Field Reimbursement Manager Rheumatology FL GA NC
About the role
The Field Reimbursement Manager (FRM) for Rheumatology will be the field expert on patient access, reimbursement, and support for Kevzara. Reporting to the Director, Field Reimbursement Managers, you'll work cross-functionally with Sales, Market Access, Specialty Pharmacies, and Kevzara Connect to help patients navigate coverage barriers and financial assistance.
This regionally aligned role involves educating providers on prior authorizations and appeals, building reimbursement confidence, and driving patient pull-through—directly impacting patient access to care. You'll join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions.
Responsibilities
- Act as the field point of contact for Rheumatology Patient Support Services and collaborate cross-functionally to lead Kevzara pull-through efforts while assisting sales partners as appropriate.
- Function as a conduit to Specialty Pharmacy for escalations specific to Kevzara to ensure the continuum of patient care as it relates to medication access and adherence is achieved.
- Be a subject matter expert on Kevzara Connect, Kevzarahcp.com, and the patient support programs, access issue resolution, financial assistance, and alternative funding options provided by our Patient Support Program.
- Conduct HCP office or SP site visits to facilitate pull-through efforts and problem-solve escalated issues as a HIPAA compliant contact.
- Support field in education of office personnel on prior authorization and appeals processes, reimbursement support, free drug programs, and financial assistance programs.
- Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for Kevzara.
- Work compliantly to reduce cycle time and increase conversion rate for patients prescribed Kevzara.
- Identify any gaps in the operational process and collaborate with Sanofi roles to modify the process.
- Provide PRB/RC approved information related to product coverage, which may include payer specific requirements for claims processing, information regarding prior authorizations and the appeals process, as well as general information regarding disease state.
- Cook up with field sales regarding prioritization of accounts to ensure targeted, timely lists of key accounts. Ensure ongoing communication with field sales regarding account follow-up plan.
Requirements
- BA/BS Degree required
- Minimum 5+ years in the pharmaceutical/healthcare industry or other relevant experience
- Previous experience in specialty biologics, pharmacy benefit reimbursement/access, specialty pharmacy, and/or Market Access a plus
Skills
- Demonstrated success of cross functional teamwork and working in a matrix
- Ability to travel to meetings/trainings/programs as necessary - additional travel will be required within the assigned geography
- Obtain ability to adapt to change and react constructively in a high-energy and fast paced environment
- Excellent strategic thinking, analytical, and communication skills required
- Achieve and maintain compliance with all applicable Sanofi policies and procedures, regulatory and legal requirements, and help to monitor compliance during cross functional team interactions
Benefits
Sanofi US Services and its U.S. affiliates are Equal Opportunity employers committed to a culturally inclusive workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
Pay
Compensation will be determined commensurate with demonstrated experience.
Schedule
~50% depending on geography