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Supernus Pharmaceuticals, Inc. · 3 weeks ago

Associate Director, Access Reimbursement Management (Midwest)

United States

Full-time

Onsite

Lead/Staff, Director/Executive

$170K/yr - $198K/yr

8+ years exp

Supernus Pharmaceuticals is an award-winning biopharmaceutical company with over 30 years of experience in developing products for CNS diseases. The Associate Director, Access Reimbursement Management will provide education and assistance to healthcare providers regarding patient access challenges for Supernus products, ensuring compliance and effective communication with stakeholders.

BiotechnologyHealth CarePharmaceutical

No H1B

Responsibilities

Equipping HCPs and their staff, through education, to navigate the patient-level payer access requirements and approval process for ZURZUVAETM (zuranolone) CIV within a specified geographic region

Demonstrating an advanced understanding of public and private payers and how to research to determine specific coverage barriers and communicate effectively to internal stakeholders and external HCPs regarding education on Medicaid (FFS and Managed Care), commercial plans, PBM designs, policy changes, and formulary status

Knowledge of pharmacy benefit reimbursement practices, compliance, billing and coding processes, and utilization management / prior authorization process

Confidently reference reimbursement and access materials to educate HCPs on access related questions

Ensuring compliance with all Supernus policies and procedures, applicable laws, regulations, and industry standards

Implementing and supporting the strategic tactical plan for the execution of product access and reimbursement through partnership with internal and external stakeholders

Analyzing data and reports to determine potential outreach efforts needed to educate HCPs regarding access related issues with specialty pharmacies and payers

Traveling to HCP sites on a limited basis when in person educational efforts are required Understanding of key stakeholders within an HCP office and how to navigate relationships in a manner that anticipates and adapts to customer reimbursement support needs and any market access challenges

Other responsibilities and projects assigned

Qualification

Healthcare reimbursement knowledgePatient access educationData analysis skillsMicrosoft ExcelPower BIVeeva CRMEthical standardsCommunication skillsTeamworkProblem-solving

Required

Bachelor's degree and minimum of eight years of experience in field sales, patient support programs, patient case manager, or field reimbursement support

Advanced knowledge of Microsoft office Excel, multiple data report databases (Power BI), and CRMS systems (Veeva) is required

Ability to communicate effectively payer coverage criteria, payer policy, and prior approval processes

Ability to communicate and manage process expectations effectively across internal and external customer bases

Ability to manage multiple internal cross functional touch points and effectively prioritize the support of field service requests within a large geographical region

Understanding of national and state legislative, Medicare, Medicaid, and private payer and pharmacy coverage initiatives affecting reimbursement of pharmaceutical and biotechnology products

Must be able to work the time zone hours for the assigned geography – equivalent to 8:00am - 5:00pm central time

Individuals must live within the geographical region or be willing to relocate to it

Ability to work independently and as part of a team and maintain high ethical standards of integrity and quality

Ability to have an innovative and dynamic approach to work

A self-starter able to work independently but comfortable working in a team environment

Ability to consistently exhibit Supernus Values in interactions with employees at all levels of the organization, vendors, customers and others

Authorized to legally work in the United States without visa sponsorship

Individuals must live within the geographical region or be willing to relocate to the Midwest region: Minnesota, North Dakota, South Dakota, Wisconsin, Michigan, Southern Ohio

Preferred

Experience navigating through complex access challenges specific to specialty pharmacy in multiple regions / states preferred

Experience with educating health care providers on product access questions and researching coverage for pharmacy benefit products within commercial and government payers preferred

Advanced understanding of the healthcare environment specifically around delivering services to Health Care Professionals