Avadel Pharmaceuticals PLC · 20 hours ago

Field Reimbursement Manager-Central-Omaha, NE

United States

Full-time

Remote

Mid, Senior Level

5+ years exp

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Responsibilities

Be a significant player in the development of Avadel’s Market Access Field Reimbursement Strategy across all assets and functions to ensure an integrated approach to broader HCP offices that delivers optimal access for patients to the portfolio, including ensuring an efficient cross-functional communication and feedback process.

Provide critical engagement with HCP office staff educating them on RYZUP enrollment process and titration process so offices understand process when script is written.

It is vital that Field Reimbursement teams develop and maintain strong relationships with each HCP office.

Work together as one Avadel team in owning the relationship development of HCP offices with their respective Territory Business Manager.

Develop service materials to support educational efforts while in the field these are to include: Reimbursement, Prior Authorizations, Letters of Medical Necessity, Appeals, Welcome Kits, Compliance and Persistency, Data integration SP network, Pull-through strategies, Payer Policy, RYZUP process.

Attend Quarterly Business Reviews.

Implementation of Programs, Dinner, Lunch, etc. all educational in nature.

Work Collaboratively across all internal Avadel teams with focus on Patient Support and Channel.

Partner with Finance, Supply Chain, and Manufacturing teams in demand forecasting and pharmacy/wholesaler fulfillment throughout pre-launch and post-launch phases of product to ensure successful implementation of the trade/distribution strategy.

Support and communicate Market Access strategies in partnership with the Payer Marketing team, Head of Contracting & Pricing Strategy, HEOR, Medical Affairs, and other cross-functional and senior corporate leadership, as appropriate.

Be the “Go To” brand leader in the field for HCP offices to call on when questions arise.

Educate HCP offices regarding REM’s protocol and certification process to ensure offices can prescribe product.

Work collaboratively with all contracted partners.

Provide strong analytical work to improve process and performance, identify key metrics to track performance at a National and regional level.

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.

Field Reimbursement StrategyMarket AccessReimbursement ExperiencePatient Services ProgramsAnalytical ExpertisePull-through StrategiesHCP Relationship DevelopmentEducational Materials DevelopmentPharma/Biotech ExperienceRare Orphan Disease KnowledgeLaunch ExperienceCredentialing Requirements KnowledgeCollaboration Skills

Required

Bachelor’s degree required; advanced degree preferred

5+ years’ experience within the Pharma/biotech industry with that focused in either a sales or reimbursement related role

Experience in the Rare Orphan Disease markets highly preferred

Previous experience working in Reimbursement.

Ability to own build critical relationships with office staff

Proven experience with success in pull-through strategies

Experience in development of Field Access educational materials

Previous launch experience directly with field access teams required

Strong analytical expertise with ability to measure metrics and bring insights to data that will make a meaningful impact to patients

Strong knowledge of Patient Services programs such as Copay, Quick Start/Bridge, LMN/Appeals

Certain customers and/or Health Care Professionals may have credentialing requirements that apply to field roles to gain access to perform the essential functions of the position. In these cases, credentialing requirements must be met (which may include vaccinations such as influenza and COVID-19). Talk with a People & Culture Representative if there are questions.