Field Reimbursement Specialist

2 weeks ago

New York, New York, United States Ascendis Pharma Full time
Job Title: Field Reimbursement Manager

Ascendis Pharma is a dynamic and innovative biopharmaceutical company with a strong presence in Denmark, Germany, and the United States. We are committed to advancing a pipeline of endocrinology rare disease programs that make a meaningful difference in people's lives.

As a Field Reimbursement Manager, you will play a critical role in minimizing reimbursement barriers for patients and providers by providing accurate and timely managed care coverage and reimbursement criteria. You will be responsible for educating and supporting the integration of our products into physician offices, analyzing reimbursement and access issues, and acting as a local access and reimbursement resource for our field sales force personnel and region management.

Key Responsibilities:
  • Demonstrate in-depth knowledge of reimbursement and access, and function compliantly as the subject matter expert in your assigned territory
  • Educate providers on prior authorization requirements, coverage status, payer appeals requirements, alternate funding options for the uninsured and underinsured, 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 healthcare 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

We offer a comprehensive benefits package, including medical insurance, vision insurance, dental insurance, 401(k), paid maternity leave, paid paternity leave, commuter benefits, and disability insurance.

Please note that we do not allow external search party solicitation. Presentation of candidates without written permission from the Ascendis Pharma Inc. Human Resources team is not allowed.

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