Cell Therapy Market Access Manager – Great Lakes

Bristol Myers SquibbIndianapolis, IN
$199,040 - $241,185Remote

About The Position

The Cellular Therapy Market Access Manager (CMAM) is responsible for executing access and reimbursement strategies within identified Cell Therapy accounts specific to the assigned geography during all phases of account onboarding and post onboarding. This role will lead all Cell Therapy Market Access activities and will collaborate with a variety of internal partners and external customers. The CMAM will report into the West Region Director, Cell Therapy Market Access Managers. The individual is required to achieve all assigned goals while maintaining compliance with all BMS standards. The Great Lakes geography/territory includes: IN, MI, WV, and OH. It is required that the CMAM live within the assigned territory.

Requirements

  • Bachelor’s degree in Business, Health or Life Sciences, Healthcare Administration, or related field required
  • 1+ years of direct Cell therapy experience strongly preferred
  • 10+ years of overall Pharmaceutical and/or Healthcare industry experience in support of policy, access and reimbursement preferred
  • 5+ years of Oncology, Hematology or other complex, high cost buy and bill therapy reimbursement experience required, including: Coverage, coding, billing and payment Medicare (NCD, IPPS, OPPS, 340B, etc.) Medical policy, managed care coverage processes and practice for inpatient and outpatient settings of care Local coverage determinations Commercial case rate negotiations
  • Certified Coder or Biller is a plus
  • Exhibit a high degree of Market Access and Cell Therapy technical expertise within both payer and hospital systems
  • Thorough knowledge of reimbursement, coding and billing across both inpatient and outpatient settings of care
  • Thorough understanding of P&T processes across academic and community sites of care
  • Knowledge of health insurance coverage and reimbursement, inclusive of private Commercial coverage, Medicare, and Medicaid
  • Knowledge of health economics
  • Thorough knowledge of the healthcare industry sales and marketing
  • Thorough understanding of US compliance laws and guidelines
  • Experience in both Academic and Community settings of care preferred
  • Demonstrated ability to work successfully in a fast-paced environment with the need to manage constant change.
  • Proven ability to deal with ambiguity – ready to change gears and plans quickly
  • Demonstrated 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
  • Flexible, adaptable, and able to react to changing circumstances and priorities with high level of commitment and professionalism
  • Demonstrated ability to develop key strategies and execute them; Strong analytical, consulting, and business planning skills
  • Excellent written and verbal communication skills
  • Experience working with finances/budgets
  • Excellent interpersonal skills to effectively work with many diverse customers
  • Excellent presentation skills to engage and meet the needs of various audiences
  • Ability to work independently and travel as needed (up to 50%)
  • Ability to drive a car with a valid driver's license
  • Proven success in new product launches
  • Proficient skillset working with PowerPoint and Excel.
  • Candidates must meet the requirements of “Qualified Driver,” as determined by the Company in its sole discretion, including but not limited to the following: 1) at least 21 years of age; 2) a driver’s license in good standing issued by your state of residence, and 3) a driving risk level deemed acceptable by the Company.

Nice To Haves

  • advanced degree (MBA, MA Public Health, PharmD, etc.) preferred

Responsibilities

  • Maintain full accountability for ensuring assigned Cell Therapy treatment centers have a clear understanding of all elements of Market Access, including Government payer policy, local payer dynamics and coverage policy, complex reimbursement, coding & billing dynamics, and all components of the Cell Therapy ordering and distribution process
  • Work cross functionally within the Cell Therapy Account Management Team, Payer Account Executives, Cell Therapy Patient Operations, Cell Therapy Patient Support Services, Cell Therapy Access Strategy Team, and other matrix teams as needed to ensure Market Access product objectives are met
  • Support and maintain collaborative relationships with the Cell Therapy customer facing matrix team, in accordance with the approved rules of engagement
  • Support P&T adoption in activated and newly activated treatment centers
  • Identify and provide relevant regional marketplace feedback in a timely manner to management on customer business trends, competitive updates and account issues/opportunities
  • Drive the detailed understanding of complex Cell Therapy site-of-care economics for treatment centers
  • Effectively drive access pull through within Cell Therapy identified accounts by establishing access account management goals, successfully assisting Cell Therapy Account Managers by ensuring there are no access barriers across both inline and new indications
  • Establish and maintain effective relationships with key access stakeholders within each assigned Cell Therapy treatment center
  • Facilitate and drive patient journey within accounts as appropriate and as needed
  • Ensure access challenges are escalated and triaged accordingly within identified accounts
  • Contribute to the development and execution of focused business plans that align with the identified access objectives for Cell Therapy accounts
  • Deliver impactful presentations with external healthcare professionals on access and reimbursement related topics
  • Meet annual and ongoing performance reviews and competency requirements and assignments
  • Significant business travel required, primarily in the assigned geography and occasionally for national meetings and conferences

Benefits

  • Health Coverage: Medical, pharmacy, dental, and vision care.
  • Wellbeing Support: Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP).
  • Financial Well-being and Protection: 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.
  • Work-life benefits include: Paid Time Off US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees) Phoenix, AZ, Puerto Rico and Rayzebio Exempt, Non-Exempt, Hourly Employees: 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays
  • Based on eligibility, additional time off for employees may include 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.
  • All global employees full and part-time who are actively employed at and paid directly by BMS at the end of the calendar year are eligible to take advantage of the Global Shutdown.
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