Field Reimbursement Manager, Southern California Job at Intercept Pharmaceuticals, San Diego, CA

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  • Intercept Pharmaceuticals
  • San Diego, CA

Job Description

POSITION SUMMARY:

As Intercept continues to build its position as the leader in rare and serious liver disease, we are seeking a Field Reimbursement Manager (FRM). A FRM is responsible for partnering with internal and external stakeholders to create and execute a business plan for assigned accounts with an objective of removing all access barriers, providing pull-through and issue resolution for all appropriate patients while optimizing conversions and adherence. Accounts may include HCPs, large specialty accounts, academic centers, integrated delivery networks, and others. The position reports to the Senior Director, National Access Management, West, or the Director, Access & Reimbursement, East.

Key responsibilities include:

• Execute on the vision and strategy created by the brand and market access teams specific to the unique business needs of each region/area to drive prescription fulfillment

• Lead and compliantly partner with their regional team to achieve/exceed market access objectives for their assigned region at launch and beyond

• Work with Market Access and Sales leadership, Marketing, Channel and Patient Services to educate/execute support programs that will enhance our value proposition of removing barriers to access and assist HCPs with understanding the regional/national coverage environment and provide appropriate patients a path to product

The successful FRM must be capable of thriving in a fast-paced, collaborative environment and should be energetic, forward-thinking, proactive, and ready to have fun.

CORE ACCOUNTABILITIES:

The successful candidate must be able to perform each of the following satisfactorily, with or without an accommodation:

• Establish Intercept Pharmaceuticals as a strategic partner with targeted accounts

• Proactively engage with assigned accounts supporting internal/external customer access needs and compliantly engage within assigned geography to support access and adherence needs

• Educate office staff on prior authorization process, denial next steps, appeal for all Intercept products

• Educate on financial support options

• Serve as an access and payer criteria expert for defined geography and communicate changes to key internal and external stakeholders; FRMs identify and address time-sensitive market development and implementation efforts to remove all access barriers for all Intercept products for appropriate patients, while optimizing adherence

• Lead and demonstrate the ability to expand and build long-term key stakeholder relationships with assigned accounts by working closely with them to help remove access barriers and optimize adherence for Intercept patients; offer educational resources to support the entire patient access journey through payer prior authorization, appeals/denials procedures and forms to resolve any issues with access challenges

• Coordinate and educate customers to the Intercept Patient Support Services program representatives to seamlessly support customer and patient-centric needs

• Act as an arm of the patient services team to provide live one-on-one coverage support

• Educate physician office staff on patient support services available through Intercept’s patient assistance and call center, including web-based provider programs; this may include alternative support options for appropriate patients (e.g., copay, patient assistance); provide information on relevant access topics

• Proactively communicate, explain, and adhere to Intercept-specific access services, resources, policies and procedures; collaborate with Intercept’s Strategic Accounts and Channel Accounts team to stay current with all payer access policies and market-relevant information; elevate identified coverage issues and market access challenges for Intercept products within this segment to the DSA/DCA teams for resolution

• Develop and support internal triage process in collaboration with field leadership around coverage concerns including denials or appeals with a plan to remediate

• Participate in special projects and perform other duties, as required

• Adhere to all company policies and compliance training, as well as other legal and regulatory directives

Requirements

QUALIFICATIONS:

• Bachelor’s Degree required; graduate degree preferred

• 7 years of proven commercial experience within the biopharmaceutical industry (preferably with specialty pharmaceuticals experience)

• 5 years of Market Access/Sales experience; experience in Marketing, Market Access, Commercial Operations or Sales/Sales Training preferred, with a minimum of 2 years as an FRM or RAM working specifically with PBM medications

• Extensive pharmacy benefit knowledge (specialty product specific) required, identifying and educating to payer criteria for authorization, and accumulator and maximizer programs

• Knowledge and understanding of all payer segments (e.g., Commercial, Medicare Part D) required

• Bridge program experience

• Knowledge and understanding of specialty markets, HUB/Reimbursement experience required

• Previous experience launching orphan or specialty products is strongly preferred

• Valid U.S. driver’s license in good standing

• 50% travel required, including overnight travel

REQUIRED KNOWLEDGE AND ABILITIES:

• Broad-based business acumen is required

• Leadership without authority

• Ability to achieve results through others

• Strong verbal and written communications skills

• Learning agility and ‘scalability’ to take on increasing responsibility as Intercept grows

• Consistent demonstration and embodiment of our company core values: Come Together, Be Yourself, Own The Solution, Embrace The Challenge, and Keep Exploring

• Ability to have fun and thrive in a growing, diverse, and inclusive work environment

Benefits

ABOUT INTERCEPT:

Intercept is a biopharmaceutical company focused on the development and commercialization of novel therapeutics to treat rare and serious liver diseases, including primary biliary cholangitis (PBC) and severe alcohol-associated hepatitis (sAH). Intercept’s lead product, obeticholic acid (OCA), is a first-in-class farnesoid X receptor (FXR) agonist marketed under the brand name OCALIVA® in the U.S. for the treatment of patients with primary biliary cholangitis (PBC), a rare autoimmune liver disease. OCALIVA® was the first medication to be approved for PBC in over twenty years, and sales continue to grow more than five years after its initial approval in 2016.

People at Intercept are passionate about patients. You’ll see our patient photos lining our walls and hear their stories in town halls. We’re equally passionate about our team, ensuring each member feels included and has the opportunity to reach their potential. We recognize the power of a diverse, equitable and inclusive (DEI) work force, and how it enriches the professional lives of our team members. Diversity, Equity, and Inclusion drives innovation and connects us to the patients and communities we serve.

For more information, please visit

COMPENSATION & BENEFITS:

The anticipated salary range for this position is $170,000 to $190,000. This represents the anticipated low and high end of the salary range for this position. Actual salaries may vary based on various factors including, but not limited to, experience, skillset, and performance.

The salary range listed is just one component of our total compensation package. Intercept also provides a competitive suite of benefits, including:

• 401(k) plan with company match

• Rewards and recognition program

• Health care benefits (medical, prescription drugs, dental, and vision insurance)

• Short and long-term disability coverage provided

• Plan coverage for domestic partners

• Paid parental leave benefits and adoption assistance

• Tuition reimbursement assistance

• A generous Paid Time Off program that includes 20 vacation days, 12 holidays, 4 personal days, and 2 volunteer days per calendar year

• Numerous well-being and work/life programs

EEO Statement

Employment decisions at the Company are made without unlawful regard to race, color, religion, creed, national origin, alienage or citizenship status, sex (including gender, pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, sexual orientation, national origin, ethnicity, age, physical or mental disability, legally protected genetic information, marital or partnership status, sexual and reproductive health decisions, military or veteran status, or any other status protected by applicable federal, state, or local law. This organization participates in E-Verify (E-Verify's Right to Work guidance can be found here:

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Job Tags

Holiday work, Full time, Temporary work, Local area, Night shift,

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