Access & Reimbursement Manager, Sleep

This is a fully remote position, open to applicants in Kentucky, +2 more states.

📋 Description

• Implement the market access business strategy for Xywav within the designated region.

• Collaborate with healthcare provider offices and outpatient centers to inform them about payer and reimbursement policies and procedures.

• Offer expertise regarding the REMS program and available patient support services.

• Work in partnership with Field Sales, Sales Management, Patient Support Services, Managed Markets, Trade & Distribution, and other internal commercial teams as well as cross-functional partners.

• Build and nurture relationships with key personnel, targeted physicians, office managers, and staff within significant customer accounts.

• Provide education on billing and coding in compliance with regulations.

• Ensure provider and patient enrollment in the REMS program while educating them on associated processes and requirements.

• Develop and execute strategies to meet Business Unit and Corporate goals and objectives.

• Analyze data to create actionable insights.

• Establish and sustain strategic relationships with assigned providers and their accounts.

• Educate offices on coding, billing, payer prior authorization requirements, and patient access services.

• Collaborate with sales teams to formulate payer and reimbursement action plans.

• Track, document, and communicate any changes in coverage policies.

• Maintain a comprehensive database concerning payer coverage and reimbursement.

• Educate clients about commercial payers, state Medicaid agencies, managed Medicaid organizations, HMOs, pharmacy benefit organizations, healthcare plans, GPOs, DOD, and Veterans Integrated Service Networks.

• Conduct annual business development reviews and necessary updates.

• Provide training and educational activities related to managed care and reimbursement.

• Represent Jazz at meetings regarding payer, reimbursement, policy, and professional organizations.

• Strategize territory priorities and manage time effectively within the assigned geographical area.

• Keep accurate records of expenses, reports, correspondence, and documentation.

• Carry out activities in alignment with Jazz’s regulatory and compliance program.

• Maintain company manuals, reports, computer systems, records, brochures, and other assigned equipment.

⛳️ Requirements

• BA/BS Degree (MBA is preferred).

• Minimum of 5 years of experience in pharma, biopharmaceutical, and/or medical device sectors with a proven track record of success in field-based customer interactions.

• Experience in Account Management and/or Reimbursement within provider office settings while fostering strong customer relationships.

• Familiarity with HUB, Patient Services, and/or REMS programs.

• Experience with Integrated Health Systems is preferred.

• Knowledge of Managed Care and Reimbursement is preferred.

• Proven ability to cultivate a team atmosphere among sales representatives, whether through direct or indirect leadership.

• Competence in making informed decisions within time and resource limitations.

• Demonstrated skills in strategic decision-making and problem-solving.

• Strong analytical skills with an emphasis on key accounts and identifying business opportunities.

• Previous experience collaborating with billing and medical claims personnel in healthcare settings is preferred.

• Proficiency in MS Office, particularly Excel, Word, and PowerPoint, is preferred.

• Candidates should be located near a major airport and be prepared to travel approximately 70-75% of the time (averaging 3-4 days per week).

• CPC or a similar coding certification is preferred but not required.

🏝️ Benefits

• Discretionary annual cash bonus or incentive compensation.

• Discretionary equity grants.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 401k retirement savings plan.

• Flexible paid vacation.