Regional Reimbursement Manager Northeast Zone sta

Found in: beBee jobs US - 7 days ago


Detroit, Michigan, United States Travere Therapeutics Full time

Department:104075 Global Market Access & HEOR

Location:USA- Remote

Be a part of a global team that is inspired to make a difference in the lives of people living with rare disease.

At Travere Therapeutics, we recognize that our exceptional employees are vital to our success. We are a dedicated team focused on meeting the unique needs of rare patients.Our work is rewarding - both professionally and personally - because we are making a difference. We are passionate about what we do.

We are seeking talented individuals who will thrive in our collaborative, diverse, fast-paced environment and share in our mission - to identify, develop and deliver life-changing therapies to people living with rare disease. We stick by our values centered on patients, courage, community, and collaboration to pursue our vision of becoming a leading biopharmaceutical company dedicated to the delivery of innovation and hope to patients in the global rare disease community.

At Travere Therapeutics, we are in rare for life. We continue to courageously forge new paths as we move toward a common goal of elevating science and service for rare patients.

Position Summary:

The Regional Reimbursement Manager (RRM) will be a subject matter expert on access & reimbursement for FILSPARI (Sparsentan), working remotely within the region (Northeast Zone - states include NY, MA, RI, CT, NH, VT, ME) to provide education and case-specific support to internal and external stakeholders including but not limited to health care providers (HCPs) and sales force within their assigned region. The Regional Reimbursement Manager must have extensive expertise in navigating insurance and access related barriers and will be highly collaborative individuals who proactively manage multiple priorities in a fast-paced environment (e.g., fielding daily questions from sales team, working with Hub partners and office contacts to move patients through the reimbursement process, accurately updating daily reports).

Responsibilities:

Escalated Support for Specific Cases

Regional Reimbursement Manager (RRM), serves as the key contact responsible for patient access and reimbursement specialist in an assigned region that provides appropriate support to providers and professional staff

Proactively identify and solve complex patient access issues by working across the Hub, HCP offices and communicating with field team. Educate physicians (in-person or virtual) with Clinical Account Mangers on escalated reimbursement issues.

Be at the ready to step in to assist with moving specific cases through access roadblocks that may arise

RRM will leverage in-depth expertise in payer coverage, patient assistance, healthcare policy and Hub support programs to help minimize barriers to patient access

Assist physicians and office staff in resolving access issues (prior authorization, appeals, denials, letters of medical necessity, REMS), and help ensure appropriate education to avoid future reimbursement hurdles

Effectively partner with reimbursement stakeholders (specialty pharmacy, sales team, HCP office, etc.) to communicate challenges, identify solutions, and ensure the patient is progressing through the reimbursement process

Understand specifics and support questions associated with payer policies (e.g., PAs process and denial, and appeals), patient reimbursement (e.g., Co-pay, PAP) reimbursement issues & opportunities (as needed).

Leverage data from multiple systems and account engagements to provide partnership to Field Sales leadership.

Sales Force Communication /Partnership:

Proactively seek out timely and regular updates on case statuses, leveraging network of reimbursement st



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