Field Reimbursement Manager jobs in United States
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Ardelyx, Inc. · 19 hours ago

Field Reimbursement Manager

Ardelyx, Inc. is a biopharmaceutical company focused on developing innovative medicines for unmet medical needs. The Field Reimbursement Manager will support the patient access process for the gastroenterology business by leveraging account management and reimbursement expertise to facilitate access to Ardelyx’s products.

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Comp. & Benefits

Responsibilities

Establish and maintain collaborative working relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access
Aid HCPs with supporting the patient journey by providing education on prior authorization, appeals, and/or denials
Review patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges when appropriate
Partner with internal and external stakeholders to identify, anticipate and address patient and HCP access barriers; Implement updates/changes based on solutions generated to address barriers
Utilize HUB and specialty pharmacy partners to ensure patient access barriers are removed
Monitor patients start trends in assigned geographies/plans, and collaborate with Field Sales and Patient Services partners to proactively address and mitigate challenges
Maintain knowledge of national, regional, local, and account market dynamics for payors and prescribers; maintain knowledge of HUB and specialty distribution channels to support patient needs
Serve 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 staff

Qualification

Field reimbursement managementPatient services expertiseMarket access knowledgeData analyticsSpecialty pharmacy knowledgeCustomer relationship skillsEvaluate dataInterpersonal skillsCommunication skills

Required

B.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 experience
3 - 5 years of experience as a field reimbursement manager within public or private field reimbursement or access services, healthcare operations, and/or equivalent experience
Extensive knowledge of medication access channels preferred
Strong 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 programs
Knowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations. Direct experience with GI products or providers preferred
Outstanding customer relationship, interpersonal, and communication skills with the established ability to effectively work with diverse audiences and influence cross-functionally
Ability to evaluate data and identify trends, barriers, and translate into actionable steps

Preferred

Extensive knowledge of medication access channels
Direct experience with GI products or providers

Benefits

401(k) plan with generous employer match
12 weeks of paid parental leave
Up to 12 weeks living organ and bone marrow leave
Equity incentive plans
Health plans (medical, prescription drug, dental, and vision)
Life insurance and disability
Flexible time off
Annual Winter Holiday shut down
At least 11 paid holidays

Company

Ardelyx, Inc.

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Ardelyx was founded with a mission to discover, develop and commercialize innovative, first-in-class medicines that meet significant unmet medical needs.

Funding

Current Stage
Public Company
Total Funding
$557.68M
Key Investors
HealthCare Royalty PartnersSLR Capital PartnersNew Enterprise Associates
2022-06-30Post Ipo Debt· $20M
2022-02-24Post Ipo Debt· $27.5M
2019-12-12Post Ipo Equity· $125M

Leadership Team

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Mike Raab
President & CEO
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Elizabeth Grammer
Chief Legal and Administrative Officer
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Company data provided by crunchbase