Job Description

Field Reimbursement Manager - Midwest

Statistics show that women and underrepresented groups tend to apply to jobs only if they meet 100% of the qualifications. Sobi encourages you to change that statistic and apply. Rarely do candidates meet 100% of the qualifications. We look forward to your application!

At Sobi, each person brings their unique talents to work as a team and make a difference. We are dedicated to developing and delivering innovative therapies to improve the lives of people who live with a rare disease. Our edge comes from our team of people and our commitment to patients.

Our mission and culture at Sobi get us excited to come to work every day, but here are a few more reasons to join our team:

• 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

Job Description

Introduction/Purpose:

Reporting to the Director of Field Reimbursement, the Field Reimbursement Manager (FRM) is an important member of the Sobi Market Access team. The FRM is a field-based, non-promotional resource for health systems, institutions, hospitals, and HCP practices/groups that serves as the key to help unlock patient access and resolve reimbursement issues. The FRM is a critical component of customer support and will rely on strong problem-solving skills to provide an outstanding customer experience for patients, providers and staff to ease the burden of access and improve access awareness to Sobi therapies.

He/she will do this by:

• Customer Engagement: Maintain a targeted account list and proactively engage customers through both virtual and in-person interactions
• Relationship Management: Build and maintain strong relationships with key stakeholders including medication access teams, pharmacy, office/practice managers, and reimbursement/procurement departments
• Subject Matter Expertise: Serve as a reimbursement and access expert across all payer channels (Commercial, Medicare, Medicaid, Government), identifying compliant solutions to access challenges
• Access & Reimbursement Support: Educate customers on benefit verification, prior authorizations, appeals, specialty pharmacy/distribution models, CPT coding, and J-codes
• Cross-Functional Collaboration: Act as a bridge between customers, patient services (HUB), sales, and account teams to resolve access barriers and escalations
• HUB Partnership: Collaborate with Doptelet and Vonjo Connect HUBs and case managers to compliantly address escalations and access issues for hub patients
• Market Insights: Provide feedback and insights to internal stakeholders to inform strategy and improve patient access solutions
• Territory Collaboration: Partner closely with local cross-functional colleagues to support accounts within a defined geography

Demonstrates deep knowledge in:

1. Reimbursement and access across all channels (Commercial, Medicare, Medicaid, Exchange and Government)and is the subject matter expert of the payers in the markets they will support

2. All phases of specialty distribution, specialty pharmacy core services to assist with supporting access and product procurement healthcare structures, payment systems, and reimbursement methodology

3. Works collaboratively with internal and external business partners to winThinks 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.

• Internal Partners: Sales, Marketing, Patient Services, Trade Team, National and Regional Account Directors, Medical Affairs External Partners: Builds relationships with: Health Systems, Institutions, Hospitals, HCPs, practice managers, reimbursement/access departments, and other customers who support access & reimbursement

4. Exhibits strong problem-solving skills related to complex patient access challenges across payers and specialty pharmacies 4. Educates health systems, institutions, hospitals, and HCP office staff about: Patient Service Program options to optimize patient access to Sobi's products Prior authorization requirements, coverage status, and payer appeals requirements, processes, and timelines

5. Comprehends and effectively demonstrates ability to conduct field-based customer support related to payer coverage and payment process (coverage navigation & specialty pharmacy fulfilment)

6. Adheres to all relevant regulatory and Sobi compliance & ethics guidelines and a willingness to coach to ensure a culture of compliance

Qualifications

Experience:

• 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
• Preference will be given to candidates with the following experience:
• Reimbursement experience
• Hematology/Oncology experience
• 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 partnersDevelops meaningful partnerships based on Sobi Core Values striving to earn and preserve the trust, respect, and admiration of all stakeholders.
• Values & Unlocks CollaborationCultivates 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 SavvyDemonstrates a clear understanding of the current territory business situation, marketplace, and environment
• Understand HIPAA rules and regulations related to patient privacy
• Strong written and verbal communications as well as presentation skills

Additional Information

Compensation and Total Rewards at Sobi

At Sobi, we are dedicated to providing our employees with a comprehensive and industry-competitive total rewards package. Our compensation philosophy is designed to recognize and reward talent, ensuring that your contributions are valued and reflected in your overall rewards.

Your total compensation at Sobi goes beyond just your base salary and annual bonus. It also includes a robust suite of benefits, such as:

• 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.

The base salary range for this role is $ 115,000 150,000 . Each individual offer will be determined based on several factors, including your experience, qualifications, and location. Additionally, this role is eligible for both short-term and long-term bonuses, as outlined in the plan details.

All Sobi employees need to demonstrate behaviors in line with Sobi's core values: Care, Ambition, Urgency, Ownership and Partnership. Are you ready to be on the Sobi team? Come join a culture that empowers every person to be the person that makes a difference for rare disease.

Why Join Us? We are a global company with over 1,900 employees in more than 30 countries and

Job Tags

Similar Jobs