Field Reimbursement Manager- Southeast / South

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United As One for Patients, our purpose in Healthcare is to help create, improve and prolong lives. We develop medicines, intelligent devices and innovative technologies in therapeutic areas such as Oncology, Neurology and Fertility. Our teams work together across 6 continents with passion and relentless curiosity in order to help patients at every stage of life. Joining our Healthcare team is becoming part of a diverse, inclusive and flexible working culture, presenting great opportunities for personal development and career advancement across the globe.

Field Reimbursement Manager N&I Southeast / South

Location:

This is a field-based position covering the Southeast / South area, including Florida or Puerto Rico. Travel, including overnight stays, will be required (approximately 40 - 50%). Candidate must live in the current covered geography for consideration.

Your Role:

The Field Reimbursement Manager in the Southeast / South will play a vital role in helping patients and healthcare providers gain access to life changing therapies. Reporting to the Head of Field Patient Solutions & Customer Engagement and is a part of the Field Reimbursement team. With intense passion for helping patients, the Field Reimbursement Manager represents EMD Serono (EMDS) by gaining a deep understanding of specific patient journeys to ensure a positive patient experience to EMD Serono's products and services.

This position will have significant market impact on patient access to EMDS Neurology & Immunology (specifically in Multiple Sclerosis MS) and HIV Associated Wasting (HIVAW) products as well as other potential products both in existing and new therapeutic areas. This role is considered critical to ensure positive experiences with EMDS since timely treatment, unencumbered drug coverage and proper distribution is critical to both patients and practice operations.

The Field Reimbursement Manager will work within a matrix environment to collaborate with internal and external stakeholders to secure optimized patient access and provide appropriate education through a focused effort on healthcare providers in community, institutional, and academic medical settings.

Key Tasks & Responsibilities:

The Field Reimbursement Manager is focused on the patient journey (from prescription to dispense and persistence) and interact with key stakeholders within the therapeutic areas of focus, as an extension of internal and external HUB services, to navigate complex access, reimbursement and coverage issues that may create product access barriers for patients. Additionally, this position will serve as field partner of the HUB to assist in educating healthcare providers on the support services. This position is field based and requires 40 to 50% travel to community and institutional healthcare providers within the designated territory. Those in this role will use their knowledge of drug coverage, patient assistance, and health policy to educate healthcare providers (both prescribers and office staff) and minimize access issues to ultimately help patients. The successful candidate will have the ability to think both strategically at the area/account level to create/implement plans as well as navigate access challenges at the patient level. Tasks and responsibilities may include the following:

• Act as the owner by leading the evaluation and implementation of patient access opportunities within a specific geographic area for all applicable patient types
• Work collaboratively with other EMD Serono counterparts within defined areas to identify and resolve barriers to patient access to EMD Serono products
• Act as the expert liaison to MS Lifelines (MS products HUB) and 3rd Party Specialty Pharmacies, and identify challenges, escalations or delays in therapy while working with any team members needed to resolve such issues
• Act as the field-based liaison to the AXIS Center (Serostim HUB) and identify challenges, escalations or delays in therapy while working with any team members needed to resolve such issues
• Provide face-to-face, personalized issue resolution, including difficulties with prior authorizations and appeals arising with providers using EMD Serono's products
• Educating provider offices on local and regional payer issues, coding, and appropriate claims submission processes
• Educate accounts on the availability of patient financial support programs, such as the Co-Pay Assistance and Patient Assistance Programs, as well as other services provided by MS Lifelines and the AXIS Center
• Liaising with MS LifeLines and AXIS Center regarding financial and other assistance programs or patient-specific issues
• Inform appropriate stakeholders of applicable payer utilization management tools and serve as the most proficient liaison between Field Reimbursement and MS LifeLines or AXIS Center for any issue related to HUB enrollment, access and dispense
• Compliantly ensure a positive HCP and patient journey experience through outcomes-oriented collaborations with all EMDS stakeholders
• Identify as appropriate, any professional societies, alliances or organizations which provide education, programming, legislative balance or similar to supplement field expertise and further EMDS relationships in the MS therapeutic area for the benefit of patients
• Provide strategic and tactical input for continuous improvement purposes
• Develop tactical plans (i.e., educating, triaging, hub interactions, etc.) and execute against those plans in support of strategic access imperatives, such as key performance indicators or role metrics as identified by Patient Access Solutions Leadership

Who you are:

Minimum Qualifications:

• Bachelor's Degree in Business, Sciences or Related Fields
• 8+ years of experience in pharmaceutical industry, sale, or reimbursement
• Working knowledge in private payer, Medicare Part D, Medicare Advantage, and Medicaid structures, systems, utilization management tools, and payment methodologies
• Spanish & English fluency, read, write and conversation to convey Professional Medical Terminology
• 40% domestic and internal travel required

Preferred Qualifications:

• 5+ years' experience in Specialty account management, managed care (payer / IDN accounts), Corporate Office or reimbursement for specialty pharmacy products
• Technical knowledge of prescription drug coverage policies, drug acquisition options (pharmacy, office dispensing, specialty pharmacy), healthcare payment methods from a provider, health plan, and/or specialty pharmacy concerns, particularly for the Northeast region
• Proven track record of delivering results
• Proven experience in resolving difficult access challenges, including complex prior authorizations, appeals, and denials
• Demonstrated understanding of the appropriate use of patient health information (PHI) under HIPAA and other relevant legal and compliance aspects of performing the access reimbursement role
• Strong analytical skills to understand and adjust to trends and market dynamics
• Detailed knowledge of neurology products, including MS therapies
• Experience in MS, Endocrinology or similar, such as sales, marketing, training, access or account management
• Live within 90 minutes of a major airport in the designated territory

What we offer: We are curious minds that come from a broad range of backgrounds, perspectives, and life experiences. We celebrate all dimensions of diversity and believe that it drives excellence and innovation, strengthening our ability to lead in science and technology. We are committed to creating access and opportunities for all to develop and grow at your own pace. Join us in building a culture of inclusion and belonging that impacts millions and empowers everyone to work their magic and champion human progress!

Apply now and become a part of our diverse team!

If you would like to know more about what diversity, equity, and inclusion means to us, please visit https://www.emdgroup.com/en/company/press-positions.html