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Sobi

Field Reimbursement Manager - West

RemotePrefers United States
Published
Experience
Senior
Employment
Full-time
Company size
Enterprise
$115k–$150k/yr
Check eligibility

No hard location rule, but the listing prefers candidates in United States.

No BS summary

Field-based Reimbursement Manager for Sobi's Market Access team. Requires 5+ years in Pharma/Biotech/Medical Device with patient journey, payer coverage, and specialty pharmacy experience. Must be able to build relationships with healthcare systems and HCPs, and resolve reimbursement issues across all payer channels. Strong problem-solving and analytical skills needed.

Core skills

reimbursementpatient access

Required skills

benefit verificationprior authorizationsappealsspecialty pharmacydistribution modelsCPT codingJ-codesHIPAA

Optional skills

Hematology/Oncology experience

Required languages

English

What you'll do

  • Serve as a field-based, non-promotional resource for health systems, institutions, hospitals, and HCP practices/groups to help unlock patient access and resolve reimbursement issues.
  • Provide an outstanding customer experience for patients, providers and staff to ease the burden of access and improve access awareness to Sobi therapies.
  • Maintain a targeted account list and proactively engage customers through both virtual and in-person interactions.
  • Build and maintain strong relationships with key stakeholders including medication access teams, pharmacy, office/practice managers, and reimbursement/procurement departments.
  • Serve as a reimbursement and access expert across all payer channels (Commercial, Medicare, Medicaid, Government), identifying compliant solutions to access challenges.
  • Educate customers on benefit verification, prior authorizations, appeals, specialty pharmacy/distribution models, CPT coding, and J-codes.
  • Act as a bridge between customers, patient services (HUB), sales, and account teams to resolve access barriers and escalations.
  • Collaborate with Doptelet and Vonjo Connect HUBs and case managers to compliantly address escalations and access issues for hub patients.
  • Provide feedback and insights to internal stakeholders to inform strategy and improve patient access solutions.
  • Partner closely with local cross-functional colleagues to support accounts within a defined geography.
  • Works collaboratively with internal and external business partners to win—Thinks and acts as a team; understands the nature and interdependencies of a matrix team environment and can effectively work cross-functionally to seize opportunities, resolve payer issues, improve customer experience, avoid bureaucracy, and maximize outcomes of strategies and key actions.
  • Educates health systems, institutions, hospitals, and HCP office staff about Patient Service Program options to optimize patient access to Sobi’s products.
  • Educates health systems, institutions, hospitals, and HCP office staff about Prior authorization requirements, coverage status, and payer appeals requirements, processes, and timelines.
  • Conduct field-based customer support related to payer coverage and payment process (coverage navigation & specialty pharmacy fulfilment).
  • Adheres to all relevant regulatory and Sobi compliance & ethics guidelines and a willingness to coach to ensure a culture of compliance.

What they require

  • A minimum of a B.A/B.S. required
  • A minimum five (5) years of work experience in Pharmaceuticals/Biotech/Medical Device with relevant understanding of the following areas: Patient journey navigation, Payer coverage polices, Pharmacy benefit reimbursement, Specialty pharmacy and distribution, In office dispensing accounts, Hub and Patient Services
  • Demonstrated ability to work accounts; specifically working to identify, engage and build relationships with key reimbursement contacts, access personnel and practice managers within identified accounts.
  • Industry Knowledge – proficient understanding of the pharmaceutical industry, disease state and drug distribution process (e.g., medical, specialty pharmacy, managed care systems, etc.)
  • Understanding of Medicare and Medicaid drug coverage and current and pending changes to drug coverage benefits
  • Technical Expertise (Reimbursement and Patient Access) —Demonstrates strong technical expertise Reimbursement and patient access knowledge with the ability to effectively convey knowledge to key stakeholders.
  • Computer Skills – Ability to effectively use technology to support escalation work internal and external portals and databases
  • Advanced Microsoft Excel skills that support analysis of large databases and manage a high volume of data
  • Analytical Skills – Ability to analyze and leverage data/reports to identify trends and opportunities
  • Demonstrates Passion, high energy, excitement, and a sense of urgency toward organizational purpose and values.
  • Cultivates High IMPACT Partnerships with internal and external partners—Develops meaningful partnerships based on Sobi Core Values striving to earn and preserve the trust, respect, and admiration of all stakeholders.
  • Values & Unlocks Collaboration—Cultivates an atmosphere of interdependence, collaboration, and reciprocal communication that creates a winning environment that inspires all to demand the ‘best’ from themselves because winning is fun and fulfilling.
  • Business Savvy—Demonstrates a clear understanding of the current territory business situation, marketplace, and environment
  • Strong written and verbal communications as well as presentation skills
  • Sobi encourages you to change that statistic and apply. Rarely do candidates meet 100% of the qualifications. We look forward to your application!
  • All Sobi employees need to demonstrate behaviors in line with Sobi's core values: Care, Ambition, Urgency, Ownership and Partnership.

Benefits

  • Competitive compensation for your work
  • Generous time off policy
  • Summer Fridays
  • Opportunity to broaden your horizons by attending popular conferences
  • Emphasis on work/life balance
  • Collaborative and team-oriented environment
  • Making a positive impact to help ultra-rare disease patients who are in need of life saving treatments
  • A competitive 401(k) match to support your financial future.
  • Tuition and wellness reimbursements to invest in your personal and professional growth.
  • A comprehensive medical, dental, and vision package to prioritize your health and well-being.
  • Additional recognition awards to celebrate your achievements.
  • this role is eligible for both short-term and long-term bonuses, as outlined in the plan details.

Sobi is a specialized biopharmaceutical company dedicated to developing and delivering innovative therapies to improve the lives of people who live with a rare disease.

🇸🇪 SwedenBiopharmaceuticalMid-size
$115k–$150k/yr