Sr. Access & Reimbursement Manager (Jacksonville, FL) (field based)

About the role

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai’s human health care (hhc) mission. We’re a growing pharmaceutical company breaking through in neurology and oncology, with a strong emphasis on research and development. The Access and Reimbursement Manager (ARM) will provide support for patient access to prescribed Eisai products, including communication with healthcare professionals about insurance coverage, reimbursement, and Eisai’s patient support programs.

This field-based role will support the Neurology business unit, focusing on compliant access and reimbursement education for an Eisai Alzheimer’s product, requiring an understanding of buy-and-bill, miscellaneous J Code billing, and specialty distribution procurement. The ARM will serve as the functional lead for Access and Reimbursement activities across HCP offices, alternate sites of infusion care, State Societies, and Health Systems/institutions.

Responsibilities

• Act as the point of contact for assigned customers with patient access and reimbursement needs/challenges to provide relevant education and support.
• Identify, triage, and escalate customer issues to relevant internal/vendor teams as required, and drive resolution.
• Develop strategies to address access and reimbursement needs across assigned customer group/region.
• Create and deliver high-level training programs to the sales force (e.g., general information on patient access issues, Eisai patient support programs, separation between sales and access/reimbursement).
• Proactively track payer trends; develop, coordinate, and execute plans to create and maintain treatment access for patients based on analyses of trends and information.
• Communicate current and pertinent field access/reimbursement information (e.g., customer feedback, payer coverage—medical/pharmacy benefit, access to product procurement, payer updates) to relevant internal/external stakeholders.
• Educate external stakeholders (e.g., physicians, office administrators, case managers, financial counselors, medical directors, billing personnel, pharmacists) on matters related to patient access to Eisai products.

Key External Stakeholders

• Health Care Professionals and stakeholders responsible for physician reimbursement and patient coverage and access issues, including:
• Practice Managers
• Financial Counselors
• Pharmacy Managers/Directors
• Business Administrators
• State Societies
• C and D Suite Health System personnel
• Revenue cycle/integrity stakeholders

Qualifications

• Bachelor's degree in a related field (Master's preferred) with 8+ years of relevant experience in the pharma/biotech industry.
• Previous patient access or reimbursement experience strongly preferred.
• Experience related to distribution, patient support programs, financial assistance, and patient assistance programs.
• Market Access payer and/or patient access support programs experience.
• Experience with the US healthcare system across one or more major payer segments (Medicare, Medicaid, Federal, and Commercial).
• Experience working with medical and pharmacy benefits, coverage policies, and reimbursement.
• Proven performance in earlier roles.

As a condition of employment, applicants must be able to engage in person with HCPs and other third parties at their offices, institutions, and other appropriate locations on a regular basis. Selected candidates may be required to complete third parties’ credentialing and/or entry requirements, which often include vaccination attestations or proof. Reasonable accommodations for qualifying medical or religious reasons may be requested through the Human Resources Department.

Skills

• Communication & Cross-functional Influence
• Critical Thinking & Business Agility
• Industry & Regulatory (Market Access)
• Mentoring/People Development
• Project Management
• Reimbursement Knowledge

Pay

The annual base salary range for this field-based Sr. Access & Reimbursement Manager position (Jacksonville, FL) is $166,000–$217,900. Final pay determinations will depend on factors including experience level, education, knowledge, and skills. This position is eligible to participate in Eisai Inc.’s Annual Incentive Plan and Long-Term Incentive Plan.

Benefits

Employees are eligible to participate in Company employee benefit programs. Additional information on compensation and benefits is available at Eisai’s careers page. Certain other benefits may be available for this position.