Field Reimbursement Manager

7 days ago

New York, United States Ascendis Pharma Full time

Ascendis Pharma is a fast-growing biopharmaceutical company with offices in Denmark, Germany, and the United States. We are advancing a pipeline of endocrinology rare disease programs focused on making a difference in people's lives. Three of our product candidates are currently in clinical development.

Ascendis is a dynamic place for employees to grow and develop their skills. As a member of our team, you can influence the direction of the company and be part of a company that creates new therapies with potential for best-in-class efficacy and safety.

The Field Reimbursement Manager (FRM) is responsible for minimizing reimbursement barriers for patients and providers by providing appropriate and accurate managed care coverage and reimbursement criteria regarding products within the disease state. The FRM role, is customer-facing, and focused on providing coverage and reimbursement education to HCP office staff. The FRM will educate and support the integration of the product into physician offices. Additionally, the FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for other field sales force personnel and region management. The Field Reimbursement Manager will achieve objectives by working closely with internal and external partners (Market Access, Sales, Patient Support and other key colleagues) supporting accounts and helping resolve reimbursement issues or concerns.

Key Responsibilities

  • Demonstrate deep knowledge of reimbursement and access, and function compliantly as the subject matter expert in their assigned territory
  • Demonstrate extensive knowledge of individual managed care account's geographic presence/influence, payor mix, product coverage and reimbursement criteria policies
  • Educate providers on prior authorization requirements, coverage status, payer appeals requirements, alternate funding options for the uninsured and under insured, and all associated processes and timelines
  • Routinely provide access education to HCPs and office staff
  • Create and maintain productive relationships with HCPs, key stakeholders within HCP offices, and health care systems
  • Apply knowledge of specialty pharmacy core services and connectivity to assist customers navigating the complexity of specialty pharmacy distribution
  • Partner with Patient Support Team to ensure accurate coverage determinations, and optimized processing of enrollments for timely access of product for patients
  • Establish ambitious objectives in developing, explaining, and implementing innovative solutions for patient access
  • Develop business plans by performing strategic analyses of customers; identify issues and opportunities
  • Collaborate with cross-functional partners to identify and respond to local opportunities and customer needs
  • Collaborate with Regional Lead to develop a local access strategy plan that ensures achievement of KPI goals and delivery on all objectives
  • Partner across the organization and with external vendors to continuously improve patient access deliverables, services, and the customer experience
Requirements
  • Bachelor's degree
  • 8+ years' experience in the pharmaceutical / biotech or related healthcare industry
  • 3-6 years' experience with Specialty Pharmaceuticals / Biologics
  • Significant expertise in market access and reimbursement matters
  • Ensure strong understanding and utilization of Specialty Pharmacy and third-party services (Patient Support)
  • In depth knowledge of pharmaceutical manufacturer compliance, patient confidentiality, product reimbursement and product access requirements
  • Knowledge of regulations and laws governing the protection of patient identifying information, and relevant laws, regulations, and policies pertaining to access offerings
A note to recruiters:

We do not allow external search party solicitation. Presentation of candidates without written permission from the Ascendis Pharma Inc. Human Resources team (specifically from: Talent Acquisition Partner or Human Resources Director) is not allowed. If this occurs your ownership of these candidates will not be acknowledged.

Benefits
  • Medical insurance
  • Vision insurance
  • Dental insurance
  • 401(k)
  • Paid maternity leave
  • Paid paternity leave
  • Commuter benefits
  • Disability insurance

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