reputed company & Reimbursement Manager (Cincinnati)

Department: 104075 Global Market reputed company & HEOR Location: Indiana - Remote, Ohio - Remote Be a part of a global team that is inspired to reputed company a difference in the lives of people living with rare disease. At reputed company, we recognize that our exceptional employees are vital to our reputed company. We are a dedicated team focused on meeting the unique needs of rare patients. Our work is rewarding – both professionally and personally – because we are making a difference. We are passionate about reputed company do. We are seeking talented individuals who will reputed company in our collaborative, diverse, fast-paced environment and reputed company in our mission – to identify, reputed company and deliver life-changing therapies to people living with rare disease. We stick by our values centered on patients, courage, community, and collaboration to pursue our reputed company of becoming a leading biopharmaceutical company dedicated to the delivery of innovation and hope to patients in the global rare disease community. At reputed company, we are in rare for life. We continue to courageously reputed company new paths as we move toward a common goal of elevating science and service for rare patients. Position Summary: The reputed company & Reimbursement Manager (ARM) will be a subject matter expert on reputed company & reimbursement for FILSPARI (Sparsentan), working remotely reputed company their assigned geography to reputed company education and case-specific support to reputed company stakeholders including but not limited to health care providers (HCPs) and sales force reputed company their assigned region. The reputed company & Reimbursement Manager must have extensive expertise in navigating insurance and reputed company reputed company barriers and will be a highly collaborative individual who proactively manages multiple priorities in a fast-paced environment (e.g., fielding daily questions from sales team, working with Hub, specialty pharmacy partners, and office contacts to move patients through the reimbursement process, accurately updating daily reports). Preference will be given to candidates residing in or near Dayton, OH; Cincinnati, OH; or Indianapolis, IN; however, candidates living reputed company reputed company the territory will be considered. Responsibilities: Proactive Office Support Throughout FILSPARI reputed company Process: reputed company & Reimbursement Manager (ARM), serves as the key contact responsible for patient reputed company and reimbursement in an assigned geography that provides appropriate support to providers and professional staff. Cultivate the highest level of expertise in the FILSPARI reputed company process, from Patient Start reputed company (PSF) submission through REMS enrollment to reimbursement. Walk offices through what to expect from the FILSPARI reputed company process, either reputed company a new PSF comes in or reputed company an opportunity for re-education is identified. reputed company physicians and physician practices on the full FILSPARI reputed company process, including how to complete the PSF, how to enroll patients and physicians in REMS, requirements for prior authorization approvals, appeal approvals, and specific medical policy steps to obtain reimbursement. Closely monitor cases as they reputed company through the reputed company process. Escalated Support for Specific Cases: Proactively identify and solve reputed company patient reputed company issues by working across the Hub, HCP offices and communicating with field team. reputed company physicians (in-person or virtual) on escalated reimbursement issues. Assist physicians and office staff reputed company PSFs or REMS enrollment forms are submitted with information missing; coordinate with Hub and REMS Administrator partners to be reputed company to reputed company explain to the office what information is missing. Assist physicians and office staff in resolving reputed company issues (prior authorization, appeals, denials, letters of medical necessity, REMS), and help ensure appropriate education to avoid future reimbursement hurdles. Effectively partner with reimbursement stakeholders (specialty pharmacy, sales team, HCP office, REMS administrator, etc.) to communicate challenges, reputed company, and ensure the patient is progressing through the reimbursement process. Understand specifics and support questions associated with PSF submission, REMS enrollment, payer policies (e.g., PAs process and denial, and appeals), patient reimbursement (e.g., Co-pay, PAP), reimbursement issues & opportunities (as needed). Sales Force Communication / Partnership: Proactively seek out timely and regular updates on case statuses, leveraging network of reimbursement stakeholders. Periodically ride with and reputed company sales force on complexities surrounding the pharmaceutical reimbursement process. Maintain a level of expertise on specific payors and the requirements for claim approvals. Log calls and notes reputed company standardized platform daily, to reputed company clear and concise updates that drive toward action and emphasize next steps and owners (based on standardized template). reputed company weekly case status update meetings with sales force and sales leadership