Field Reimbursement Manager - West

Job description

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. Travel Requirements: Field-based role with regular travel throughout the assigned territory. Preference given to candidates residing within the territory , which includes California, Washington, Oregon, Alaska, Hawaii, and portions of Idaho and Nevada . Responsibilities and Expectations: 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 win—Thinks 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 Sobi’s 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 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 partners—Develops meaningful partnerships based on Sobi Core Values striving to earn and preserve the trust, respect, and admiration of all stakeholders. Values & Unlocks Collaboration—Cultivates 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 Savvy—Demonstrates 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 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 $ 115,000– 150,000 . 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 Sobi's 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 1,900 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, we’re ready to take on the world’s diseases, ailments and adversity. Our people believe they have the power to make a positive impact in others’ lives because that’s exactly what we do here. If you’re 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 can’t 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. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to use or access this website to apply for a vacancy as a result of your disability. You can request reasonable accommodations by sending an email to Know Your Rights Statistics show that women and underrepresented groups tend to apply to jobs only if they meet 100% of the qualifications. Sobi encourages you to change that statistic and apply. Rarely do candidates meet 100% of the qualifications. We look forward to your application! At Sobi, each person brings their unique talents to work as a team and make a difference. We are dedicated to developing and delivering innovative therapies to improve the lives of people who live with a rare disease. Our edge comes from our team of people and our commitment to patients. Our mission and culture at Sobi get us excited to come to work every day, but here are a few more reasons to join our team: Competitive compensation for your work Generous time off policy Summer Fridays Opportunity to broaden your horizons by attending popular conferences Emphasis on work/life balance Collaborative and team-oriented environment Making a positive impact to help ultra-rare disease patients who are in need of life saving treatments