Alzheimer's Disease Reimbursement Manager, Chicago

Biogen Idec Chicago , IL 60602

Posted 4 weeks ago

Company Description

Job Description

Role Summary

In this field-based, regional scope position, the Alzheimer's Disease Reimbursement Manager (ADRM) is the subject matter expert for the billing, coding, reimbursement and patient access issues related to administration of therapy at site of care accounts/facilities (i.e. infusion centers, memory centers, integrated systems/hospitals, physician offices). The ADRM will educate and support the site of care account and infusion decision makers, healthcare providers and staff members on procurement, billing and delivery process as well as reimbursement, payer policy requirements, and clinical information when appropriate. The ADRM is responsible for pulling through the Site of Care Administration Strategy enabling patient access to therapy while collaborating closely to support the Alzheimer's Account Liaisons and other customer facing teams as necessary and appropriate.

Primary Responsibilities:

  • Engage and work strategically with C-Suite and/or business decision-makers, relevant HCPs, and support personnel of potential sites of care to deliver information that facilitates patient access and reimbursement for Biogen's Alzheimer's therapy. Act as the subject matter expert on all aspects of reimbursement, procurement options and both public and private payer policy coverage determination criteria.

  • Work closely with the account administration stakeholders and therapy site of care accounts to support pull-through, including discussion around dosing requirements and administration.

  • Educate prescribers and site of care accounts on procurement requirements and options for procurement to identify potential opportunities to improve administration.

  • Establish active communication and liaise with Alzheimer's Account Liaison and Patient Service teams on all related procurement, reimbursement, and account access and reimbursement management issues and ensure that issues are resolved in a timely manner. This will include understanding of the strategic capacity analysis navigation and supporting exploration and pull through of new sites of care when the need is identified.

  • Serve as the regional reimbursement resource for targeted customer accounts providing both technical and practical advice to avert or resolve reimbursement issues and support patient access across the journey.

  • Demonstrate expert-level acumen on national and local payer payment trends, the regulatory environment, policies and relationships to assist product adoption and sales growth. Organize and lead reimbursement presentations to key decision makers in targeted accounts, with ability to navigate both public payer and private payer dynamics.

  • Work with internal cross-functional partners (MA&R Payer Marketing) to assist in implementing pull-through and push-through programs designed to maximize payer coverage.

  • Conduct key account reimbursement presentations to provide reimbursement information as well as local payer status updates.

  • Partner with account teams to proactively provide account level business reviews to improve patient access & retention to therapy.

  • Assist with other activities to support patient pull through.

Qualifications

Qualifications:

  • BA/BS required, preferably in one of the following areas: Business Administration, Communications, Healthcare Management, Marketing, Nursing, and Pharmacy.

  • The ideal candidate will have 5-7 years of reimbursement, including buy & bill & Specialty Pharmacy experience within the biopharmaceutical injectable/infusion sector

  • Demonstrated knowledge of injection/infusion processes and/or diagnostic processes

  • Experience in the establishment of new sites of care and the management of patients and payer coverage across complicated care journeys.

  • Comprehensive understanding of all aspects of reimbursement models (coding, coverage, and payment), including complete understanding of Medicare A, B, C and D benefit designs, Medi-gap, physician fee schedule and ability to locate applicable coverage policies

  • Demonstrated advanced level billing competencies including CPT, ICD-10, HCPCS coding and EOB interpretation

  • Ability to negotiate and execute sophisticated/C-suite level site of care discussions related to various health care topics access and reimbursement and able to set and pull through account level access strategies.

  • A successful track record across field reimbursement, clinical education or pharmaceutical account management of products that required significant payer and reimbursement support, with specific emphasis on a public payer.

  • Significant managed care and/or infusion experience (e.g. oncology, rare disease) within pharmaceutical industry

  • HUB and/or Patient service model experience, and financial assistance programs

  • Exemplary and collaborative work ethic, cross-functional stakeholder management skills, project management skills, and an ability to manage multiple and often-evolving strategic priorities.

  • Excellent written and verbal communication and presentation skills, tailored to various levels of internal and external audiences up to and including executive audiences.

