Field Reimbursement Manager South Central

Introduction/Purpose:

Reporting to the Director of Field Reimbursement the Field Reimbursement Manager (FRM) is an important member of the Sobi Market Access team. The FRM is a field-based non-promotional resource for health systems institutions hospitals and HCP practices/groups that serves as the key to help unlock patient access and resolve reimbursement issues. The FRM is a critical component of customer support and will rely on strong problem-solving skills to provide an outstanding customer experience for patients providers and staff to ease the burden of access and improve access awareness to Sobi therapies.

He/she will do this by:

• Customer Engagement: Maintain a targeted account list and proactively engage customers through both virtual and in-person interactions 
• Relationship Management: Build and maintain strong relationships with key stakeholders including medication access teams pharmacy office/practice managers and reimbursement/procurement departments 
• Subject Matter Expertise: Serve as a reimbursement and access expert across all payer channels (Commercial Medicare Medicaid Government) identifying compliant solutions to access challenges
• Access & Reimbursement Support: Educate customers on benefit verification prior authorizations appeals specialty pharmacy/distribution models CPT coding and J-codes 
• Cross-Functional Collaboration: Act as a bridge between customers patient services (HUB) sales and account teams to resolve access barriers and escalations 
• HUB Partnership: Collaborate with Doptelet and Vonjo Connect HUBs and case managers to compliantly address escalations and access issues for hub patients 
• Market Insights: Provide feedback and insights to internal stakeholders to inform strategy and improve patient access solutions
• Territory Collaboration: Partner closely with local cross-functional colleagues to support accounts within a defined geography

Demonstrates deep knowledge in:

1. Reimbursement and access across all channels (Commercial Medicare Medicaid Exchange and Government)and is the subject matter expert of the payers in the markets they will support

2. All phases of specialty distribution specialty pharmacy core services to assist with supporting access and product procurement healthcare structures payment systems and reimbursement methodology

3. Works collaboratively with internal and external business partners to winThinks and acts as a team; understands the nature and interdependencies of a matrix team environment and can effectively work cross-functionally to seize opportunities resolve payer issues improve customer experience avoid bureaucracy and maximize outcomes of strategies and key actions.

• Internal Partners: Sales Marketing Patient Services Trade Team National and Regional Account Directors Medical Affairs External Partners: Builds relationships with: Health Systems Institutions Hospitals HCPs practice managers reimbursement/access departments and other customers who support access & reimbursement

4. Exhibits strong problem-solving skills related to complex patient access challenges across payers and specialty pharmacies 4. Educates health systems institutions hospitals and HCP office staff about: Patient Service Program options to optimize patient access to Sobis products Prior authorization requirements coverage status and payer appeals requirements processes and timelines

5. Comprehends and effectively demonstrates ability to conduct field-based customer support related to payer coverage and payment process (coverage navigation & specialty pharmacy fulfilment)

6. Adheres to all relevant regulatory and Sobi compliance & ethics guidelines and a willingness to coach to ensure a culture of compliance

Qualifications :

Experience:

• A minimum of a B.A/B.S. required
• A minimum five (5) years of work experience in Pharmaceuticals/Biotech/Medical Device with relevant
• understanding of the following areas:
• Patient journey navigation
• Payer coverage polices
• Pharmacy benefit reimbursement
• Specialty pharmacy and distribution
• In office dispensing accounts
• Hub and Patient Services
• Preference will be given to candidates with the following experience:
• Reimbursement experience
• Hematology/Oncology experience
• Demonstrated ability to work accounts; specifically working to identify engage and build relationships with key reimbursement contacts access personnel and practice managers within identified accounts.
• Industry Knowledge proficient understanding of the pharmaceutical industry disease state and drug distribution process (e.g. medical specialty pharmacy managed care systems etc.)
• Understanding of Medicare and Medicaid drug coverage and current and pending changes to drug coverage benefits
• Technical Expertise (Reimbursement and Patient Access) Demonstrates strong technical expertise
•  Reimbursement and patient access knowledge with the ability to effectively convey knowledge to key stakeholders.
• Computer Skills Ability to effectively use technology to support escalation work internal and external portals and databases
• Advanced Microsoft Excel skills that support analysis of large databases and manage a high volume of data
• Analytical Skills Ability to analyze and leverage data/reports to identify trends and opportunities
• Demonstrates Passion high energy excitement and a sense of urgency toward organizational purpose and values.
• Cultivates High IMPACT Partnerships with internal and external partnersDevelops meaningful partnerships based on Sobi Core Values striving to earn and preserve the trust respect and admiration of all stakeholders.
• Values & Unlocks CollaborationCultivates an atmosphere of interdependence collaboration and reciprocal communication that creates a winning environment that inspires all to demand the best from themselves because winning is fun and fulfilling.
• Business SavvyDemonstrates a clear understanding of the current territory business situation marketplace and environment
• Understand HIPAA rules and regulations related to patient privacy
• Strong written and verbal communications as well as presentation skills

Additional Information :

Compensation and Total Rewards at Sobi

At Sobi we are dedicated to providing our employees with a comprehensive and industry-competitive total rewards package. Our compensation philosophy is designed to recognize and reward talent ensuring that your contributions are valued and reflected in your overall rewards.

Your total compensation at Sobi goes beyond just your base salary and annual bonus. It also includes a robust suite of benefits such as:

• A competitive 401(k) match to support your financial future.
• Tuition and wellness reimbursements to invest in your personal and professional growth.
• A comprehensive medical dental and vision package to prioritize your health and well-being.
• Additional recognition awards to celebrate your achievements.

The base salary range for this role is $00. Each individual offer will be determined based on several factors including your experience qualifications and location. Additionally this role is eligible for both short-term and long-term bonuses as outlined in the plan details.

All Sobi employees need to demonstrate behaviors in line with Sobis core values: Care Ambition Urgency Ownership and Partnership. Are you ready to be on the Sobi team Come join a culture that empowers every person to be the person that makes a difference for rare disease.

Why Join Us

We are a global company with over 1900 employees in more than 30 countries and are committed to the societies where we operate. With a deeply skilled management team directing our day-to-day wins and a Board with a stellar track record were ready to take on the worlds diseases ailments and adversity. Our people believe they have the power to make a positive impact in others lives because thats exactly what we do here. If youre seeking a career that taps into your talents in a way that makes the world a better healthier place we just may have a job for you.

We know our employees are our most valuable asset and our culture conveys that. We offer a competitive benefits package to support the health and happiness of our staff.

Sobi Culture

At Sobi we refuse to accept the status quo. This is because we have witnessed first-hand the challenges facing those affected by rare diseases and have used this knowledge to shape our business to find new ways of helping them.

As a specialized biopharmaceutical company we are dedicated to rare diseases. And we see this focus as a strength. By effectively turning our research into ground-breaking treatments we help make medicine more accessible and open up more possibilities for patients and more opportunities for those caring for them. This has been our approach since day one but we know we cant change the world of rare diseases on our own. Accomplishing this requires strong partnerships with patients partners and stakeholders across the entire value chain. Together we define how our business can create solutions that serve the needs of those affected by rare diseases while facilitating sustainable growth.

An Equal Opportunity Employer

Sobi is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions at Sobi are based on business needs job requirements and individual qualifications without regard to race color religion or belief national social or ethnic origin sex (including pregnancy) age physical mental or sensory disability HIV Status sexual orientation gender identity protected veterans and/or expression marital civil union or domestic partnership status past or present military service family medical history or genetic information family or parental status or any other status or protected groups by the laws or regulations in the locations where we operate.

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Remote Work :

Yes

Employment Type :

Full-time