Field Reimbursement Manager- Northwest

Alfasigma

3d • $170,000 - $190,000 • Remote

About The Position

Alfasigma is a global healthcare company with a focus on Gastrointestinal (GI) health, operating in over 100 markets. The company has experienced significant growth and is expanding its reach across diverse markets. As part of this expansion, Alfasigma is seeking a Field Reimbursement Manager to join their USA Rare Disease Payer Market Access team (Intercept Pharmaceuticals subsidiary). This role will cover the Northwest region (San Francisco, Oregon, and Washington state), and the ideal candidate will reside in this area. The Field Reimbursement Manager is responsible for creating and executing business plans for assigned accounts to remove access barriers, ensure patient pull-through and issue resolution, and optimize conversions and adherence. Accounts may include healthcare providers, large specialty accounts, academic centers, and integrated delivery networks. This position reports to the Director, Access & Reimbursement.

Requirements

• Bachelor’s Degree required
• 7 years of proven commercial experience within the biopharmaceutical industry (preferably with specialty pharmaceuticals experience)
• 5 years of Market Access/Sales experience
• Minimum of 2 years as an field reimbursement manager or regional access manager working specifically with PBM medications
• Extensive pharmacy benefit knowledge (specialty product specific) required, identifying and educating to payer criteria for authorization, and accumulator and maximizer programs
• Knowledge and understanding of all payer segments (e.g., Commercial, Medicare Part D) required
• Bridge program experience
• Knowledge and understanding of specialty markets, HUB/reimbursement experience required
• Must live within territory or within territory boundaries
• Operation of a company vehicle is an essential function of the job, and therefore a valid driver’s license issued by the state the driver resides in is required and the driver must meet the driver eligibility requirements under Alfasigma’s fleet policy
• Broad-based business acumen is required
• Leadership without authority
• Ability to achieve results through others
• Strong verbal and written communications skills
• Learning agility and ‘scalability’ to take on increasing responsibility as Alfasigma grows
• Consistent demonstration and embodiment of our Corporate Beliefs: Passion for Innovation; Think Big, Act Small; Learn to Dare; and Teams Build the Future
• Ability to have fun and thrive in a growing, diverse, and inclusive work environment

Nice To Haves

• Graduate degree preferred
• Experience in Marketing, Market Access, Commercial Operations or Sales/Sales Training preferred
• Previous experience launching orphan or specialty products is strongly preferred

Responsibilities

• Execute on the vision and strategy created by the brand and market access teams specific to the unique business needs of each region/area to drive prescription fulfillment
• Lead and compliantly partner with their regional team to achieve/exceed market access objectives for their assigned region at launch and beyond
• Work with Market Access and Sales leadership, Marketing, Channel and Patient Services to educate/execute support programs that will enhance our value proposition of removing barriers to access and assist HCPs with understanding the regional/national coverage environment and provide appropriate patients a path to product
• Establish Alfasigma as a strategic partner with targeted accounts
• Proactively engage with assigned accounts supporting internal/external customer access needs and compliantly engage within assigned geography to support access and adherence needs
• Educate office staff on prior authorization process, denial next steps, and appeals for all Alfasigma products
• Educate on financial support options
• Serve as an access and payer criteria expert for defined geography and communicate changes to key internal and external stakeholders; identify and address time-sensitive market development and implementation efforts to remove all access barriers for all Alfasigma products for appropriate patients, while optimizing adherence
• Lead and demonstrate the ability to expand and build long-term key stakeholder relationships with assigned accounts by working closely with them to help remove access barriers and optimize adherence for Alfasigma patients; offer educational resources to support the entire patient access journey through payer prior authorization, appeals/denials procedures and forms to resolve any issues with access challenges
• Coordinate and educate customers to the Alfasigma Patient Support Services program representatives to seamlessly support customer and patient-centric needs
• Act as an arm of the patient services team to provide live one-on-one coverage support
• Educate physician office staff on patient support services available through Alfasigma’s US patient assistance and call center, including web-based provider programs; this may include alternative support options for appropriate patients (e.g., copay, patient assistance); provide information on relevant access topics
• Proactively communicate, explain, and adhere to Alfasigma-specific access services, resources, policies and procedures; collaborate with Alfasigma’s US Strategic Accounts and Channel Accounts teams to stay current with all payer access policies and market-relevant information; elevate identified coverage issues and market access challenges for Alfasigma products within this segment to the DSA/DCA teams for resolution
• Develop and support internal triage process in collaboration with field leadership around coverage concerns including denials or appeals with a plan to remediate
• Participate in special projects and perform other duties, as required
• Adhere to all company policies and compliance training, as well as other legal and regulatory directives

Benefits

• Competitive salary
• Comprehensive benefits
• Extensive opportunities for professional growth and development
• 401(k) plan with company match
• Rewards and recognition program
• Health care benefits (medical, prescription drugs, dental, and vision insurance)
• Short and long-term disability coverage provided
• Plan coverage for domestic partners
• Paid parental leave benefits and adoption assistance
• Tuition reimbursement assistance
• A generous Paid Time Off program that includes 20 vacation days, 11 holidays, 4 personal days, and 2 volunteer days per calendar year
• Numerous well-being and work/life programs

What This Job Offers

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