Job title: Field Reimbursement Manager, Rheumatology - FL, GA, NC
About the Job:As a
Field Reimbursement Manager for Rheumatology, you'll be the field expert on patient access, reimbursement, and support for Kevzara. Reporting to the Director, Field Reimbursement Managers, you'll work cross-functionally with Sales, Market Access, Specialty Pharmacies, and Kevzara Connect to help patients navigate coverage barriers and financial assistance. In this regionally aligned role, you'll educate providers on prior authorizations and appeals, build reimbursement confidence, and drive patient pull-through - directly impacting patient access to care.
Main Responsibilities: The Field Reimbursement Manager (FRM) will be the field subject matter expert relating to patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business-related issues within the Rheumatology Business Unit. The FRM is a critical front-line member of the Sanofi Patient Support Services organization and will work across multiple internal stakeholders, Sales Teams, Market Access, Account Directors, Trade, Kevzara Connect (Patient Support Program) and program vendors including to deliver an exceptional customer experience. FRMs will help facilitate communication between the Specialty Pharmacy and prescriber; to assist in a smooth patient journey and ensure patient has access to patient support service offerings. They will be called upon to successfully help develop and execute the national strategy set forth by building reimbursement confidence and understanding with customers and assisting in patient pull though efforts. This is a regionally aligned, field-based position that provides reimbursement education and support for customers that utilize Kevzara.
FRM responsibilities include but are not limited to the following: - Act as field point of contact for Rheumatology Patient Support Services and communicate and collaborate cross-functionally to lead Kevzara pull through efforts while assisting sales partners as appropriate
- Function as a conduit to Specialty Pharmacy for escalations specific to Kevzara to ensure that the continuum of patient care as it relates to medication access and adherence is achieved
- FRMs will be subject matter experts on Kevzara Connect, Kevzarahcp.com, and the patient support programs, access issue resolution, financial assistance and alternative funding options provided by our Patient Support Program
- As needed, conduct HCP office or SP site visits to facilitate pull through efforts and problem solve escalated issues as a HIPAA compliant contact
- Support field in education of office personnel on prior authorization and appeals processes, reimbursement support, free drug programs, and financial assistance programs
- Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for Kevzara
- Establish positive and productive working relationships with all key customer segments (internal and external) to create a culture of respect and customer focus
- Work compliantly to reduce cycle time and increase conversion rate for patients prescribed Kevzara
- Identify any gaps in the operational process and collaborate with Sanofi roles to modify the process
- Provide PRB/RC approved information related to product coverage, which may include payer specific requirements for claims processing, information regarding prior authorizations and the appeals process, as well as general information regarding disease state
- Coordinate with field sales regarding prioritization of accounts to ensure targeted, timely lists of key accounts. Ensure ongoing communication with field sales regarding account follow-up plan
Basic Qualifications: - BA/BS Degree required
- Minimum 5+ years in the pharmaceutical/healthcare industry or other relevant experience
- Previous experience in specialty biologics, pharmacy benefit reimbursement/access, specialty pharmacy, and/or Market Access a plus
- Ability to travel to meetings/trainings/programs as necessary - additional travel will be required within the assigned geography
Skills:- Demonstrated success of cross functional teamwork and working in a matrix and co-promote
- Must be energetic and driven to succeed
- Interpersonal skills including managing and resolving conflict and building strong working relationships
- Obtain ability to adapt to change and react constructively in a high-energy and fast paced environment
- Excellent strategic thinking, analytical, and communication skills required
- Achieve and maintain compliance with all applicable Sanofi policies and procedures, regulatory and legal requirements, and help to monitor compliance during cross functional team interactions
- Valid driver's license
Travel Requirements: - ~50% depending on geography
- Ability to travel to meetings/trainings/programs when necessary
- Candidates must complete all fleet safety training and must maintain an acceptable driving record regarding accidents and incidents.
As a healthcare company and a vaccine manufacturer, Sanofi has an important responsibility to protect individual and public health. All US based roles require individuals to be fully vaccinated against COVID-19 as part of your job responsibilities.
The salary range for this position is:
$122,250.00 - $176,583.33
All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs, and additional benefits information can be found here.
