Field Reimbursement Manager - West/Central Region

Company Description

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! 

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA.

Job Description

The Field Reimbursement Manager (FRM) is a key field-based member of our partner’s Patient Services Team. The FRM will act as a main point of contact at designated accounts providing support to Healthcare Providers (HCPs) and Staff on behalf of Patients prescribed our partner’s product for approved indications. As a part of this strategy, the FRM will provide on-going education to accounts around our partner’s Patient Services programs, payer landscape, and pharmacy channel access. The FRM will help coordinate pull-through efforts for patients who have been prescribed our partner’s product, provided proper HIPAA consent has been secured. The FRM will be the primary face of the Access Services information and platforms for their assigned geographies within designated HCP offices. The FRM is also responsible for partnering with internal and external stakeholders to optimize access to our partner’s product for patients and healthcare providers (HCP). 

We are looking for people who are ready to make an impact, who have endless INITIATIVE and will invest the time and effort required to succeed, who have stared down adversity with a positive orientation and shown resilience to come out on top. We want to work with individuals who WANT TO MAKE A DIFFERENCE and share their success - so PATIENTS can benefit! They are proud and confident, yet humble. They have many skills and are still EAGER TO LEARN MORE. They bring ENERGY, they bring HEART, and they bring CHARACTER.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by:

• Expand partnerships and build advocacy within HCP offices and equip them, through education, to navigate the access and payer approval process
• Identify access barriers that the HCP must act on to overcome and highlight HCP actions that support patient access to therapy.
• Offer educational resources to support the entire patient journey by optimizing processes for prior authorizations/appeals and addressing patient access issues. 
• Coordinate annual pharmacy reauthorizations at designated accounts to ensure timely reauthorization and continuation of therapy is maintained.
• Work cross functionally and collaboratively with partners in Sales, Market Access, Patient Services, Strategic Accounts, HUB and Pharmacy partners and more, to act as the payer process expert.
• The FRM will help identify and address time sensitive market development and implementation efforts to remove access barriers to our partner’s product(s) for appropriate patients, while optimizing adherence.
• Build and execute a strategic business plan to meet the needs of top accounts and ensure successful implementation of market access initiatives.
• Obtain and maintain knowledge and understanding of payer landscape, including Specialty Pharmacy and utilization management criteria, on a national, regional and local level.
• Continuously strive to understand the alignment of the Payer/PBM/SP relationship and how national/regional drug formularies impact market access in their designated geography.
• Anticipate and address individual account and patient access issues that arise by partnering with all appropriate stakeholders.
• The successful FRM must be capable of thriving in a fast-paced, collaborative environment and should be energetic, positive and forward-thinking.

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.

• Bachelor’s degree required. Graduate degree preferred.
• 5 plus years proven commercial experience within the Biopharmaceutical industry, preferably within specialty pharmaceuticals.
• 2 or more years Market Access, Specialty Pharmacy, or Reimbursement experience in the Biotech/Pharmaceutical industry preferred.
• Previous experience in other functions within the Biopharmaceutical industry a plus (e.g. product marketing, managed care, field sales, case management or large Healthcare Practice experience)
• Knowledge and understanding of specialty markets, HUB/Reimbursement services and patient access programs.
• Knowledge of commercial insurers, managed care, government (Part D) and federal payer sectors.
• Knowledge of Integrated Delivery Network/Integrated Health Systems.
• Strong understanding of MS Suite and the ability to conduct virtual engagements via MS Teams
• Ability to manage multiple priorities with excellent organizational and problem-solving skills with a high level of initiative and independence.
• Proven success in working in a cross functional environment.
• Ability to conduct educational presentations.
• Ability to travel up to 40%

Additional Information

OUR CULTURAL BELIEFS

Patient Minded - I act with the patient’s best interest in mind.

Client Delight - I own every client experience and its impact on results.

Take Action -  I am empowered and hold myself accountable.

Grow Talent - I own my development and invest in the development of others. 

Win Together - I passionately connect with anyone, anywhere, anytime to achieve results.

Communication Matters -  I speak up to create transparent, thoughtful and timely dialogue.

Embrace Diversity - I create an environment of awareness and respect.

Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA.

From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at [email protected].

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