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ADMA Biologics, Inc. · 1 month ago

Field Reimbursement Manager Market Access - Northeast & Mid-Atlantic Regions

United States

Full-time

Remote

Senior Level, Lead/Staff

10+ years exp

ADMA Biologics is a biopharmaceutical company committed to creating superior products for immunodeficient patients at risk for infection. The Market Access Field Reimbursement Manager will engage with the field force to provide education and support on patient support programs and payer coverage, serving as the local market access expert to help providers navigate coverage and support patients in obtaining it.

BiotechnologyHealth CareManufacturingMedical

Responsibilities

Provide clear and detailed coverage, criteria and policy education to healthcare provider offices, physician owned infusion suites, ambulatory infusion suites, National and Regional Specialty pharmacies/Home Infusion providers and hospital-based outpatient infusion centers

The (FRM) will work with the ADvantage Ig Patient Support Program (HUB) to help ensure clear and transparent communication between providers and ADMA

Communicate technical knowledge of patient enrollment, prior authorizations, appeals, and ADMA Biologics sponsored HUB support programs

Serve as the market access training lead for respective territory, delivering policy updates and program information as needed

Collaborate in cross-functional meetings with Sales, Market access, and Medical Affairs as needed to help support providers

This is a remote role and travel within your region and national meeting will be approximately (65-75%)

The FRM will have responsibility in supporting Providers and Sales in the following states: Northeast Region MA, ME, VT, RI, NH, CT. Mid-Atlantic Region: NY, NJ, PA, DE, VA, WV, DC, NC

Qualification

Field reimbursement experienceMarket access expertiseHealthcare regulatory knowledgeMicrosoft Office proficiencyCustomer service orientationPeople skillsCommunication skillsOrganizational skills

Required

10 years of experience working for a major pharmaceutical organization on the field reimbursement team, understanding different site of care provider segments and payors, i.e., (Commercial, Medicare, Medicaid, VA/DOD/Tricare, and ACA) as well as a deep understanding of the Medical and Pharmacy benefits, billing and coding practices for infused products is required

Extensive frontline experience working with and across the various infusion service areas within the US health care system. Specifically, Physician Buy and Bill offices, Ambulatory Infusion suites, National and Regional Specialty Pharmacies/Home Infusion Providers and hospital owned outpatient infusion centers

Must be able to understand and clearly disseminate payor policy and criteria for coverage in the medical and pharmacy benefit to existing and future providers

Must be able to think independently, analyze issues and make recommendations that will help providers and patients obtain coverage to start therapy

Must have extensive Buy and Bill experience in Rare Disease, Plasma/IVIG, Oncology or Orphan Disease

Strong understanding of healthcare regulatory and enforcement environments along with demonstrated integrity on the job

Employees are responsible for ensuring compliance with all ADMA Quality policies, standards, and SOPs in their area of work and responsibility. This includes ensuring all Quality Assurance (QA) records and reports, Human Resources (HR) policies, and Environmental Health and Safety (EH&S) procedures and practices are completed in a timely manner

Must be Proficient in Microsoft Office, Excel, and PowerPoint and Teams

Strong people skills

Excellent written and verbal communication skills

Ability to effectively manage staff

Ability to handle multiple priorities and tight deadlines

Understand concepts, requirements, and accounting issues for all business areas

Ability to understand and interpret government regulations and customer specifications

Able to evaluate and interpret regulations and recognize the need for appropriate changes relative to procedures

Able to work in high-pressure, deadline-driven environment

Advanced knowledge of standard office software (Microsoft Office including Word, Excel, and Microsoft Project)

Demonstrated ability to achieve goals, overcome obstacles, and meet deadlines

Exceptional Organizational And Communication Skills Required

Must have a strong customer service orientation and able to work well under pressure while interfacing with all levels of personnel, and consultants

Preferred

BA/BS/RN degree required, preferably in life science, business, or nursing, master's degree a plus

RN is highly desirable

Benefits

401K plan with employer match and immediate vesting

Medical, Vision, Life and Dental Insurance

Pet Insurance

Company paid STD and LTD

Company Paid Holidays

3 Weeks’ Paid Time Off (within the first year)

Tuition Assistance (after the first year)

Easily accessible to Tri-Rail

Free shuttle to the Boca Tri-Rail station

Company

ADMA Biologics, Inc.

ADMA Biologics is an end-to-end commercial biopharmaceutical company dedicated to manufacturing, marketing and developing specialty plasma-derived biologics for the treatment of immunodeficient patients at risk for infection and others at risk for certain infectious diseases.

Founded in 2004

Ramsey, New Jersey, USA

501-1000 employees