Location:This is a remote, field-based position covering the Northeast area, including Northern NJ, NY, CT, RI, MA, VT, NH and ME. Travel, including overnight stays, will be required (approximately 40 - 50%). Candidate must live in the current covered geography for consideration. The Field Reimbursement Manager in the Northeast will play a vital role in helping patients and healthcare providers gain access to life changing therapies. Reporting to the Head of Field Patient Solutions & Customer Engagement and is a part of the Field Reimbursement team. With intense passion for helping patients, the Field Reimbursement Manager represents EMD Serono (EMDS) by gaining a deep understanding of specific patient journeys to ensure a positive patient experience to EMD Serono's products and services. This position will have significant market impact on patient access to EMDS Neurology & Immunology (specifically in Multiple Sclerosis MS) and HIV Associated Wasting (HIVAW) products as well as other potential products both in existing and new therapeutic areas. This role is considered critical to ensure positive experiences with EMDS since timely treatment, unencumbered drug coverage and proper distribution is critical to both patients and practice operations. The Field Reimbursement Manager will work within a matrix environment to collaborate with internal and external stakeholders to secure optimized patient access and provide appropriate education through a focused effort on healthcare providers in community, institutional, and academic medical settings. Key Tasks &



Responsibilities:



The Field Reimbursement Manager is focused on the patient journey (from prescription to dispense and persistence) and interact with key stakeholders within the therapeutic areas of focus, as an extension of internal and external HUB services, to navigate complex access, reimbursement and coverage issues that may create product access barriers for patients. Additionally, this position will serve as field partner of the HUB to assist in educating healthcare providers on the support services. This position is field based and requires ~40 to 50% travel to community and institutional healthcare providers within the designated territory. Those in this role will use their knowledge of drug coverage, patient assistance, and health policy to educate healthcare providers (both prescribers and office staff) and minimize access issues to ultimately help patients. The successful candidate will have the ability to think both strategically at the area/account level to create/implement plans as well as navigate access challenges at the patient level. Tasks and responsibilities may include the following:Act as the owner by leading the evaluation and implementation of patient access opportunities within a specific geographic area for all applicable patient typesWork collaboratively with other EMD Serono counterparts within defined areas to identify and resolve barriers to patient access to EMD Serono productsAct as the expert liaison to MS Lifelines (MS products HUB) and 3rd Party Specialty Pharmacies, and identify challenges, escalations or delays in therapy while working with any team members needed to resolve such issuesAct as the field-based liaison to the AXIS Center (Serostim HUB) and identify challenges, escalations or delays in therapy while working with any team members needed to resolve such issuesProvide face-to-face, personalized issue resolution, including difficulties with prior authorizations and appeals arising with providers using EMD Serono's productsEducating provider offices on local and regional payer issues, coding, and appropriate claims submission processesEducate accounts on the availability of patient financial support programs, such as the Co-Pay Assistance and Patient Assistance Programs, as well as other services provided by MS Lifelines and the AXIS CenterLiaising with MS LifeLines and AXIS Center regarding financial and other assistance programs or patient-specific issuesInform appropriate stakeholders of applicable payer utilization management tools and serve as the most proficient liaison between Field Reimbursement and MS LifeLines or AXIS Center for any issue related to HUB enrollment, access and dispenseCompliantly ensure a positive HCP and patient journey experience through outcomes-oriented collaborations with all EMDS stakeholdersIdentify as appropriate, any professional societies, alliances or organizations which provide education, programming, legislative balance or similar to supplement field expertise and further EMDS relationships in the MS therapeutic area for the benefit of patientsProvide strategic and tactical input for continuous improvement purposesDevelop tactical plans (i.e., educating, triaging, hub interactions, etc.) and execute against those plans in support of strategic access imperatives, such as key performance indicators or role metrics as identified by Patient Access Solutions Leadership



Who you are:




Minimum Qualifications:



Bachelor's Degree in Business, Sciences or Related Fields8+ years of experience in pharmaceutical industry, sale, or reimbursementWorking knowledge in private payer, Medicare Part D, Medicare Advantage, and Medicaid structures, systems, utilization management tools, and payment methodologiesStrong communication, presentation, organizational and interpersonal skillsAbility to travel domestically ~40 to 50%, including overnight per corporate policies within assigned geography and for internal events



Preferred Qualifications:



5+ years' experience in Specialty account management, managed care (payer / IDN accounts), Corporate Office or reimbursement for specialty pharmacy productsTechnical knowledge of prescription drug coverage policies, drug acquisition options (pharmacy, office dispensing, specialty pharmacy), healthcare payment methods from a provider, health plan, and/or specialty pharmacy concerns, particularly for the Northeast regionProven track record of delivering resultsProven experience in resolving difficult access challenges, including complex prior authorizations, appeals, and denialsDemonstrated understanding of the appropriate use of patient health information (PHI) under HIPAA and other relevant legal and compliance aspects of performing the access reimbursement roleStrong analytical skills to understand and adjust to trends and market dynamicsDetailed knowledge of neurology products, including MS therapiesExperience in MS, Endocrinology or similar, such as sales, marketing, training, access or account managementLive within 90 minutes of a major airport in the designated territory