Access and Reimbursement Manager - Nephrology (Carolinas, NY, NJ, Washington DC, Boston)

Access And Reimbursement Manager - Nephrology (Carolinas, Ny, Nj, Washington Dc, Boston)

The primary responsibility of the ARM is to help create and maintain treatment access for patients through the duration of the course of therapy. While the sales specialist drives new business demand, the ARM leads the "pull-through" process on open cases by taking compliant actions that improve access and expedite a patient's start to treatment. The ARM facilitates this process by working directly with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales colleagues.

In addition to leading case "pull-through", the ARM also identifies payer trends, alerts business partners, and takes initiative around developing, coordinating and executing tactical plans in order to create and maintain treatment access for patients. Due to the ARM's leadership and access expertise, this individual is viewed by colleagues and customers as a valuable resource that plays a critical role in their success.

The ARM consistently demonstrates uncompromised ethics and integrity while helping others understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance related to patient assistance programs.

The ideal candidate enjoys working in a fast-paced environment and has the ability to prioritize business needs, solve complex problems, develop strong customer relationships, and motivate others to take appropriate action to move cases forward. The ARM needs to quickly and successfully adapt to evolving and changing business needs.

Preferred Experience and Qualifications :

• Minimum of 5 years' experience working with specialty pharmaceutical products, or minimum of 2 years' access-related position outside of pharma
• Experience in Nephrology preferred.
• Strong understanding of insurance and benefit design with both commercial and government payers
• Background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, Case Management
• Successful navigation of complex authorization processes for specialty medications
• Working with a Patient Service Center / Hub in order to design case-specific strategies based on payer mix, benefit design, and authorization requirements.
• Coordinating case pull-through with the Patient Service Center, Case Managers, Sales, and Specialty Pharmacies
• Supporting and educating HCP offices on best practices that streamline the authorization process and expedite treatment access for patients
• Communicating with SPs to improve processing time and help facilitate shipment scheduling
• Demonstrated analytical, problem solving, and relationship-building skills
• Excellent communication, organizational and leadership skills
• Customer interaction and field travel up to 60% - overnights dependent on geography
• Preferred Location : Carolinas, NY, NJ, Washington DC, Boston

Education : Bachelor's or higher degree required

The expected base pay range for this position is $160K - $202K. Please note that base pay offered may vary depending on factors including job-related knowledge, skills, and experience. This position is eligible for a bonus in accordance with the terms of the applicable program. Bonuses are awarded at the Company's discretion.