Compensation Data
This position offers a base salary typically between $140,000 and $222,000. The position may be eligible for a role specific variable or performance-based bonus and or other compensation elements. For an overview of our benefits please click here.
Description
Duties & Responsibilities
- Exhibit strong leadership and relationship skills, continue to build the cross functional model that AR fosters - collaborating with internal and external key stakeholders to successfully achieve BI´s objectives to serve patients and find new solutions to unmet medical challenges. Communicate the value of the Specialty portfolio to both cross-functional BI teams and external stakeholders.
- Optimize access and reimbursement to BI´s current and future Specialty products by monitoring trends of Payment Organizations/Agencies through case management activities, supporting internal stakeholders including Payer, HEOR, and Brand to support a favorable coverage and policy environment. Liaise with providers to troubleshoot access/reimbursement issues when the HUB is unable to resolve in a timely or optimal outcome.
- Communicate compliantly and effectively to SP Liaison to optimize patient experience in obtaining BI Specialty portfolio while monitoring trends in specialty access.
- Provide interpretive guidance regarding specialty market intelligence and proposed solutions to various internal BI stakeholders as to the impact of potential access/reimbursement issues, and competitive contracting information.
- Works closely with the Field Sales organization and providers to problem solve denials and delayed patient starts
- Demonstrate through thoughtful partnerships, a compelling vision to outside organizations that provides a competitive advantage for our Specialty franchises.
- Valued by their customers as a consultative partner who understands and respects the Specialty business and environment.
- Assist RAAD team with development of current and future training for both new and existing team members.
- Monitor access and reimbursement trends, both current and future, of specialty landscape.
- Responsible for monitoring account trends through case management in coordination with Payer Sales Team for key Regional and National Accounts for the Specialty Portfolio.
- Provide Business Alliances content and expertise to A&R during the Strategic Planning process regarding Customer needs and insights surrounding access and reimbursement for the specialty portfolio and emerging products.
Requirements
Bachelor´s Degree from an accredited institution required; Master´s Degree from an accredited preferred
Expertise in Specialty and/or Access & Reimbursement including Specialty Sales, HUB services, Specialty Pharmacy and Managed Markets.
Minimum seven (7) years of experience in the Healthcare Industry; inclusive of three plus (3+) years in Specialty. National Account experience preferred.
Strong understanding and prior experience with the development and implementation of at least one of the following: Co-Pay, Access/HUB vendor selection and management and specialty pharmacy.
Prior experience with execution of Service Agreements and/or Data Management.
Strong understanding of payer environment/Specialty Access and Reimbursement, Commercial, Government Payment Systems, Provider/Carrier Networks, Co-Pay Assistance Programs, and knowledge of Specialty markets.
Demonstrated ability to work effectively with cross functional teams to gain alignment and improve business performance.
Ability to travel.