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US Field Reimbursement Manager

4 months ago


Hoboken, United States Calliditas Therapeutics AB Full time

About us

Calliditas is a commercial stage biopharmaceutical company focused on identifying, developing and commercializing novel treatments in orphan indications, with an initial focus on renal and hepatic diseases with significant unmet medical needs.

Calliditas' lead product, developed under the name Nefecon, has been granted accelerated approval by the FDA under the trade name TARPEYO, conditional marketing authorization by the European Commission under the trade name KINPEYGO and by China's National Medical Products Administration (NMPA) Nefecon. TARPEYO, KINPEYGO and Nefecon are the first and only treatments approved for IgA nephropathy. Calliditas also has a pipeline in orphan-focused indications. Calliditas is conducting a Phase 2b/3 clinical trial in primary biliary cholangitis and a Phase 2 proof-of-concept trial in head and neck cancer with its NOX inhibitor product candidate, Setanaxib.

Calliditas is led by an experienced and dedicated management team with an average of more than 15 years of prior experience in the pharmaceutical industry, including at leading companies such as GlaxoSmithKline, Pfizer and AstraZeneca. The board of directors includes highly qualified researchers, pharmaceutical sector executives and experts in drug development, corporate development and pharmaceutical commercialization. Calliditas is also supported by its Scientific Steering Committee, a highly regarded network of leading experts, that serve as external advisors and investigators on clinical trials.

Calliditas is listed on Nasdaq Stockholm (CALTX) and Nasdaq Global Select Market (CALT)

Position summary

The US Field Reimbursement Manager will help resolve patient access, coverage, and reimbursement challenges impacting Calliditas product(s) by providing education, services, and support tailored to alleviate such reimbursement and access issues. This role will act as the subject matter expert on access and reimbursement, providing guidance through (1) product-specific provider reimbursement support, (2) coordination with the HUB/Patient Services partner, and (3) deep knowledge of payer and coverage criteria for the prescribed product(s).

With a deep passion and dedication to eliminating treatment barriers for patients, this role will also serve to enhance and optimize the prescriber experience through education, enrollment support, and program offerings. This individual will establish strong and compliant relationships with healthcare providers and office staff; additionally, cross-functional collaboration internally with Market Access and Sales is essential.

The US Field Reimbursement Manager is a remote, field-based position.

Key tasks and responsibilities

Be the main point of contact for providers and office staff in the assigned geography for enrollment, reimbursement, and access related needs and education

Provide HCPs with compliant information, coverage guidance, and reimbursement support to help address coverage and access challenges

Upon patient enrollment into the program, work closely with the HUB/Patient Services provider to follow and suport the provider office throughout the enrolllment journey - information collection, benefits investigation, Prior Authorization & Appeals, and financial support programs, as applicable

Create and maintain a positive relationship with provider office personnel with an emphasis focus on timeliness and customer service

Partner with Field Sales, HUB/Patient Services, and Market Access teams to ensure compliant communication, collaboration, and coordination in support of patient access to therapy

Establish and maintain knowledge on the local and national payer landscape

Maintain thorough knowledge of Calliditas Product(s) and reimbursement service offerings

Record and report Adverse Events and Product Complaints

Maintain customer engagement activities in the CRM system

Participate in National and regional meetings and trainings

Ensure behaviors are consistent with compliance guidelines

Education and experience requirements

Bachelor's Degree or higher

3+ years experience as a pharmacy benefit focused FRM or account manager, in a provider's office, or HUB support center manager on a specialty product

Experience with specialty or rare disease products

Must have payer policy knowledge including public and private payers, expert knowledge of benefit verifications and prior authorization/pre-determination requirements and knowledge of reimbursement processes within various sites of care

Patient-centric and service-oriented mindset

Strong collaboration and communication skills

Detail oriented and highly organized

Flexible, innovative, ability to problem solve and multi-task effectively

Team orientated with proven experience compliantly partnering with commercial sales, market access, and other stakeholders

Successful experience in fast-paced entrepreneurial environment

Ability to travel as business needs require is essential

Bilingual desired, but not required

Reasons to join the Calliditas Team

Be a part of a global leader in IgA-Nephropathy and a rapidly growing commercial-stage pharmaceutical company within specialty products with strong growth ambitions and a strong pipeline

Fast paced small company environment

A unique corporate culture

Dedicated, experienced and highly skilled colleagues

Participate on bonus and benefit programs

Welcome to join the Calliditas Team

Calliditas provides equal employment opportunities to all employees and job applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, pregnancy or any other legally protected status. For a copy of the Affirmative Action Plan and EEO Statement, contact hr@calliditas.com.

Calliditas is an E-Verify employer.

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