Access & Reimbursement Manager
Travere Therapeutics
full-time
Posted on:
Location Type: Remote
Location: Louisiana • United States
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Salary
💰 $162,000 - $211,000 per year
About the role
- The Access & Reimbursement Manager (ARM) will be a subject matter expert on access & reimbursement for FILSPARI (Sparsentan)
- Provide education and case-specific support to internal and external stakeholders including but not limited to health care providers (HCPs) and sales force within their assigned region
- Cultivate the highest level of expertise in the FILSPARI onboarding process, from Patient Start Form (PSF) submission through REMS enrollment to reimbursement
- Walk offices through what to expect from the FILSPARI onboarding process
- Educate physicians and physician practices on the full FILSPARI onboarding process
- Closely monitor cases as they progress through the onboarding process
- Proactively identify and solve complex patient access issues
- Educate physicians (in-person or virtual) on escalated reimbursement issues
- Assist physicians and office staff when PSFs or REMS enrollment forms are submitted with information missing
- Effectively partner with reimbursement stakeholders to communicate challenges, identify solutions, and ensure the patient is progressing through the reimbursement process
- Maintain a level of expertise on specific payors and the requirements for claim approvals
- Log calls and notes within standardized platform daily
- Lead weekly case status update meetings with sales force and sales leadership
Requirements
- Bachelor’s degree in related field required
- 5+ years in pharmaceutical / health industry working with Hubs, payers, HCPs or related area
- 3+ years reimbursement / access / case management experience
- Specialty pharmaceutical, nephrology, rare disease, REMs experience preferred
- Experience in managing access complexities associated with a new to market medication
- Prior account management experience or prior experience with complex accounts (Payer landscape, government payer, VA)
- Experience with specialty pharmacy products / products acquired through Specialty Pharmacy networks or specialty distributors (buy and bill)
- Comprehensive understanding of private/commercial insurance reimbursement, government payer Medicare Part D, VA, etc.
- Computer skills (basic Excel, PowerPoint, etc.)
- Well organized with the ability to multitask, prioritize, and manage shifting responsibilities in a dynamic, cross-functional teamwork environment
- Excellent collaboration skills with strong attention to detail and the ability to multi-task and manage complexity
- Strong interpersonal and organizational skills and excellent verbal and written communication skills are required.
Benefits
- Premium health offerings
- Financial offerings
- Work-life and well-being offerings
- Wellness and employee support programs
- Life insurance
- Disability
- Retirement plans with employer match
- Generous paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
reimbursementcase managementpatient accessonboarding processinsurance reimbursementspecialty pharmacyclaim approvalsaccount managementExcelPowerPoint
Soft Skills
collaborationattention to detailmultitaskingorganizational skillscommunication skillsproblem-solvingeducationstakeholder engagementleadershipdynamic teamwork