Field Reimbursement Manager Hematology/Oncology Florida/Puerto Rico

Sobi
US - Florida - Orlando
November 13, 2024
Management

The Field Reimbursement Manager (FRM) is a key field-based position within the Market Access team at Sobi, reporting to the Director of Field Reimbursement. Focused on the therapeutic area of Hematology/Oncology, this non-promotional role plays a critical role in facilitating patient access by addressing reimbursement challenges and offering resourceful support to healthcare systems, institutions, hospitals, and healthcare provider practices. Through proactive problem-solving and patient-centered service, the FRM supports healthcare professionals and their staff to alleviate access barriers, fostering an exceptional customer experience and increasing awareness of access solutions.

Including, but not limited to the following:

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.

Specific Duties

Expertise in Reimbursement and Access

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.

Collaborative Approach to Success

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.

Advanced Problem-Solving Skills

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

Educational Support for Healthcare Providers

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.

Customer Support for Payer Coverage Navigation

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

Commitment to Compliance

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

Read the full job description and apply online on the recuiter's web-site

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