Descripción de la oferta
Role SummaryThe Field Reimbursement Manager (FRM) is responsible for supporting the patient access process for our gastroenterology business. The FRM will leverage account management, data analytics, and reimbursement expertise to support and facilitate timely access to Ardelyx’s products. This role involves executing the collaborative territory strategic plan, understanding the patient access process, and navigating patient support programs. The FRMs will collaborate with key team members such as Field Sales and other internal stakeholders to serve as access and reimbursement experts for assigned geographies.ResponsibilitiesEstablish and maintain collaborative working relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient accessAid HCPs with supporting the patient journey by providing education on prior authorization, appeals, and/or denialsReview patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges when appropriatePartner with internal and external stakeholders to identify, anticipate and address patient and HCP access barriers; Implement updates/changes based on solutions generated to address barriersUtilize HUB and specialty pharmacy partners to ensure patient access barriers are removedMonitor patients start trends in assigned geographies/plans, and collaborate with Field Sales and Patient Services partners to proactively address and mitigate challengesMaintain knowledge of national, regional, local, and account market dynamics for payors and prescribers; maintain knowledge of HUB and specialty distribution channels to support patient needsServe as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial)Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staffQualificationsB.A/B.S. degree with 6 - 9 years of experience in field reimbursement, patient services, market access, or related functions within the pharmaceutical/biotech industry or equivalent experience3 - 5 years of experience as a field reimbursement manager within public or private field reimbursement or access services, healthcare operations, and/or equivalent experienceExtensive knowledge of medication access channels preferredStrong functional knowledge of specialty pharmacy and health insurance and benefits (i.e. Medicare Part D, commercial and Medicaid) with a demonstrated expert understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programsKnowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations. Direct experience with GI products or providers preferredOutstanding customer relationship, interpersonal, and communication skills with the established ability to effectively work with diverse audiences and influence cross-functionallyAbility to evaluate data and identify trends, barriers, and translate into actionable stepsAdditional RequirementsTravel will vary by territory and business needUp to 75% travel in the field may be required
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