Access and Reimbursement Manager (San Francisco/Sacramento)

Mallinckrodt Pharmaceuticals • San Francisco, CA

2d

About The Position

The Access and Reimbursement Manager (ARM) helps create and maintain patient access to treatment throughout the course of therapy. While sales specialists drive new business demand, the ARM leads the pull-through process for open cases by taking compliant actions that improve access and expedite treatment starts. The role works directly with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales colleagues.

The ARM identifies payer trends, alerts business partners, and develops, coordinates, and executes tactical plans to create and maintain treatment access. The role serves as an access resource for colleagues and customers, consistently demonstrating ethics and integrity and helping others understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance on patient assistance programs. The successful candidate works well in a fast-paced, evolving environment, prioritizes business needs, solves complex problems, builds customer relationships, and motivates others to move cases forward. Field travel may be up to 60%, with overnight travel dependent on geography.

Requirements

• At least 5 years of experience working with specialty pharmaceutical products, or at least 2 years in an access-related position outside of pharma.
• Strong understanding of insurance and benefit design with commercial and government payers.
• Background in Access & Reimbursement, payer account management, Specialty Pharmacy distribution, Patient Services, or Case Management.
• Successful navigation of complex authorization processes for specialty medications.
• Experience working with a Patient Service Center/Hub to design case-specific strategies based on payer mix, benefit design, and authorization requirements.
• Demonstrated analytical, problem-solving, and relationship-building skills.
• Excellent communication, organizational, and leadership skills.
• Bachelor’s degree or higher.
• Ability to travel in the field up to 60%; overnight travel depends on geography.

Nice To Haves

• Experience in one or more of the following areas: Ophthalmology, Nephrology, Rheumatology, Pulmonology, Neurology, or Dermatology.

Responsibilities

• Lead the pull-through process on open cases through compliant actions that improve access and expedite patient treatment starts.
• Work with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales colleagues to facilitate patient access.
• Identify payer trends, alert business partners, and develop, coordinate, and execute tactical plans to create and maintain treatment access.
• Help colleagues and customers understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance on patient assistance programs.
• Coordinate case pull-through with the Patient Service Center, Case Managers, Sales, and Specialty Pharmacies.
• Support and educate HCP offices on best practices that streamline authorization and expedite patient access to treatment.
• Communicate with Specialty Pharmacies to improve processing time and facilitate shipment scheduling.

Benefits

• Competitive pay and benefits through a Total Rewards package.
• Eligible for a bonus in accordance with the terms of the applicable program; bonuses are awarded at the Company’s discretion.

What This Job Offers

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