Access and Reimbursement Manager

Overview:
We are seeking dedicated and results-driven Access and Reimbursement Manager (ARMs) to join our team. In this role, you will serve as the primary field-based resource to support practices in ensuring optimal patient access to a large pharmacy benefit specialty product. You will collaborate closely with healthcare providers and internal teams to address access barriers, deliver patient-centric solutions, and educate stakeholders on reimbursement processes.

Key Responsibilities:

• Patient Access Support:
  • Work directly with HCP offices to provide expertise on access and reimbursement challenges, including benefits investigation, prior authorizations, appeals, and financial assistance.
  • Partner with healthcare providers to ensure patients have timely access to prescribed therapy by addressing access issues proactively.
• Education and Training:
  • Educate healthcare providers and their staff on payer-specific policies, coverage criteria, and reimbursement processes for the specialty product.
  • Conduct in-service programs and provide resources to help practices navigate access challenges effectively.
• Collaboration with Internal Teams:
  • Act as a liaison between the field team and internal stakeholders, providing insights on regional access trends and challenges.
  • Collaborate with trade, market access, sales, patient support services, and analytics teams to ensure alignment and support for practices.
• Problem Solving and Escalation:
  • Identify and resolve access barriers through collaboration with payers, specialty pharmacies (SPs), and other key stakeholders.
  • Escalate unresolved issues to appropriate teams, ensuring timely resolution and communication back to providers.
• Data-Driven Execution:
  • Leverage data and analytics tools to identify access trends, prioritize efforts, and report progress to leadership.
  • Maintain accurate records of activities and interactions with practices to ensure compliance and track outcomes.

Qualifications:

• Bachelor's degree required; advanced degree or certification in healthcare-related fields is a plus.
• Minimum of 5 years of experience in access and reimbursement, patient support services, or pharmaceutical field roles.
• Knowledge of pharmacy benefit structures, reimbursement processes, and specialty pharmacy networks.
• Experience in Hepatology, Gastroenterology and/or Endocrinology is preferred
• Spanish Speaking Required
• Strong interpersonal and communication skills, with the ability to build relationships and provide exceptional customer service.
• Proven ability to work independently, prioritize tasks, and adapt to a fast-paced environment.
• 50-60% Travel required within the assigned territory.

Key Competencies:

• Expertise in access and reimbursement, including payer policies and processes.
• Strong presentation and training skills, with the ability to explain complex concepts in a clear and concise manner.
• Problem-solving mindset with a focus on delivering practical solutions.
• Ability to collaborate effectively with cross-functional teams and external stakeholders.

Madrigal's Total Rewards strategy is based on a biotech industry peer group comparator and is inclusive of base pay, bonus and equity. Our equity offers meaningful opportunity allowing our employees to share in the success they help create. By aligning individual and company performance, we empower employees to think like owners, giving them a stake in the organization.

All employees receive equity, which we believe reinforces our ownership culture. Base salary is determined by several factors including the candidate's qualifications, skills, education, experience, business needs and market demands. As of the date of this posting, a good faith estimate of the current pay scale for this position, applicable to all candidates, is $176,000 - $215,000 per year. We comply with all applicable minimum wage laws.

All full-time employees receive equity, which reinforces our ownership culture and offers meaningful opportunity for our employees to share in the success they help create. By aligning individual and company performance, we empower employees to think like owners, giving them a stake in the organization.

Full-time employees are also eligible for comprehensive benefits, including flexible paid time off, medical, dental, vision and life/disability insurance, and 401(k) offerings (i.e., traditional, Roth, and employer match) in accordance with applicable plans. We also offer additional voluntary benefits like supplemental life insurance, legal services, and other offerings. In addition, we offer mental health benefits through our Employee Assistance Program for employees and their family. The company also provides other benefits in accordance with applicable federal, state, and local laws.