Sr. Manager, Access & Reimbursement - (Orlando, FL) - (Orlando, FL) (field based)

Eisai • Orlando, FL

3d • Onsite

About The Position

The Access and Reimbursement Manager (ARM) supports patient access to prescribed Eisai products by educating healthcare professionals about insurance coverage, reimbursement, and Eisai patient support programs. The ARM identifies and triages access or reimbursement issues, escalates them to appropriate internal or external partners, and manages communication through resolution. The role requires knowledge of payer coverage at the customer and regional levels and the ability to educate stakeholders on payer policies.

Supporting the Neurology business unit, the ARM provides compliant access and reimbursement education related to an Eisai Alzheimer’s product. This includes understanding buy-and-bill, miscellaneous J Code billing, and specialty distribution procurement. The role is a field-based individual contributor on the Eisai Access and Reimbursement team within Patient Services/Market Access, and serves as the functional lead for activities across HCP offices, alternate infusion-care sites, State Societies, and health systems and institutions. The position works closely with and reports to the Associate Director, Access and Reimbursement.

The ARM engages with healthcare professionals and other stakeholders responsible for physician reimbursement and patient coverage and access, including practice managers, financial counselors, pharmacy managers and directors, business administrators, State Societies, health-system C- and D-suite personnel, and revenue-cycle and integrity stakeholders. Regular in-person engagement with HCPs and other third parties is an essential function. Selected applicants may need to complete third-party credentialing or entry requirements, which may include vaccination attestations or proof, with reasonable accommodations available for qualifying medical or religious reasons.

Requirements

• Bachelor’s degree in a related field.
• At least 8 years of relevant experience in the pharmaceutical or biotechnology industry.
• Experience with distribution, patient support programs, financial assistance, and patient assistance programs.
• Experience with Market Access payer and/or patient access support programs.
• Experience with the U.S. healthcare system across one or more major payer segments: Medicare, Medicaid, Federal, or Commercial.
• Experience with medical and pharmacy benefits, coverage policies, and reimbursement.
• Demonstrated performance in an earlier role.
• Ability to engage in person regularly with HCPs and other third parties at their offices, institutions, and other appropriate locations.
• Valid driver’s license and clean driving record; ability to operate a motor vehicle safely and successfully.

Nice To Haves

• Master’s degree preferred.
• Previous patient access or reimbursement experience strongly preferred.

Responsibilities

• Serve as the point of contact for assigned customers with patient access and reimbursement needs or challenges, providing relevant education and support.
• Identify, triage, and escalate customer issues to relevant internal or vendor teams as required, and drive resolution.
• Develop strategies to address access and reimbursement needs across assigned customer groups or regions.
• Create and deliver high-level training programs to the sales force, including general information on patient access issues, Eisai patient support programs, and separation between sales and access/reimbursement.
• Track payer trends proactively and develop, coordinate, and execute plans to create and maintain patient treatment access based on analyses of trends and information.
• Communicate current and pertinent field access and reimbursement information to relevant internal and external stakeholders, including customer feedback, medical- and pharmacy-benefit coverage, product procurement access, and payer updates.
• Educate external stakeholders, including physicians, office administrators, case managers, financial counselors, medical directors, billing personnel, and pharmacists, on patient access to Eisai products.
• Maintain a valid driver’s license and clean driving record, and operate a motor vehicle safely and successfully.

Benefits

• Eligible to participate in the Eisai Inc. Annual Incentive Plan and Eisai Inc. Long Term Incentive Plan.
• Eligible to participate in company employee benefit programs.
• Certain other benefits may be available for this position.

What This Job Offers

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