Associate Director - Access Reimbursement Management

4 days ago

🏈 Ohio – Remote

Although this job is listed in Ohio, this company may be open to hiring remote in other states.

❄️ Minnesota – Remote

Although this job is listed in Minnesota, this company may be open to hiring remote in other states.

+1 more states

🏈 Ohio – Remote ❄️ Minnesota – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟠 Senior

👔 Director

🦅 H1B Visa Sponsor

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Sage Therapeutics

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Sage Therapeutics is a biopharmaceutical company dedicated to transforming the treatment of brain health disorders. The company focuses on developing novel medicines to impact conditions such as depression, neuropsychiatry, and neurology through its innovative research on GABA and NMDA receptors. With a commitment to patient advocacy and flexible work arrangements, Sage Therapeutics aims to lead in the development of next-generation medicines and improve global brain health.

CNS disorders • Neuroscience • Brain Health • Mental Health • brain disorders

201 - 500 employees

Founded 2010

🧬 Biotechnology

💊 Pharmaceuticals

🔬 Science

📋 Description

• Provide education, assistance, and issue resolution to healthcare providers (HCPs) and their office staff in response to patient access challenges for Sage in-line products. • Outreach may be telephonic as well as in-person. • Equip HCPs and their staff, through education, to navigate the patient-level payer access requirements and approval process for ZURZUVAETM (zuranolone) CIV within a specified geographic region. • Demonstrate an advanced understanding of public and private payers and how to research to determine specific coverage barriers and communicate effectively to internal stakeholders and external HCPs regarding education on Medicaid (FFS and Managed Care), commercial plans, PBM designs, policy changes, and formulary status. • Knowledge of pharmacy benefit reimbursement practices, compliance, billing and coding processes, and utilization management / prior authorization process. • Confidently reference reimbursement and access materials to educate HCPs on access related questions. • Embrace Sage’s culture of compliance and ensure that all activities are fully compliant with Sage policies and procedures, applicable laws, regulations, and industry standards. • Implement and support the strategic tactical plan for the execution of product access and reimbursement through partnership with internal and external stakeholders. • Analyze data and reports to determine potential outreach efforts needed to educate HCPs regarding access related issues with specialty pharmacies and payers. • Understand key stakeholders within an HCP office and navigate relationships in a manner that anticipates and adapts to customer reimbursement support needs and any market access challenges. • Travel to HCP sites on a limited basis when in-person educational efforts are required.

🎯 Requirements

• Excellent interpersonal skills, ability to develop important relationships with key stakeholders, good conflict management and negotiation skills, and ability to analyze complex issues. • Demonstrated ability to analyze complex situations and communicate a path forward in a simple, streamlined manner. • Ability to communicate effectively payer coverage criteria, payer policy, and prior approval processes. • Ability to communicate and manage process expectations effectively across internal and external customer bases. • Ability to manage multiple internal cross functional touch points and effectively prioritize the support of field service requests within a large geographical region. • Understanding of national and state legislative, Medicare, Medicaid, and private payer and pharmacy coverage initiatives affecting reimbursement of pharmaceutical and biotechnology products. • Compliance with all Sage corporate policies, internal procedures and training, and applicable laws and industry codes in collaboration with Sage’s Legal, Regulatory, and Compliance.