Additional Information

All your information will be kept confidential according to EEO guidelines.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Territory Account Manager Treatment Resistant Depression Chicago

Livanova

Posted Yesterday

VIEW JOBS 3/29/2020 12:00:00 AM 2020-06-27T00:00 Join us today and make a difference in people's lives! Seeking top medical device sales reps who want to sell a disruptive technology within a growing division for one of the leading Medical Device Companies in the world. As pioneers of the VNS (Vagus Nerve Stimulation) Therapy® system, we continue to advance medical device solutions for people affected by treatment-resistant epilepsy, depression, heart failure, and other chronic disorders. We collaborate with top researchers, partners, and experienced clinicians to enhance solutions, improve patient outcomes, and achieve physician satisfaction by providing safe and effective treatment options that positively impact the quality of life. As a Territory Account Manager for treatment-resistant depression, you will be responsible for the implementation of VNS Therapy for Depression commercial strategy, tactics, and operations. Successful candidates will work in partnership with our Market Access/Reimbursement team to establish new accounts as well as engage existing VNS for Depression customers. This is a unique opportunity to play a critical role in the early stages of VNS Therapy for Depression business development. Your efforts will directly impact our future success in this market. As we continue to grow, effective Territory Account Managers will have a clear path to career advancement opportunities in leadership. We are looking for candidates who are self-motivated with evidence of successful teamwork and collaboration, display independent thinking, enjoy problem-solving and solutions planning, possess robust interpersonal skills and have the capacity to interpret trends and data, translating the information into actions and improvements. This player/coach opportunity will also require up to 40% travel. Responsibilities * Establish and build relationships with key accounts and key opinion leaders within the territory. * Develop tactics and strategies that lead to a long-term commitment to key customers. * Facilitate and appropriately support clinical infrastructure. * Ensure customer needs are adequately met and build productive customer relationships. * Be accountable for customer satisfaction and territory performance; daily accountability and quarterly revenue targets. * Drive pipeline development and revenues through strategic targeting and effective time management. * Collaborate with management and other team leaders to identify strategies to achieve sales goals and uncover new, high-value opportunities. * Meet or exceed sales quotas on a quarterly and yearly basis. * Appropriately optimize pipeline management to ensure sales plan is met. * Provide accurate, ongoing reporting through the continuous update and maintenance of necessary reports in Salesforce.com. * Regularly review all sales activities, targets, and strategies to maximize results. * Engage with patient/family education to ensure full comprehension of the features and benefits of VNS Therapy for Depression including the clinical procedures and equipment used to facilitate and achieve optimum quality of life improvement. * Ensure high-performance standards for one's self. * Display a high level of consultative selling and negotiating skills. * Maintain an in-depth knowledge of our product, reimbursement environment, the Treatment-Resistant Depression disease state, and related psychiatry and surgery marketplace. It is preferred for you to have 8 + years of successful selling experience in a medical field, preferably with a background in Depression or a consultative role (e.g., Neuroscience Sales, HIV Sales, Oncology Sales, Diabetes Sales), where daily accountabilities are established, measured and rewarded. You will need to possess a BS/BA degree, preferably in Marketing or Business. This opportunity maintains dual responsibilities; you will educate and build new business. The Culture We employ ambitious entrepreneurs who find opportunity in adversity, thrive in a fast-paced environment and deliver results while maintaining a positive outlook. Inside this organization, transformational change can happen within hours. As a member of this team, you can contribute to driving that change. We are looking for high integrity, outgoing individual with a commitment to compliance to join this team! If you feel like you may be a good fit for our team, we want to hear from you. Our commitment to Diversity & Inclusion: LivaNova values equality and celebrates diversity. We are committed to ensuring that our recruitment process is fair, transparent and free from unlawful discrimination. Our selection process is driven by the key demands/requirements for the role rather than bias or discrimination on the basis of a candidate's sex, gender, age, marital status, veteran status, non-job-related disability/handicap or medical condition, family status, sexual orientation, religion, color, ethnicity, race or any other legally protected classification. Background Checks at LivaNova: Upon successful completion of the hiring process an offer may be extended. Please note, LivaNova reserves the right to conduct background investigations and/or reference checks on all its potential employees, where permitted by local legislation. This offer therefore, is contingent upon a clearance of such a background investigation and/or reference check, and can be rescinded, where permitted by local legislation, based upon data received in the background check and/or refusal to cooperate with or any attempt to affect the results of this check. This process is not currently valid in Germany. Notice to third party agencies: Please note that we do not accept unsolicited resumes from recruiters or employment agencies. In the absence of a signed Recruitment Services Agreement, we will not consider, or agree to, payment of any referral compensation or recruiter fee. In the event that a recruiter or agency submits a resume or candidate without a previously signed agreement, we explicitly reserve the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency. Livanova Chicago IL

Alzheimer's Disease Reimbursement Manager, Chicago

Biogen Idec