Lead a regional team of best-in class Therapy Access Managers to support UT PAH and ILD products.
Set the vision and strategy that enables successful achievement of objectives that are compliantly aligned with the Patient Relations Team.
Review total HCP engagement trends within their assigned region to help manage request volumes, response efficiency and share market insights gained from HCP requests.
Coordinate and cross-cover HCP support requests throughout their assigned region on an as needed basis to accommodate for TAM time off, to help resolve complex cases and to address any support gaps that arise.
Develop and convey a robust set of rules of engagement to interact with HCP customers and UT internal stakeholders in an appropriate and compliant manner.
Represent patients’/ customers’ / stakeholders’ concerns, priorities, and needs with internal stakeholders, and develop plans and innovative and compliant solutions to appropriately respond to those needs within their regions.
Facilitate a culture of accountability and compliance through ongoing cadence discussions with field leaders and internal partners to identify scalable business practices and to problem solve potential access barriers to UT products.
Work across the Patient Relations Team to assist with resolution of program escalations as required and ensure positive customer experiences.
Engage with sales leadership to discuss regional trends, challenges, and concerns.
Anticipate implications to patient access across UT products to allow for compliant proactive education to meet the market need.
Establish measurable performance parameters and monitor performance against those set parameters.
Establish and monitor staffing projections and geographic distribution based on anticipated activity levels.
Perform field ride-alongs to ensure the team is appropriately and compliantly engaging with customers.
Provide frequent, ongoing performance feedback to all direct reports and foster a team oriented, supportive working environment.
Actively facilitate the growth and development of team members based on their needs, motivation and business requirements. Provide continual coaching, mentoring, and opportunities for improvement.
Requirements
Bachelor’s Degree in a relevant discipline, preferably sciences, business, pharmacy, or healthcare with 12+ years of overall pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy (if applicable), managed care, sales/marketing or related field or Master’s Degree in a relevant discipline, preferably sciences, business, pharmacy, or healthcare with 10+ years of overall pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy (if applicable), managed care, sales/marketing or related field
5+ years of experience in claims reimbursement including: Coverage, coding, billing and payment; Working with medical policy, managed care coverage processes and practices; Deep knowledge and working experience with both public and private payers; Working with Healthcare Practitioners and ancillary staff in a reimbursement role; Knowledge of HUB services to include: financial affordability programs, coordination and communication amongst support coordinators and the TAMs, providing field input for process improvement.
Deep market access and health care policy expertise
Demonstrated success in execution of launch strategies and plans
Experience in Reimbursement, Specialty Pharmacy, Billing and Coding and Payor dynamics
Ability to navigate through ambiguous and evolving US healthcare landscape
Proven track record of building, developing, and motivating teams
Ability to foster team effectiveness within team by sharing knowledge, experience, and information
Ability to create an environment of continuous learning where team members feel challenged and engaged
Ability to work cross-functionally
Highly effective communication and presentation skills