimbursement.Closely monitor cases as they progress through the onboarding process. Escalated Support for Specific Cases Proactively identify and solve complex patient access issues by working across the Hub, HCP offices and communicating with field team. Educate physicians (in-person or virtual) on escalated reimbursement issues.Assist physicians and office staff when PSFs or REMS enrollment forms are submitted with information missing; coordinate with Hub and REMS Administrator partners to be able to clearly explain to the office what information is missing.Assist physicians and office staff in resolving access issues (prior authorization, appeals, denials, letters of medical necessity, REMS), and help ensure appropriate education to avoid future reimbursement hurdles.Effectively partner with reimbursement stakeholders (specialty pharmacy, sales team, HCP office, REMS administrator, etc.) to communicate challenges, identify solutions, and ensure the patient is progressing through the reimbursement process.Understand specifics and support questions associated with PSF submission, REMS enrollment, payer policies (e.g., PAs process and denial, and appeals), patient reimbursement (e.g., Co-pay, PAP), reimbursement issues & opportunities (as needed). Sales Force Communication / Partnership Proactively seek out timely and regular updates on case statuses, leveraging network of reimbursement stakeholders.Periodically ride with and educate sales force on complexities surrounding the pharmaceutical reimbursement process. Maintain a level of expertise on specific payors and the requirements for claim approvals.Log calls and notes within standardized platform daily, to provide clear and concise updates that drive toward action and emphasize next steps and owners (based on standardized template).Lead weekly case status update meetings with sales force and sales leadership in a way that demonstrates confidence and preparedness and emphasizes specific next steps / owners.Coordinate with Hub, specialty pharmacies, and REMS administrator stakeholders to regularly share information and work together to move cases forward efficiently and smoothly.Balance daily tasks and schedule to accommodate ad-hoc communication from the sales force and sales leadership without delays to other ARM priorities.Operate in compliance with HIPAA within program guidelines. Proactive Trend Identification and Key Account Education Deliver expertise in regional and local access landscape, anticipating changes in the healthcare landscape, and act as the Subject Matter Expert for FILSPARI onboarding, including reimbursement.Know your business to identify trending barriers to reimbursement within your geography, then create quarterly business plan to address these barriers.Bring forth opportunities / proposals for HCP office education, then work collaboratively with sales counterparts to develop and execute strategy.Work with market access team to monitor national and regional payer trends and changes, then educate both internal (sales) and external (HCPs) on changes." We need to split into list items. Could be many items; but we should preserve all info. We'll create
      with each sentence as
    • . Ensure we don't lose any detail. Similarly for Education/Experience Requirements: we have sentences. "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 area3+ years reimbursement / access / case management experienceSpecialty pharmaceutical, nephrology, rare disease, REMs experience preferred." We need to split: maybe each sentence. Additional Skills/Experience: many sentences. We'll create sections: - Requirements: Education/Experience Requirements (maybe include the degree, years, etc.) - Qualifications: Preferred experience (Specialty pharmaceutical, nephrology, rare disease, REMs experience preferred.) Could also include other preferred? But we have only that line. - Skills: Additional Skills/Experience list. Benefits: as described. Pay: as described. Now we need to output only HTML fragment, no /, no markdown. Let's craft. First, About the role:

      Department: 104075 Global Market Access & HEOR. Location: California - Remote.

      Then mission paragraphs: we can combine into

      elements. We'll include:

      Be a part of a global team that is inspired to make a difference in the lives of people living with rare disease. At Travere Therapeutics, we recognize that our exceptional employees are vital to our success. We are a dedicated team focused on meeting the unique needs of rare patients. Our work is rewarding – both professionally and personally – because we are making a difference. We are passionate about what we do. We are seeking talented individuals who will thrive in our collaborative, diverse, fast-paced environment and share in our mission – to identify, develop and deliver life-changing therapies to people living with rare disease. We stick by our values centered on patients, courage, community, and collaboration to pursue our vision of becoming a leading biopharmaceutical company dedicated to the delivery of innovation and hope to patients in the global rare disease community. At Travere Therapeutics, we are in rare for life. We continue to courageously forge new paths as we move toward a common goal of elevating science and service for rare patients.

      Then Position Summary:

      The Access & Reimbursement Manager (ARM) will be a subject matter expert on access & reimbursement for FILSPARI (Sparsentan), working remotely within their assigned geography to provide education and case-specific support to internal and external stakeholders including but not limited to health care providers (HCPs) and sales force within their assigned region. The Access & Reimbursement Manager must have extensive expertise in navigating insurance and access related barriers and will be a highly collaborative individual who proactively manages multiple priorities in a fast-paced environment (e.g., fielding daily questions from sales team, working with Hub, specialty pharmacy partners, and office contacts to move patients through the reimbursement process, accurately updating daily reports).

      Now Responsibilities

      Responsibilities

      then
        with items. We need to split the responsibilities block into logical items. Let's attempt to break at each period that starts a new capitalized phrase or after each sentence. We'll produce list items. I'll manually create items: 1. Serve as the key contact responsible for patient access and reimbursement in an assigned geography, providing appropriate support to providers and professional staff. 2. Cultivate the highest level of expertise in the FILSPARI onboarding process, from Patient Start Form (PSF) submission through REMS enrollment to reimbursement. 3. Walk offices through what to expect from the FILSPARI onboarding process, either when a new PSF comes in or when an opportunity for re-education is identified. 4. Educate physicians and physician practices on the full FILSPARI onboarding process, including how to complete the PSF, how to

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