Field Reimbursement Manager

This is a fully remote position, open to applicants in Massachusetts.

📋 Description

• Reporting to the Director of Field Reimbursement, the Field Reimbursement Manager (FRM) plays a vital role within the Sobi Market Access team.

• The FRM serves as a field-based, non-promotional resource for health systems, institutions, hospitals, and healthcare provider practices/groups, acting as a key facilitator to enhance patient access and address reimbursement challenges.

• A crucial element of customer support, the FRM will utilize strong problem-solving capabilities to deliver an exceptional customer experience for patients, providers, and staff, alleviating access burdens and increasing awareness of Sobi therapies.

• Maintain a targeted list of accounts and proactively engage with customers through both virtual and in-person interactions.

• Establish and nurture strong relationships with key stakeholders, including medication access teams, pharmacy staff, office/practice managers, and reimbursement/procurement departments.

• Act as a reimbursement and access specialist across all payer channels (Commercial, Medicare, Medicaid, Government), identifying compliant solutions to access challenges.

• Educate customers on benefit verification, prior authorizations, appeals, specialty pharmacy/distribution models, CPT coding, and J-codes.

• Serve as a liaison between customers, patient services (HUB), sales, and account teams to tackle access barriers and escalations.

• Collaborate with Doptelet and Vonjo Connect HUBs and case managers to appropriately address escalations and access issues for hub patients.

• Provide feedback and insights to internal stakeholders to guide strategy and enhance patient access solutions.

• Work closely with local cross-functional colleagues to support accounts within a designated geographic area.

⛳️ Requirements

• A minimum of a B.A/B.S. degree is required.

• At least five (5) years of experience in Pharmaceuticals/Biotech/Medical Device with relevant understanding of areas such as Patient journey navigation, Payer coverage policies, Pharmacy benefit reimbursement, Specialty pharmacy and distribution, In-office dispensing accounts, and Hub and Patient Services.

• Preference will be given to candidates with reimbursement experience, hematology/oncology experience, and a proven ability to work with accounts, particularly in identifying, engaging, and building relationships with key reimbursement contacts, access personnel, and practice managers within designated accounts.

• Industry Knowledge – proficient understanding of the pharmaceutical industry, disease states, and drug distribution processes (e.g., medical, specialty pharmacy, managed care systems, etc.).

• Knowledge of Medicare and Medicaid drug coverage as well as current and upcoming changes to drug coverage benefits.

• Technical Expertise (Reimbursement and Patient Access) — Demonstrates strong technical knowledge in reimbursement and patient access with the ability to effectively communicate this knowledge to key stakeholders.

• Computer Skills – Proficient in using technology to support escalation work, including internal and external portals and databases.

• Advanced skills in Microsoft Excel to analyze large databases and manage high volumes of data.

• Analytical Skills – Ability to analyze and leverage data/reports to identify trends and opportunities.

• Strong written and verbal communication skills, along with effective presentation abilities.

🏝️ Benefits

• Competitive compensation for your contributions.

• Generous time-off policy.

• Summer Fridays.

• Opportunities to broaden your horizons by attending popular conferences.

• Emphasis on work/life balance.

• Collaborative and team-oriented work environment.

• Making a positive impact to assist ultra-rare disease patients in need of life-saving treatments.