Access and Reimbursement Manager

Bristol Myers Squibb • Field - Puerto Rico, PR

4d • $97,750 - $118,450 • Remote

About The Position

The Access and Reimbursement Manager is a customer-facing role responsible for leading access strategies and account support across assigned healthcare accounts and therapeutic areas in an island-wide assignment. This role builds strong relationships with internal customers and external customers, including healthcare providers, office staff, pharmacies, hospitals, and other stakeholders, to support appropriate patient access to BMS products. The ARM educates HCPs and their staff on patient support programs with a focus on access and reimbursement, and serves as a subject matter expert on payer policy, formulary status, coverage criteria, coding, billing, reimbursement, and affordability in a compliant and efficient manner.

Requirements

• Bachelor’s degree in Business, Health or Life Sciences, Healthcare Administration, or related field required.
• 5+ years of overall Pharmaceutical and/or Healthcare industry experience in support of policy, access and reimbursement required
• Previous experience with customer-facing roles required
• Thorough knowledge of reimbursement, coding and billing across both inpatient and outpatient settings of care
• Knowledge of health insurance coverage and reimbursement, inclusive of private Commercial coverage, Medicare, and Medicaid
• Ability to build relationships quickly and credibly across internal partners and external customers
• Proven organizational skills with ability to problem solve and manage multiple urgent priorities in parallel
• Excellent communication and interpersonal skills
• Demonstrated strengths in BMS Values – urgency, inclusion, passion, accountability, innovation, and integrity.
• Fully Bilingual: English/Spanish.
• Field-based role, with travel within territory across Puerto Rico of at least 75% of the time.

Nice To Haves

• 1+ years of direct Cell therapy experience strongly preferred

Responsibilities

• Serve as the primary field resource and subject matter expert for access and reimbursement matters including payer policy, formulary status, coverage criteria across the HCP accounts assigned island wide.
• Appropriately create awareness about BMS Patient Assistance and Support Programs with HCPs and their staff and respond to customer questions in an appropriate and timely manner.
• Provide accurate, compliant guidance on coding and billing requirements across inpatient and outpatient settings, including complex reimbursement scenarios when applicable.
• Engage accounts to identify access barriers and deliver tailored access solutions.
• Support customer understanding of prior authorization, medical policy, claims submission, and reimbursement workflows that may impact patient access.
• Partner cross-functionally with internal matrix teams to align priorities tied to access objectives.
• Ensure all activities are conducted in accordance with BMS policies, approved rules of engagement, and all applicable laws, regulations, and compliance requirements.

Benefits

• Medical, pharmacy, dental, and vision care.
• Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP).
• 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support.
• flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees))
• 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays
• unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level