Access & Reimbursement Manager, EMD (Remote)
Company: Disability Solutions
Location: Los Angeles
Posted on: October 9, 2024
Job Description:
If you are a current Jazz employee please apply via the Internal
Career site.Jazz Pharmaceuticals plc (NASDAQ: JAZZ) is a global
biopharmaceutical company whose purpose is to innovate to transform
the lives of patients and their families. We are dedicated to
developing life-changing medicines for people with serious diseases
- often with limited or no therapeutic options. We have a diverse
portfolio of marketed medicines and novel product candidates, from
early- to late-stage development, in neuroscience and oncology. We
actively explore new options for patients including novel
compounds, small molecules and biologics, and through cannabinoid
science and innovative delivery technologies. Jazz is headquartered
in Dublin, Ireland and has employees around the globe, serving
patients in nearly 75 countries. For more information, please visit
and follow @JazzPharma on Twitter. Brief Description: The EMD
Access and Reimbursement Manager (ARM) is responsible for executing
the Epidiolex market access business plan pertaining to the
assigned geography. Provider and account interface will be a key
focus as the ARM has responsibilities to build relationships with,
proactively educate, and ensure both providers and their staff are
educated on payer and reimbursement policies and procedures, as
well as providing expertise on patient support services. The ARM is
responsible for uncovering and addressing patient specific issues
that may prevent or slow a patient's access to Epidiolex. The ARM
provides issue resolution through effective collaboration and
coordination with all contracted specialty pharmacy and HUB
regional leads and case managers. The ARM will also effectively
work in collaboration with Field Sales, Sales Management, Patient
Support Services, Managed Markets, Trade & Distribution, Payer
Values and Outcomes, and internal commercial teams to achieve
targeted objectives and meet established MBO's and goals. Provider
and account interface, prior authorization and coding education, as
well as case management all will be done within current compliance
guidelines. This position will also play a critical role in
ensuring recently added institutional specialty pharmacies are
appropriately onboarded and trained on all pertinent and relevant
Jazz programs and services. Essential Functions/Responsibilities
Essential duties and responsibilities may include all or some of
the following:
- The ARM will implement strategies that achieve Business Unit
and Corporate goals and objectives.
- Analyze Data and develop Action Steps.
- Establish and maintain strategic relationships with assigned
providers and provider accounts.
- Educate and enhance awareness of patient access services and
programs including Epidiolex Engage, as well as contracted channel
distribution availability. Interact with all pertinent stakeholders
to support patient access needs.
- Educate and ensure providers understand payer prior
authorization requirements, appeals process, clinical criteria, and
appropriate coding information.
- Demonstrate deep knowledge in reimbursement and access across
many patient support programs and be the subject matter expert in
the geography.
- Proactively address patient specific issues and provide issue
resolution across the geography.
- Work closely with the external and internal customers to
trouble shoot any specialty pharmacy related issues. Closely
collaborate with the Specialty Pharmacy Account Directors (SPAD) to
solve any customer related issues directly with the contracted
specialty pharmacies. Onboard and train institutional specialty
pharmacies as directed by SPADs.
- Ensure timely follow-up that demonstrates urgency to both the
account and the patient.
- Collaborate and coordinate with regional sales teams to develop
payer and reimbursement action plans for key provider
accounts.
- Monitor, document, and communicate coverage policy and
changes.
- Collaborate with internal and external partners to maintain a
payer coverage and reimbursement database and communicate changes
to field sales and sales management teams.
- Collaborates with Managed Markets to educate customers
surrounding Commercial Payers, state Medicaid Agencies, Managed
Medicaid Organizations, Healthcare Maintenance Organizations,
Pharmacy Benefit Organizations, Health Care Plans, GPOs, DOD and
Veterans Integrated Service Networks and other strategic healthcare
entities specific to assigned initiatives and product
requirements.
- Conduct annual business development reviews for Jazz corporate
and ARM leadership, as well as required updates and reviews with
assigned regional sales team(s).
- Provide managed care and reimbursement training and educational
activities for internal and external stakeholders.
- Remain current on key managed care, reimbursement, and policy
activities, as well as serve as an expert for Jazz on business
trends within key provider accounts.
- Ensure all pertinent information regarding current products,
new products, competitive data, and overall information important
to Jazz is brought to the attention of proper company
personnel.
