Field Reimbursement Manager

Role Overview

• Reporting to the Director of Field Reimbursement, the Field Reimbursement Manager (FRM) is an important member of the Sobi Market Access team.
• The FRM is a field-based, non-promotional resource for health systems, institutions, hospitals, and HCP practices/groups that serves as the key to help unlock patient access and resolve reimbursement issues.
• The FRM is a critical component of customer support and will rely on strong problem-solving skills to provide an outstanding customer experience for patients, providers and staff to ease the burden of access and improve access awareness to Sobi therapies.
• Maintain a targeted account list and proactively engage customers through both virtual and in-person interactions
• Build and maintain strong relationships with key stakeholders including medication access teams, pharmacy, office/practice managers, and reimbursement/procurement departments
• Serve as a reimbursement and access expert across all payer channels (Commercial, Medicare, Medicaid, Government), identifying compliant solutions to access challenges
• Educate customers on benefit verification, prior authorizations, appeals, specialty pharmacy/distribution models, CPT coding, and J-codes
• Act as a bridge between customers, patient services (HUB), sales, and account teams to resolve access barriers and escalations
• Collaborate with Doptelet and Vonjo Connect HUBs and case managers to compliantly address escalations and access issues for hub patients
• Provide feedback and insights to internal stakeholders to inform strategy and improve patient access solutions
• Partner closely with local cross-functional colleagues to support accounts within a defined geography.

Requirements

• A minimum of a B.A/B.S. required
• A minimum five (5) years of work experience in Pharmaceuticals/Biotech/Medical Device with relevant understanding of the following areas: Patient journey navigation, Payer coverage polices, Pharmacy benefit reimbursement, Specialty pharmacy and distribution, In office dispensing accounts, Hub and Patient Services
• Preference will be given to candidates with the following experience: Reimbursement experience, Hematology/Oncology experience, Demonstrated ability to work accounts; specifically working to identify, engage and build relationships with key reimbursement contacts, access personnel and practice managers within identified accounts.
• Industry Knowledge – proficient understanding of the pharmaceutical industry, disease state and drug distribution process (e.g., medical, specialty pharmacy, managed care systems, etc.)
• Understanding of Medicare and Medicaid drug coverage and current and pending changes to drug coverage benefits
• Technical Expertise (Reimbursement and Patient Access) —Demonstrates strong technical expertise Reimbursement and patient access knowledge with the ability to effectively convey knowledge to key stakeholders.
• Computer Skills – Ability to effectively use technology to support escalation work internal and external portals and databases
• Advanced Microsoft Excel skills that support analysis of large databases and manage a high volume of data
• Analytical Skills – Ability to analyze and leverage data/reports to identify trends and opportunities
• Strong written and verbal communications as well as presentation skills.

Benefits

• Competitive compensation for your work
• Generous time off policy
• Summer Fridays
• Opportunity to broaden your horizons by attending popular conferences
• Emphasis on work/life balance
• Collaborative and team-oriented environment
• Making a positive impact to help ultra-rare disease patients who are in need of life saving treatments