[Hiring] Field Reimbursement Manager @Verity Pharmaceuticals

Role Description

The Field Reimbursement Manager is part of the Market Access team supporting TRELSTAR and TLANDO in the United States. The primary objective of this role is to ensure appropriate patient access to therapy and to support the field sales team with all reimbursement-related needs.

• Focus on helping practices, accounts, and providers obtain coverage for appropriate patients by providing necessary education and support materials.
• Educational efforts include reimbursement topics (coverage and coding), specialty pharmacy and distribution processes, provider support services such as benefits investigations, and patient support resources like patient assistance programs.
• Monitor national and local healthcare payer policies.
• Build relationships with key C-suite leaders within the Urology and Oncology space.
• Provide direct support to prescribing physicians, hospitals, and their staff on product access and reimbursement matters.
• Manage targeted accounts within a defined region in support of field-based priorities.
• Understand and educate stakeholders on reimbursement, patient access, local health insurers, PBM coverage, and all economic factors related to the promoted drugs.
• Work closely with field partners to resolve reimbursement and access challenges affecting physician offices and multiple pharmacy channels, including 340B, Specialty Pharmacy Providers (SPP), and In-Office Dispensing (IOD).
• Act as a support resource to the field sales team, helping close accounts and drive new business.

Qualifications

• Strong sales background.
• Deep understanding of access and reimbursement topics, including coverage, prior authorizations, appeals, exceptions, payer payment guidelines, and sites of care.
• Strong business acumen to support and contribute across multiple areas of the business.

Requirements

• Incorporate knowledge of dynamic and complex marketplace and business trends to deliver maximum access to the portfolio of products.
• Deep understanding of medical vs pharmacy benefit and policy as well as 340B Drug Pricing Program.
• Understand the dynamics of Specialty pharmacy & “white bagging.”
• Demonstrate a broad understanding of the physician buy and bill model vs assignment of benefits to alternate sites of care.
• Establish alternate sites of care to support patient options.
• Possess expertise in Medicare and the variations within all 4 parts of Medicare.
• Ensure processes are in place for clear communication with sales teams regarding reimbursement and access issues.
• Listen and respond appropriately to customer needs and questions.
• Effectively communicate with customers using effective selling, listening, and negotiation skills.
• Maintain thorough knowledge of Verity products.
• Regularly communicate with the manager and members of various support teams as required.
• Create and maintain a positive impression with customers.
• Prepare reports for management as needed.
• Participate in teleconference and live National, regional, and district meetings and training sessions.
• Ensure behaviors are consistent with Healthcare Compliance guidelines.
• Experience with infusible buy & bill products within Medicare Part B highly preferred.
• 3+ years of commercial experience in the pharmaceutical, market access, or biotech industry required.
• High level of expertise within the Market Access sector, including understanding formulary related issues, reimbursement, appeals process, & co-pay assistance programs.
• 2+ years of institutional (hospital systems/340B) experience preferred.
• Urology and Oncology experience preferred.
• Proven track record of strong sales performances in previous roles.
• Bachelor's degree from a four-year college or university or relevant experience.

Benefits

• 50% Travel.
• Comprehensive 24-month training program with incentive metrics.
• Ongoing mentorship and career development opportunities.
• Competitive base salary with performance-based incentives.
• Vehicle allowance, full benefits.
• Opportunity to represent industry-leading therapies with strong clinical value.