Ascendis Pharma · 7 hours ago

Field Reimbursement Manager (Southeast-SC/GA/AL/MS/TN) - Job ID: FRMSE

Tennessee, United States

Full-time

Remote

Senior Level, Lead/Staff

8+ years exp

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Responsibilities

Demonstrate deep knowledge of reimbursement and access, and function compliantly as the subject matter expert in their assigned territory

Demonstrate extensive knowledge of individual managed care account's geographic presence/influence, payor mix, product coverage and reimbursement criteria policies

Educate providers on prior authorization requirements, coverage status, payer appeals requirements, alternate funding options for the uninsured and under insured, and all associated processes and timelines

Routinely provide access education to HCPs and office staff

Create and maintain productive relationships with HCPs, key stakeholders within HCP offices, and health care systems

Apply knowledge of specialty pharmacy core services and connectivity to assist customers navigating the complexity of specialty pharmacy distribution

Partner with Patient Support Team to ensure accurate coverage determinations, and optimized processing of enrollments for timely access of product for patients

Establish ambitious objectives in developing, explaining, and implementing innovative solutions for patient access

Develop business plans by performing strategic analyses of customers; identify issues and opportunities

Collaborate with cross-functional partners to identify and respond to local opportunities and customer needs

Collaborate with Regional Lead to develop a local access strategy plan that ensures achievement of KPI goals and delivery on all objectives

Partner across the organization and with external vendors to continuously improve patient access deliverables, services, and the customer experience

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Market AccessReimbursement ExpertiseSpecialty PharmaceuticalsPatient Support ServicesPharmaceutical ComplianceHealthcare Industry ExperienceStrategic AnalysisCustomer Relationship ManagementCross-functional Collaboration

Required

Bachelor's degree

8+ years' experience in the pharmaceutical / biotech or related healthcare industry

3-6 years' experience with Specialty Pharmaceuticals / Biologics

Significant expertise in market access and reimbursement matters

Ensure strong understanding and utilization of Specialty Pharmacy and third-party services (Patient Support)

In depth knowledge of pharmaceutical manufacturer compliance, patient confidentiality, product reimbursement and product access requirements

Knowledge of regulations and laws governing the protection of patient identifying information, and relevant laws, regulations, and policies pertaining to access offerings