Field Reimbursement Manager - Rheumatology

Field Reimbursement Manager - Rheumatology

Field Reimbursement Manager, Rheumatology reports to the Director, Field Reimbursement Managers for the Rheumatology Business Unit. The Field Reimbursement Manager (FRM) will be the field subject matter expert relating to patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business-related issues within the Rheumatology Business Unit. The FRM is a critical front-line member of the Sanofi Patient Support Services organization and will work across multiple internal stakeholders, Sales Teams, Market Access, Account Directors, Trade, Kevzara Connect (Patient Support Program) and program vendors to deliver an exceptional customer experience. They will be called upon to successfully help develop and execute the national strategy set forth by building reimbursement confidence and understanding with customers and assisting in patient pull through efforts. This is a regionally aligned, field-based position that provides reimbursement education and support for customers that utilize Kevzara.

Main responsibilities include :

• Act as field point of contact for Rheumatology Patient Support Services and communicate 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 that the continuum of patient care as it relates to medication access and adherence is achieved.
• FRMs will be subject matter experts 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.
• As needed, 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.
• Establish positive and productive working relationships with all key customer segments (internal and external) to create a culture of respect and customer focus.
• 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 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.
• Coordinate 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.

About you :

Travel requirements :

Geography : North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Texas, Montana, Colorado, New Mexico, Idaho, Utah, Arizona, Washington, Oregon, Nevada, California, Iowa, Minnesota, Wisconsin, Missouri

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