Access Reimbursement Manager Operations Lead

Job description

**About Stratis Group:** Stratis Group is an independent pharmaceutical consulting firm that specializes in commercialization throughout a brand’s lifecycle, our core passions include: market access, patient services, field reimbursement, and data-driven analytics. **Summary:** We are looking for a highly skilled National Access & Reimbursement Commercial Operations Lead (Field-Based) to support launch readiness and ongoing commercialization execution by ensuring the ARM team is appropriately staffed, trained, deployed, equipped with approved resources and aligned to client-defined access objectives . This will be a contracted role, and the ideal candidate will be the connection between the Client and the Access & Reimbursement Manager (ARM) Team. This role will be cross-collaborative with internal stakeholders (Patient Services, Data, Analytics, Sales, Market Access) and other cross-functional stakeholders, as applicable, to drive successful deployment and oversight of the contracted Access & Reimbursement Manager Team. Therapeutic expertise in Cardiovascular is a plus. **You will be responsible for:** - Driving team development (managing a large team >10 ARMs) and fostering a high-performing culture while ensuring accountability for achieving access-related objectives. - This individual will have deep expertise in managing the day-to-day Key Performance Indicators to ensure the team is tracking to aligned objectives with the Client. Own day-to-day performance monitoring of ARM KPIs, including activity, account engagement, access barrier trends, CRM utilization, educational pull-through, and other agreed-upon measures. Translate performance trends into actionable coaching, operational adjustments, and executive-ready business reviews. - Ability to understand and articulate complex data sets and provide summaries and quarterly reports and presentations that will be delivered to Executive Leadership. - Liaise with the Client’s Data and Analytics team & Market Access Lead to improve and refine ARM Key Performance Indicators, as needed. - Lead and manage all operational aspects to include ARM roster management, CRM management, dashboard reporting (support) and other access performance measures. - Coordinate initial ARM onboarding, sourcing and recruiting support, expense tracking/reporting, training logistics, and meeting coordination with the client and ARM Team. Coach, mentor, and empower ARMs to deliver exceptional educational support to healthcare providers and patients to help facilitate patient access. Provide strategic and operational oversight to ensure ARMs consistently deliver compliant education to provider offices on payer coverage, prior authorization requirements, benefit verification workflows, appeals/denials processes, affordability resources, specialty pharmacy coordination, and patient support program navigation. - Acted as a trusted advisor and partner to the Client. **Desired Job Requirements:** - Bachelor’s degree required or equivalent work experience - 5+ years of experience in one or more of the following areas: Managed Care, Field Reimbursement, Patient Services, and/or Sales (Specialty or Biologics), or Field Operations. - At least 3+ years in access management roles and/or 3+ years of direct people management experience or relevant experience. Solution oriented mindset, strong business acumen, & strong analytic capabilities. - Experience and understanding of Retail & Specialty Pharmacies. - Ability to do field rides, to monitor Compliance related activities, team meetings, client meetings, training sessions, and national/regional business reviews; estimated travel requirement should be defined based on client expectations. - Ensure all ARM activities are conducted in accordance with approved program parameters, client policies, legal/compliance guidance, privacy requirements, adverse event/product complaint reporting obligations, and all applicable federal and state requirements. - Understanding of Third-Party data sets (Symphony Health, Copay, etc.). - Ability to deliver presentations via technology platforms such as Zoom, Webex, and/or Teams. - Advanced knowledge of medical insurance terminology and payer policies. - Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part D for Pharmacy Benefit products). - Track and monitor budget, expenses, contracts, and operational deliverables to ensure timely reporting and appropriate financial stewardship. Ability to manage ambiguity & problem solve. - Prepare and submit appropriate expense reports in a timely fashion. - Valid Driver’s License.