Sr. Field Reimbursement Manager, Rare Diseases
4 weeks ago
Based in Parma, Italy, Chiesi is an international research-focused pharmaceuticals and healthcare group with over 85 years' experience, operating in 30 countries with more than 6,000 employees (Chiesi Group). To achieve its mission of improving people's quality of life by acting responsibly towards society and the environment, the Group research, develops and markets innovative drugs in its three therapeutic areas: AIR (products and services that promote respiration, from new-born to adult populations), RARE (treatment for patients with rare and ultra-rare diseases) and CARE (products and services that support special care and consumer-facing self-care).
We are proud to be the largest global pharmaceutical group to be awarded B Corp Certification, a recognition of high social and environmental standards. We are a reliable company that adopts and promotes transparent ethical behavior at all levels.
We are committed to embrace diversity, inclusion and equal opportunities. In fact, we are a global family made up of different cultures, different genders, generations, ethnicities, abilities, sexual identities and many other enriching diversities.
Chiesi USA
Chiesi USA is a specialty pharmaceutical company focused on developing and promoting products for the hospital, adjacent specialty and rare disease markets. We are a B Corp and Benefit company awarded Top Employer status for six consecutive years and certified as a Great Place to Work.
At Chiesi, we share an entrepreneurial spirit and act as a force for good, pursuing high social and environmental standards, to ensure the wellbeing of our people, patients, and communities. We offer a work environment where professionals have the opportunity to build a purposeful career focused on helping others while achieving a fulfilling work-life balance, meeting exciting challenges, and engaging in important and rewarding work.
What we offer
Chiesi offers competitive benefits, services, and programs that enrich the personal and professional lives of our employees. Our shared values of passion, innovation, trust and integrity bring out the individual talents and diverse perspectives of each of our colleagues. Our environment encourages each individual to reach his or her full potential and drive outstanding results. We celebrate that "Every one of us is different. Every one of us is Chiesi."
Purpose
The Sr. Field Reimbursement Manager position, Senior FRM contributes to the company success by being important point of contact with our exclusive HUB service partner and HCP offices who endure reimbursement challenges for Chiesi products. The Senior FRM role is a critical, highly visible, customer facing position providing reimbursement education expertise and support for customers utilizing Chiesi and Amryt products. External facing customers may include hospitals/hospital outpatient departments, physician practices, and other appropriate site-of-care facilities as well as specialty pharmacies. The Senior FRM's, will work closely with HCPs, pharmacists, billing and coding staff and other professionals involved in securing and resolving appropriate reimbursement for the use of Chiesi RDG products. The Senior FRM will interact with internal stakeholders including field sales, sales leadership, market access, patient services to support appropriate patient access to Chiesi's and Amryt GRD product portfolio.
The Senior FRM is expected to be a subject matter expert on reimbursement processes (i.e., benefit verification, prior authorization, claim assistance, and appeals.) In addition, the Senior FRM needs to build and maintain strong relationships with health care provider practices and facilities, while implementing and managing field reimbursement responsibilities. The Senior FRM role requires a high degree of verbal and written communication, account coordination, cross-functional collaboration and business acumen.
Main Responsibilities
- The Field Reimbursement role is to minimize reimbursement barriers for patients and providers and, therefore, optimize access to Chiesi GRD products.
- Ability to Consult and engagement with key HCP offices for 12 states
- Responsible for covering Southeastern region of the United States
- Senior FRMs will work closely with Managed Access & Field Sales in the field, supporting targeted HCPs in resolving reimbursement issues or concerns
- Experience launching rare disease products
- Experience working with Pricing service databases
- Reimbursement experience working with J Codes and Misc J Codes
- Experience working with HUB service and Market Access team on reimbursement issues
- Staying current with Health policy changes and trends as they relate to reimbursement issues and/or challenges
- Develop ethical and customer-oriented reimbursement strategies, and proactively communicating payer criteria.
Experience Required- 10 years related experience in the pharmaceutical/biotech industry preferably with 7+ years' experience in similar reimbursement role within biotech/pharma
- Experience working within large geographic area (12 states or similar)
- Experience in Rare Disease/Specialty products
- In-depth knowledge of current reimbursement trends, Buy and Bill, and Specialty Pharmacy/HUB services
- Extensive travel requirements
- Demonstrated initiative, creativity and strategic relationship building
- Demonstrated ability to develop, communicate, and implement successful strategic initiatives
- Demonstrated ability to thrive in a dynamic, fast-paced environment
- Self-directed and confident, with developed ability to build teamwork centered on shared commitment and goals to achieve high standards of performance
- Ability to successfully manage multiple tasks and multifunctional resources concurrently while maintaining high attention to detail while responding to rapidly changing priorities and aggressive deadlines.
- Proficient in MS Office (Word, Excel, Project), MS Teams, PowerBI, Qlickview, Adobe and raw data sets.
Education
BS/BA in Chemistry, Pharmacy, or Biologic Science. Graduate degree preferred
Chiesi USA is an equal opportunity employer committed to hiring a diverse work force at all levels of our business. All qualified applicants receive consideration for employment without regard to race, national origin, age, sex, religion, disability, sexual orientation, marital status, veteran status, gender identity or expression or any other basis protected by local, state or federal law. This policy applies with regard to all aspects of one's employment, including hiring, transfer, promotion, compensation, eligibility for benefits and termination.
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