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The EMD Access and Reimbursement Manager (ARM) is responsible for executing the Epidiolex market access business plan pertaining to the assigned geography. Demonstrate deep knowledge in reimbursement and access across many patient support programs and be the subject matter expert in the geography.
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This individual will also support the health care providers in obtaining optimal reimbursement (payment rates and market access) by serving as a knowledgeable resource in coding, coverage and payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran Affairs (VA) and commercial payers.
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The Field Reimbursement Manager (FRM) proactively provides education and support on product access programs for physicians and their staff. The FRM will need to coordinate cross functionally within Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, and Specialty Pharmacy Account Management.
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Additionally, the FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for other field sales force personnel and region management.
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5 years of Market Access/Sales experience; experience in Marketing, Market Access, Commercial Operations or Sales/Sales Training preferred, with a minimum of 2 years as an FRM or RAM working specifically with PBM medications.
$165,000 - $180,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Minimum 8 years of field-based Market Access Account Management experience with a proven track record in access and reimbursement, working with biotech specialty products (Commercial Account Management, Government Account Channels, Market Access Payer Marketing, Patient/Provider Reimbursement HUB services and some degree of coding and claims processing.
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Collaborate with case coordinators, patients and payers to troubleshoot and resolve complex reimbursement-related issues with FAS/NCM/CC/FRM, Market Access, Distribution, SP and insurance companies.
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Strong understanding of payer market and payer dynamics, both commercial and government funded and experience in different access and reimbursement models, including Medicare Parts B and D, Medicare Advantage (e.g., Medicare Coverage Determinations (NCDs, LCDs and Coverage Articles), ASP pricing.
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Advanced degree in medical/biosciences (i.e., PharmD, MD, PhD.) AND minimum 3 to 5 years related experience (field liaison responsible for market access , worked for managed care organization, corporate or field HEOR, etc.
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Communicate frequently with other Respiratory Sales Specialists across the country and cross-functional counterparts such as Marketing, Sales Ops, Market Access, Field Reimbursement, Training, and Medical Affairs to create alignment of business plan, focus on strategic drivers, and sharing best practices.
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Demonstrate in-depth knowledge of Patient Access Programs & Specialty Distribution Models (i.e., Specialty Pharmacy/HUBs). Ability to meet any requirements set by healthcare customers and their facilities for access to those facilities (e.g., vaccination requirements, mask requirements, etc.
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Key Internal Customers: Market Access, Marketing Teams, Government Relations, Legal and Compliance. Work within matrix organizational structure to collaborate across Market Access, Legal, and other functional teams, to develop and implement program solutions for both new and in-line products.
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Our entry level training curriculum is designed to empower you with the skills and tools needed for success: client relationship management, product knowledge, market development, role play and access to a full suite of remote-work technology solutions.
$65,000 - $175,000 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Manage Business Leads across patient support and market access which may include, but not limited to, field reimbursement, patient education, and account management programs. The Executive Director of Patient Support Solutions is a member of the Market Access and Patient Support Leadership Team responsible for growing business with new and existing clients by driving supporting solution development & design, brand strategy, and ensuring Syneos Health is a preferred partner.
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Additionally, the role will involve the development of new market access products, including analysis, pricing, documentation and marketing. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement savings plan, backup childcare, tuition reimbursement, mental health support, financial coaching and more.
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market access reimbursement jobs in Newark, NJ
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