Transplant FRM Northwest - US

Job Title: Transplant FRM Northwest - US

Location: Seattle, WA

About the job

The Transplant cGVHD reimbursement environment for specialty biologics has proven to be highly challenging for Health Care Providers (HCPs) and Patients. Payer medical and pharmacy Utilization Management (UM) criteria create process delays for patients like required Benefits Investigations (BI), Prior Authorization (PA), Denial Appeals, detailed Clinical Documentation, and Peer to Peer reviews. Assisting HCPs and Patients to gain access to prescribed treatments requires dedicated and knowledgeable customer facing support. Field Reimbursement Manager for REZUROCK. This is a regionally aligned, field-based position that provides reimbursement education and support for customers that utilize REZUROCK (and other future products). You will act as the subject matter expert on access & reimbursement processes and providing support through (1) product-specific provider reimbursement support, (2) coordination of HUB/Patients Services   reimbursement services, and (3) managing payer/coverage pull-through initiatives.

We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, rare diseases and blood disorders, cancers, and neurological disorders. From R&D to sales, our talented teams work together, revolutionizing treatment, continually improving products, understanding unmet needs, and connecting communities. We chase the miracles of science every single day, pursuing progress to make a real impact on millions of patients around the world.

Main Responsibilities:

Key responsibilities for a REZUROCK FRM cGVHD within Gen Meds will be:

• Will be subject matter experts on Sanofi patient support programs, payer claim processes, access issue resolution, financial assistance and alternative funding options provided by our patient support program.

• Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for REZUROCK and any assigned products
• Proactively educate prescriber office personnel so they may help patients gain access to REZUROCK. including payer specific instructions on reimbursement/ using PRC approved materials.
• Reactively address access and reimbursement issues and provide necessary education for them to secure appropriate reimbursement and access

• Provide PRC approved information related to product coverage, which may include payer specific requirements for claims processing, information regarding prior authorizations and the appeals process, as well as general information regarding disease state CGVHD
• Interact with healthcare professionals, to understand access and reimbursement issues and work toward resolution. Maintain communication with all cross-functional partners throughout interactions and follow through to resolution.
• Interact regularly with National Account Directors, Regional Account Directors and Sales Representatives (IHM’s), to provide field intelligence and disseminate payer policy and positive advantages
• Coordinate with field sales regarding prioritization of accounts to ensure targeted, timely lists of key accounts. Ensure ongoing communication with field sales regarding account follow-up plans.
• Serve as a primary point of contact for Market Access team for distribution of information and payer issues

• Work & coordinate with the HUB/Patient Services Director to educate customers on appropriate available patient support programs. Explain financial assistance Kadmon Assist and other funding options available for REZUROCK  patients  Help the practice understand how to enroll patients in appropriate programs. Advocate for REZUROCK HUB utilization for patient-specific access support needs.

About You

Qualifications:

• BA/BS Degree required, preferably in life science or business, MBA a plus

• Minimum 5-7 years of prior field-based reimbursement and access. Oncology, cGVHD experience preferred

• Minimum 10 years of other related pharma/biotech experience strongly preferred (e.g., Market Access, Sales, Product Marketing)
• Must reside in the territory: WA, OR, ID, MT, WY, ND, SD, Northern CA

• Comprehensive understanding of pharmacy benefit policies across payer types (Medicare, Medicaid, commercial, VA/DoD, etc.) and sites of care (Community Oncology, Academic Medical Center Practices etc.)

• Ability to lead without authority within cross-functional groups and in a matrix organization
• Exceptional professional communications and interpersonal/problem-solving skills necessary to interact with key decision makers (CFO and other c-suite level stakeholders)
• Demonstrated ability to identify key access barriers and design effective resolution plans
• Ensures compliance with all corporate and industry policies in collaboration with Legal, Regulatory and Compliance Qualifications
• Desire to innovate and work in a fast-paced, energetic environment
• Must achieve and maintain compliance with all applicable Sanofi compliance policies, procedures, and legal requirements.
• Excellent strategic thinking, analytical, and communication skills required
• Valid driver's license
• Must achieve and maintain compliance with all applicable Sanofi compliance policies, procedures, and legal requirements.

Travel Requirements:

• ~50%-75% Travel, depending on geography
• Candidates must live near a major airport
• Ability to travel to meetings/trainings/programs as necessary - additional travel will be required within the assigned geography.

Why Choose Us