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

Eisai US • Orlando, FL

4d • $166,000 - $217,900 • Onsite

About The Position

The Sr. Manager, Access & Reimbursement (ARM) provides support for patient access to prescribed Eisai products. The role educates healthcare professionals about insurance coverage, reimbursement, and Eisai patient support programs; identifies and triages access or reimbursement issues; and manages communication with internal and external partners through resolution. The ARM maintains an understanding of payer coverage at the customer and regional level and educates 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 requires understanding buy-and-bill, miscellaneous J Code billing, and specialty distribution procurement. The position 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 access and reimbursement activities across HCP offices, alternate infusion-care sites, State Societies, and health systems and institutions. The role works closely with and reports to the Associate Director, Access and Reimbursement.

Key external stakeholders include healthcare professionals and people responsible for physician reimbursement and patient coverage and access issues, 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.

Requirements

• Bachelor’s degree in a related field.
• At least 8 years of relevant experience in the pharmaceutical or biotechnology industry.
• Experience related to distribution, patient support programs, financial assistance, and patient assistance programs.
• Experience with Market Access payer programs and/or patient access support programs.
• Experience with the U.S. healthcare system across one or more major payer segments: Medicare, Medicaid, Federal, and Commercial.
• Experience working with medical and pharmacy benefits, coverage policies, and reimbursement.
• Proven performance in an earlier role.
• Valid driver’s license and clean driving record; ability to operate a motor vehicle safely and successfully.
• Ability to meet in-person access requirements at HCP and third-party locations; selected applicants may need to complete third-party credentialing or entry requirements, which can include vaccination attestations or proof, subject to reasonable accommodation where applicable.
• Skills in communication and cross-functional influence, critical thinking and business agility, industry and regulatory market access, mentoring and people development, project management, and reimbursement knowledge.

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 appropriate internal or vendor teams, and drive resolution.
• Develop strategies to address access and reimbursement needs across the assigned customer group or region.
• 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 trend and information analyses.
• 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; safely and successfully operate a motor vehicle.
• Engage in person regularly with HCPs and other third parties at their offices, institutions, and other appropriate locations.

Benefits

• Participation in the Eisai Inc. Annual Incentive Plan and Eisai Inc. Long Term Incentive Plan.
• Eligibility to participate in company employee benefit programs; additional benefits may be available.

What This Job Offers

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