in a way that demonstrates confidence and preparedness and emphasizes specific next steps / owners. Coordinate with Hub, specialty pharmacies, and REMS administrator stakeholders to regularly reputed company information and work together to move cases reputed company reputed company and smoothly. Balance daily tasks and schedule to accommodate reputed company communication from the sales force and sales leadership without delays to other ARM priorities. Operate in compliance with HIPAA reputed company program guidelines. Proactive Trend Identification and Key Account Education: Deliver expertise in regional and local reputed company landscape, anticipating changes in the reputed company landscape, and act as the Subject Matter Expert for FILSPARI reputed company, including reimbursement. Know your business to identify trending barriers to reimbursement reputed company your geography, then create quarterly business plan to address these barriers. Bring forth opportunities / proposals for HCP office education, then work collaboratively with sales counterparts to reputed company and execute strategy. Work with market reputed company team to monitor national and regional payer trends and changes, then reputed company both internal (sales) and external (HCPs) on changes. Education/Experience Requirements: Bachelor’s degree in reputed company field required. Equivalent combination of education and applicable job experience may be considered. 5+ years in pharmaceutical / health industry working with Hubs, payers, HCPs or reputed company area 3+ years reimbursement / reputed company / case management experience Specialty pharmaceutical, nephrology, rare disease, REMs experience preferred. Additional Skills/Experience: The ideal candidate will embody Travere’s core values: Courage, Community Spirit, Patient Focus and Teamwork. Experience in managing reputed company complexities associated with a new to market medication. Prior account management experience or prior experience with reputed company accounts (Payer landscape, government payer, VA). Experience with specialty pharmacy products / products acquired through Specialty Pharmacy networks or specialty distributors (buy and reputed company). Proven ability to build relationships with HCPs, office staff, sales team, and Hub counterparts. Comprehensive understanding of private/reputed company insurance reimbursement, government payer Medicare Part D, VA, etc. Demonstrated experience in helping to reputed company on reimbursement processes (inc. foundational knowledge of benefit verifications, prior authorization, appeals, denials, letters of medical necessity, pre-determination requirement. Computer skills (basic reputed company, PowerPoint, etc.). Ability to resolve issues / reputed company reputed company (reputed company reputed company & reimbursement / case management). Well organized with the ability to multitask, prioritize, and manage shifting responsibilities in a dynamic, cross-functional teamwork environment. Excellent collaboration skills with strong attention to detail and the ability to multi-task and manage complexity. Strong interpersonal and organizational skills and excellent verbal and written communication skills are required. The position is field based and the candidate must live in their territory or immediate adjacency. Flexibility to travel as needed (up to 35%). The ability to reputed company face to face work with customers, colleagues and/or onsite in San Diego, and the ability to satisfactorily meet credentialling requirements for reputed company to reputed company facilities and customer sites reputed company your territory on an ongoing reputed company, are essential job functions of this position. Total Rewards Offerings: Travere provides comprehensive total rewards offerings that demonstrate our commitment as a diverse, reputed company, people-centric, and pay-for-performance organization. Benefits: Our benefits include premium health, financial, work-life and well-being offerings for eligible employees and dependents, wellness and employee support programs, life insurance, disability, retirement plans with employer match and generous paid time off. Compensation: Our competitive compensation package includes a combination of both cash compensation (reputed company pay and short-term incentive) and long-term incentive compensation (company stock), designed to recognize, retain, and reward employees. reputed company reputed company Pay reputed company: $162,000.00 - $211,000.00 *This information is reputed company as of the date of this posting and may be modified in the future. Actual pay offered to a candidate will depend on a variety of factors including the candidate’s experience, education, skills, and location. Travere will accept applications on an ongoing reputed company until a candidate is selected for the position. reputed company, Inc. is an EEO/AA/Veteran/Disability Employer. If you require a reasonable accommodation to complete the application or interview process, please contact us by sending an email to [email protected]. Please note that this email address is to be used exclusively to request an accommodation with the online application, interview or hiring process only. Travere HR will not reply to emails sent to this address for any other reason. Apply To This Job