Access & Reimbursement Manger - Carolina Region
Company: Jazz Pharmaceuticals
Location: Knoxville
Posted on: May 16, 2022
Job Description:
The Sleep Access and Reimbursement Manager (ARM) is responsible
for executing the Sleep franchise market access business plan
pertaining to the assigned geography, working with provider offices
and outpatient care centers to ensure both providers and their
staff are educated on payer and reimbursement policies and
procedures, as well as providing expertise on the REMS program and
patient support services. The ARM will work in collaboration with
Field Sales, Sales Management, Patient Support Services, Managed
Markets, Trade & Distribution, internal commercial teams, and other
cross-functional partners to achieve the business unit
objectives.The ARM will also develop relationships with all key
personnel, targeted physicians, office managers, and staff vital to
making Jazz's products accessible within key customer accounts.
Provider and account interface, as well as billing and coding
education within compliance, will be a key focus. This position
will also play a critical role in ensuring REMS provider and
patient enrollment, education on REMS process and requirements, and
serve as an expert on patient support services.Essential
Functions
- 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 and utilization of patient access
services, ensure providers understand payer prior authorization
requirements and information, and educate offices on coding and
billing
- Serve as a field-based expert on the REMS program processes and
procedures, including enrollment requirements for providers and
patients.
- Educate and inform provider offices on available patient
services, collaborating and communicating with the Patient Access
group and the Specialty Pharmacy to ensure optimal customer
experience.
- Collaborate and coordinate with area and 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.
- Conducts annual business development reviews for Jazz corporate
and division management, as well as required updates and reviews
with assigned area and 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
- BA/BS Degree (MBA preferred), 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 REMS
programs
- Experience working with Integrated Health
Systems-preferred
- Managed Care and Reimbursement Knowledge-preferred
- Experience in building a team atmosphere with sales
representatives, either with direct or indirect leadership
authority.
- Ability to make sound decisions within time/resource
constraints.
- Proven skills in strategic decision-making and
problem-solving.
- Excellent analytical skills focusing on key accounts and
uncovering business opportunities.
- Experience working with billing and medical claims personnel in
healthcare settings preferred.
- Proficient with MS Office including Excel, Word, PowerPoint
preferred
- Candidates should live near a major airport and be willing and
able to travel approximately 70-75% of the time (average 3-4 days
per week).Required/Preferred Education and Licenses
- BA/BS Degree (MBA preferred)
- CPC, or similar coding certification 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.
Keywords: Jazz Pharmaceuticals, Knoxville , Access & Reimbursement Manger - Carolina Region, Other , Knoxville, Tennessee
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