- Represent Jazz at various industry functions such as payer and
reimbursement meetings, payer policy meetings, professional
organization meetings, and other meetings as assigned.
- Demonstrates territory planning, priorities, and time
management specific to geographical area of responsibility.
- Maintains accurate expenses within budget, timely and accurate
completion of all reports, correspondence, and records as required
by Jazz.
- Execution of all activities within the defined Jazz regulatory
and compliance program.
- Maintain company manuals, reports, computer systems, records,
brochures, computers, and other equipment assigned to the
position.Required Knowledge, Skills, and Abilities QUALIFICATIONS
- BA/BS Degree, and at least 5 years of pharma,
biopharmaceutical, and/or medical device experience calling on
field-based customers with demonstrated successful track
record.
- Account Management and/or Reimbursement experience working in
the provider office setting, building strong customer
relationships.
- Experience working with HUB, Patient Services, and/or Specialty
Pharmacy.
- Experience working with Integrated Health Systems--
preferred
- Managed Care and Reimbursement Knowledge -preferred
- Proven ability to thrive in both an independent setting and
within a collaborative cross-functional team.
- Experience in building a team atmosphere with sales
representatives, either with direct or indirect leadership
authority.
- Excellent analytical skills focusing on patients and customers,
uncovering business opportunities, and identifying trends and
solutions.
- Ability to condense complex reimbursement issues into simple
solutions.
- Ability to make sound decisions within time/resource
constraints.
- Strong prioritization skills aligned with good strategic
decision-making and problem-solving capabilities.
- Experience working with billing and medical claims personnel in
healthcare settings preferred.
- Strong oral, written, and group communication skills.
- Ability to lead without authority.
- Proficient with MS Office including Excel, Word, PowerPoint
preferred
- Candidates should live near a major airport and be willing and
able to travel approximately 50% of the time (average 2-3 days per
week).ADDITIONAL INFORMATION
- Extensive travel required.DESCRIPTION OF PHYSICAL DEMANDS
- Frequent travel between meeting sites.
- Frequently operating a computer, printer, telephone, and other
similar office machinery.DESCRIPTION OF WORK ENVIRONMENT
- Frequent interactions with external contacts in their office
environment with little exposure to excessive noise, dust, fumes,
vibrations, and temperature changes.
- Frequent computer laptop or tablet use, not usually at a
workstation.
- Responsibilities may require a work schedule that may include
working outside of "normal" work hours, to meet business
demands.
- Frequent public contact requiring appropriate business
apparel.Required/Preferred Education and Licenses
- BA/BS Degree (MBA preferred)
- CPC, or similar coding certification preferred, not
required
- Prior Authorization Certification Specialist (PACS) preferred,
not requiredJazz Pharmaceuticals is an equal
opportunity/affirmative action employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, national origin, disability status,
protected veteran status, or any characteristic protected by law.
FOR US BASED CANDIDATES ONLYJazz Pharmaceuticals, Inc. is committed
to fair and equitable compensation practices and we strive to
provide employees with total compensation packages that are market
competitive. For this role, the full and complete base pay range
is: $148,000.00 - $222,000.00Individual compensation paid within
this range will depend on many factors, including qualifications,
skills, relevant experience, job knowledge, and other pertinent
factors. The goal is to ensure fair and competitive compensation
aligned with the candidate's expertise and contributions, within
the established pay framework and our Total Compensation
philosophy. Internal equity considerations will also influence
individual base pay decisions. This range will be reviewed on a
regular basis.At Jazz, your base pay is only one part of your total
compensation package. The successful candidate may also be eligible
for a discretionary annual cash bonus or incentive compensation
(depending on the role), in accordance with the terms of the
Company's Global Cash Bonus Plan or Incentive Compensation Plan, as
well as discretionary equity grants in accordance with Jazz's Long
Term Equity Incentive Plan.The successful candidate will also be
eligible to participate in various benefits offerings, including,
but not limited to, medical, dental and vision insurance, 401k
retirement savings plan, and flexible paid vacation. For more
information on our Benefits offerings please click here: .
Keywords: Disability Solutions, Newport Beach , Access & Reimbursement Manager, EMD (Remote), Executive , Los Angeles, California
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