Field Reimbursement Manager Hematology/Oncology Florida/Puerto Rico

Company Description

Statistics show that women and underrepresented groups tend to apply to jobs only if they meet 100% of the qualifications. Sobi encourages you to change that statistic and apply. Rarely do candidates meet 100% of the qualifications. We look forward to your application!

At Sobi, each person brings their unique talents to work as a team and make a difference. We are dedicated to developing and delivering innovative therapies to improve the lives of people who live with a rare disease. Our edge comes from our team of people and our commitment to patients.

Our mission and culture at Sobi North America get us excited to come to work every day, but here are a few more reasons to join our team:

• Competitive compensation for your work
• Generous time off policy
• Summer Fridays
• Opportunity to broaden your horizons by attending popular conferences
• Emphasis on work/life balance
• Collaborative and team-oriented environment
• Making a positive impact to help ultra-rare disease patients who are in need of life saving treatments

• Customer Engagement:
  The Hematology/Oncology Field Reimbursement Manager (FRM) will maintain a targeted account list and engage proactively with accounts both virtually and in person.
• Relationship Building:
  Work proactively with assigned customers to build and sustain relationships across key departments, including medication access teams, pharmacy, practice and office managers, and procurement/reimbursement departments.
• Subject Matter Expertise:
  Serve as the subject matter expert in pharmacy benefit reimbursement and access across all channels (Commercial, Medicare, Medicaid, Government). Educate and identify compliant solutions to address patient access and reimbursement challenges.
• Support for Healthcare Providers:
  Assist healthcare provider offices, health systems, institutions, and hospitals in understanding the mechanics of patient benefit verification, product ordering via Specialty Pharmacy and Specialty Distribution, CPT coding, and J-Codes.
• Liaison Role:
  Act as a bridge between customers, patient services, and Sobi's sales and account management teams to address escalated access and payer issues effectively.
• Cross-Functional Collaboration:
  Work closely with patient support hubs and case managers to resolve escalations and access issues compliantly. Collaborate with local Sobi colleagues to provide robust, cross-functional support for accounts within a defined geography.
• Local Solutions and Market Insight:
  Develop local solutions based on account and market insights. Provide Sobi leadership with actionable market intelligence, inspiring solution-oriented collaboration across cross-functional teams.

• Demonstrates comprehensive knowledge of reimbursement and access across all channels, including Commercial, Medicare, Medicaid, Exchange, and Government. Serves as the subject matter expert on payers within the supported markets.
• Understands all phases of specialty distribution and core services of specialty pharmacies to facilitate access and streamline product procurement.
• Possesses a solid grasp of healthcare structures, payment systems, and reimbursement methodologies.

• Works effectively with both internal and external partners to drive results, contributing to a cohesive team environment. Demonstrates an understanding of matrix team dynamics, ensuring cross-functional alignment to address payer issues, improve customer experience, reduce administrative barriers, and maximize strategic outcomes.
  • Internal Partners:
    Collaborates closely with Sales, Marketing, Patient Services, Trade Team, National and Regional Account Directors, and Medical Affairs.
  • External Partners:
    Builds and nurtures relationships with health systems, institutions, hospitals, healthcare providers, practice managers, and access/reimbursement departments to support access and reimbursement.

• Applies strong problem-solving abilities to address complex patient access challenges across payers and specialty pharmacies.

• Educates health systems, institutions, hospitals, and HCP office staff on:
  
  • Patient Service Program options to optimize patient access.
  • Prior authorization requirements, coverage status, and the payer appeals process, including timelines and requirements.

• Demonstrates skill in providing field-based customer support, including navigating payer coverage and managing the specialty pharmacy fulfillment process.

• Adheres to all relevant regulatory and Sobi compliance and ethics guidelines and fosters a culture of compliance through coaching and support.

• A minimum of a B. A/B. S. required

• A minimum five (5) years of work experience in Pharmaceuticals/Biotech/Medical Device with relevant understanding of the following areas:
  
• Patient journey navigation
• Payer coverage polices
• Pharmacy benefit reimbursement
• Specialty pharmacy and distribution
• In office dispensing accounts
• Hub and Patient Services

• Reimbursement experience
• Hematology/Oncology experience

• Demonstrated ability to work accounts; specifically working to identify, engage and build relationships with key reimbursement contacts, access personnel and practice managers within identified accounts.
• Industry Knowledge - proficient understanding of the pharmaceutical industry, disease state and drug distribution process (e. g. , medical, specialty pharmacy, managed care systems, etc. )
• Understanding of Medicare and Medicaid drug coverage and current and pending changes to drug coverage benefits
• Technical.