Field Reimbursement Manager (West Region)We are seeking candidates that live within California, Arizona, Utah, Colorado.
The
Field Reimbursement Manager is part of the Market Access team supporting TRELSTAR and TLANDO in the United States. The primary objective of this role is to ensure appropriate patient access to therapy and to support the field sales team with all reimbursement-related needs.
This team focuses on helping practices, accounts, and providers obtain coverage for appropriate patients by providing the necessary education and support materials. These educational efforts include reimbursement topics (coverage and coding), specialty pharmacy and distribution processes, provider support services such as benefits investigations, and patient support resources like patient assistance programs.
In this role, the Strategic Pharmaceutical Account Manager monitors national and local healthcare payer policies, builds relationships with key C-suite leaders within the Urology and Oncology space, and provides direct support to prescribing physicians, hospitals, and their staff on product access and reimbursement matters.
They are responsible for managing targeted accounts within a defined region in support of field-based priorities. This role focuses on understanding and educating stakeholders on reimbursement, patient access, local health insurers, PBM coverage, and all economic factors related to the promoted drugs.
They'll works closely with field partners to resolve reimbursement and access challenges affecting physician offices and multiple pharmacy channels, including 340B, Specialty Pharmacy Providers (SPP), and In-Office Dispensing (IOD). Acting as a support resource to the field sales team, this role also helps close accounts and drive new business.
The ideal candidate has a strong sales background and a deep understanding of access and reimbursement topics, including coverage, prior authorizations, appeals, exceptions, payer payment guidelines, and sites of care. Strong business acumen is required to support and contribute across multiple areas of the business.
Role:- Incorporate knowledge of dynamic and complex marketplace and business trends to deliver maximum access to the portfolio of products
- Has a deep understanding of medical vs pharmacy benefit and policy as well as 340B Drug Pricing Program
- Understands the dynamics of Specialty pharmacy & "white bagging"
- Demonstrates a broad and wide understanding of the physician buy and bill model vs assignment of benefits to alternate sites of care
- Understands and can establish alternate sites of care to support patient options
- Possess expertise in Medicare and the variations within all 4 parts of Medicare
- Ensure processes are in place to drive clear communication with sales teams to ensure
- clarity of reimbursement and access issues and opportunities and support pull-through efforts
- Listen and respond appropriately to customer needs and questions
- Effectively and persuasively communicate with customers using effective selling, listening and negotiation skills, proper terminology, and approved messaging
- Maintain thorough knowledge of Verity products
- Regularly and timely communicate with the manager, as well as members of various support teams, as required
- Create and maintain a positive impression with customers
- Prepare reports for management as needed
- Participate in teleconference and live National, regional and district meetings and training sessions and represent Verity at national and/or local conventions when requested
- Ensure behaviors are consistent with Healthcare Compliance guidelines
Requirements- Experience with infusible buy & bill products within Medicare Part B highly preferred
- 3+ years of commercial experience in the pharmaceutical, market access or biotech industry required
- High level of expertise within the Market Access sector, including: understanding formulary related issues, reimbursement, appeals process, & co pay assistance programs
- 2+ years of institutional (hospital systems/340B) experience preferred
- Urology and Oncology experience preferred
- Must have a proven track record of strong sales performances in previous roles
- Bachelor's degree from a four-year college or university or relevant experience
Travel RequirementsBenefits- Comprehensive 24 month training program with incentive metrics
- Ongoing mentorship and career development opportunities
- Competitive base salary with performance-based incentives
- Vehicle allowance, full benefits
- Opportunity to represent industry-leading therapies with strong clinical value
- Start your journey in pharmaceutical sales with a company that values innovation, integrity, and your professional growth.
- If you are ready to make an impact and build a career, we want to hear from you.
