Field Reimbursement Manager
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Job Location:
Atlanta, GA - USA
Monthly Salary:
$ 145000 - 190000
Posted on:
18 hours ago
Vacancies:
1 Vacancy
Department:
Job Summary
Description
Ardelyx is a publicly traded commercial biopharmaceutical company founded with a mission to discover develop and commercialize innovative first-in-class medicines that meet significant unmet medical needs. Ardelyx has two commercial products approved in the United States IBSRELA (tenapanor) and XPHOZAH (tenapanor). Ardelyx has agreements for the development and commercialization of tenapanor outside of the U.S. Kyowa Kirin commercializes PHOZEVEL (tenapanor) for hyperphosphatemia in Japan. A New Drug Application for tenapanor for hyperphosphatemia has been approved in China with Fosun Pharma. Knight Therapeutics commercializes IBSRELA in Canada.
Position Summary:
The Field Reimbursement Manager (FRM) is responsible for supporting the patient access process for our gastroenterology business. The FRM will leverage his/her account management data analytics and reimbursement expertise and demonstrated experience to support and facilitate timely access to Ardelyxs products! This role involves supporting products by executing the collaborative territory strategic plan understanding the patient access process and navigating patient support programs. The FRMs will collaborate with key team members such as Field Sales and other internal stakeholders to serve as access and reimbursement experts for assigned geographies. If youd like to help establish Ardelyx as a leading company in the biopharma industry one that advances patient care with novel therapies that meet important clinical needs come join us!
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
Qualifications:
- 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
Work Environment:
- This position reports to an Associate Director/Director Field Access and Reimbursement
- Travel will vary by territory and business need
- Up to 75% in the field require
The anticipated annualized base pay range for this full-time position is $145000-$190000. Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers. Actual base pay will be determined based on a variety of factors including years of relevant experience training qualifications and internal equity. The compensation package may also include an annual bonus target and equity awards subject to eligibility and other requirements.
Ardelyx also offers a robust benefits package to employees including a 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 and at least 11 paid holidays.
Ardelyx is an equal opportunity employer.
Required Experience:
Manager
Key Skills
- Time Management
- Construction Experience
- Managed Care
- Management Experience
- Microsoft Outlook
- Utilization Management
- Case Management
- Pediatrics Experience
- Salesforce
- Relationship Management
- Leadership Experience
- Supervising Experience
About Company
From discovery through commercialisation, all of us at Ardelyx are driven to advance targeted therapies where significant medical needs persist.
