US Field Reimbursement Manager - BU

Job Description

US Field-based
Must be located in Pennsylvania
This is what you will do:

The Field Reimbursement Manager (FRM) will be responsible for managing accounts in a specified region focusing on but not limited to [BU]. The FRM is responsible for providing access and reimbursement education to HCP office personnel including medical policies, prior authorization requirements, coding and billing, product access via buy-bill or specialty pharmacy and site of care options and restrictions with the goal of minimizing barriers to therapy. The FRM also supports by providing general education and case-specific guidance in response to PA denials and post service reimbursement issues.

Patients are Alexion’s Guiding Star and are served every day by Alexion employees and their trusted partners with their hearts and minds. Alexion’s goal is to create purpose-driven performance; all are accountable for achieving their commitments with the highest standards of ethics and integrity so they can deliver on the patients that rely on them.

You will be responsible for:

• Partnering with Alexion cross-functional partners on overall account and territory strategy to maximize internal/external customer knowledge on payor policy and processes
• Being a subject matter expert on reimbursement and regional-specific access landscape. This includes medical/pharmacy benefit design, payer policies, prior authorization requirements, denials, appeals, peer to peer and other education required to navigate access for coverage of Alexion therapies
• Creating short-term & long-term strategic account plans focused on increasing customers knowledge for key accounts
• Collaborating with Alexion OneSourcePatient Services on individual case management needs related to HCP education on reimbursement issues
• Leveraging all available resources including internal data to develop and execute account plans/call purpose
• Complying with all laws, regulations and policies that govern the conduct of Alexion activities; works with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct
• Complying with annual budget allocation within respective territory

You will need to have:

• Bachelor’s degree
• 4+ years experience in the healthcare and/or pharmaceutical/ biotech industry
• Understanding of access process from medical/pharmacy benefit design, Rx to infusion/injection
• Experience with products that require prior authorization and clear understanding of related billing, coding and in-office support
• Excellent verbal, written, interpersonal communication and presentation skills
• Ability to effectively communicate with people at all levels, inside and outside of the company
• Ability to educate physicians and other healthcare professionals with confidence and expertise in an office procedural environment
• Demonstrated strong cross-functional collaboration skills, business planning, rapport building and active listening skills
• Problem solver with a sense of urgency
• Demonstrated technical aptitude and working proficiency in using iPad and working proficiency in Microsoft Word, Excel, PowerPoint, and Outlook
• The duties of this role are generally conducted in a field environment. As is typical of a field-based role, employees must be able, with or without an accommodation to: travel by public transportation, automobile, train, or plane; work comfortably in a clinical setting; use a computer; engage in communications via phone, video, and electronic messaging; problem solve; engage in complex and non-linear thought, analysis, and dialogue; collaborate with others; maintain general availability during standard business hours

Travel and Role Related Areas

• Ability to travel to work related meetings and functions and ability to travel overnight for [2-4] nights per week
• Ability to travel up to 75%
• Ability to drive to assigned targets within the territory using Fleet Vehicle that is provided by the company
• A valid driver's license and clean driving record
• Ability to travel regionally and cover large multi-state territories
• Must reside in the region; relocation assistance is not provided

We would prefer for you to have:

• Rare disease experience
• 3+ years of field reimbursement experience
• 3+ years experience working with buy and bill and/or specialty pharmacy networks
• Understanding of the top payers within the assigned geography
• Experience in launching a new specialty pharmaceutical/biologic product or new product indication
• Experience working through complex reimbursement issues
  

The annual base pay for this position ranges from $145,202- $217,808. Hourly and salaried non-exempt employees will also be paid overtime pay when working qualifying overtime hours. Base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. In addition, our positions offer a short-term incentive bonus opportunity; eligibility to participate in our equity-based long-term incentive program (salaried roles), to receive a retirement contribution (hourly roles), and commission payment eligibility (sales roles). Benefits offered included a qualified retirement program [401(k) plan]; paid vacation and holidays; paid leaves; and, health benefits including medical, prescription drug, dental, and vision coverage in accordance with the terms and conditions of the applicable plans. Additional details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base pay (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

Date Posted

Closing Date

Our mission is to build an inclusive environment where equal employment opportunities are available to all applicants and employees. In furtherance of that mission, we welcome and consider applications from all qualified candidates, regardless of their protected characteristics. If you have a disability or special need that requires accommodation, please complete the corresponding section in the application form.