Job Description
Department:
104075 Global Market Access & HEOR
Location:
USA- Remote
Be a part of a global team that is inspired to make a difference in the lives of people living with rare disease.
At Travere Therapeutics, we recognize that our exceptional employees are vital to our success. We are a dedicated team focused on meeting the unique needs of rare patients.Our work is rewarding - both professionally and personally - because we are making a difference. We are passionate about what we do.
We are seeking talented individuals who will thrive in our collaborative, diverse, fast-paced environment and share in our mission - to identify, develop and deliver life-changing therapies to people living with rare disease. We stick by our values centered on patients, courage, community, and collaboration to pursue our vision of becoming a leading biopharmaceutical company dedicated to the delivery of innovation and hope to patients in the global rare disease community.
At Travere Therapeutics, we are in rare for life. We continue to courageously forge new paths as we move toward a common goal of elevating science and service for rare patients.
Position Summary:
The Regional Reimbursement Manager (RRM) will be a subject matter expert on access & reimbursement for FILSPARI (Sparsentan), working remotely within the region ( Southeast Zone - states include AL, GA, SC, FL and Puerto Rico ) to provide education and case-specific support to internal and external stakeholders including but not limited to health care providers (HCPs) and sales force within their assigned region. The Regional Reimbursement Manager must have extensive expertise in navigating insurance and access related barriers and will be highly collaborative individuals who proactively manage multiple priorities in a fast-paced environment (e.g., fielding daily questions from sales team, working with Hub partners and office contacts to move patients through the reimbursement process, accurately updating daily reports).
Responsibilities:
Escalated Support for Specific Cases:
Regional Reimbursement Manager (RRM), serves as the key contact responsible for patient access and reimbursement specialist in an assigned region that provides appropriate support to providers and professional staff
Proactively identify and solve complex patient access issues by working across the Hub, HCP offices and communicating with field team. Educate physicians (in-person or virtual) with Clinical Account Mangers on escalated reimbursement issues.
Be at the ready to step in to assist with moving specific cases through access roadblocks that may arise
RRM will leverage in-depth expertise in payer coverage, patient assistance, healthcare policy and Hub support programs to help minimize barriers to patient access
Assist physicians and office staff in resolving access issues (prior authorization, appeals, denials, letters of medical necessity, REMS), and help ensure appropriate education to avoid future reimbursement hurdles
Effectively partner with reimbursement stakeholders (specialty pharmacy, sales team, HCP office, etc.) to communicate challenges, identify solutions, and ensure the patient is progressing through the reimbursement process
Understand specifics and support questions associated with payer policies (e.g., PAs process and denial, and appeals), patient reimbursement (e.g., Co-pay, PAP) reimbursement issues & opportunities (as needed).
Leverage data from multiple systems and account engagements to provide partnership to Field Sales leadership.
Sales Force Communication / Partnership:
Proactively seek out timely and regular updates on case statuses, leveraging network of reimbursement stakeholders
Periodically ride with and educate sales force on complexities surrounding the pharmaceutical reimbursement process. Maintain a level of expertise on specific payors and the requirements for claim approvals.
Populate twice-weekly sales force reports with clear and concise updates that drive toward action and emphasize next steps and owners (based on standardized template)
Educate physicians and physician practices on the requirements for prior authorization approvals, appeal approvals, and specific medical policy steps to obtain reimbursement
Update internal tracking systems and reports on a daily basis, emphasizing quality and completeness in documentation
Lead weekly case status update meetings with sales force and sales leadership in a way that demonstrates confidence and preparedness and emphasizes specific next steps / owners
Coordinate with Hub stakeholders to regularly share information and work together to move cases forward efficiently and smoothly
Balance daily tasks and schedule to accommodate ad-hoc communication from the sales force and sales leadership without delays to other RAM priorities
Operate in compliance with HIPAA within program guidelines
Proactive Trend Identification and Key Account Education:
Know your business to identify trending barriers to reimbursement within your region, then create quarterly business plan to address these barriers
Proactively review and identify trends that are causing delays to the reimbursement process within key accounts
Bring forth opportunities / proposals for HCP office education, then work collaboratively with sales counterparts to develop and execute strategy
Partner with sales counterparts to provide in-depth virtual and/or on-site education to providers and/or key office staff of program business rules, payer coverage, and other reimbursement-related activities
Work with market access team to monitor national and regional payer trends and changes, then educate both internal (sales) and external (HCPs) on changes
Deliver expertise in regional and local access landscape, anticipating changes in the healthcare landscape, and act as the Subject Matter Expert for reimbursement with FILSPARI
General:
Ability to analyze problems and offer solutions
Ability to make connections and articulate complex case statuses or reimbursement education over the phone (at this time, this is a mostly remote role)
Ability to incorporate changes to role responsibilities / priorities while staying flexible and proactive
Collaborative team player who works with teammates and focuses on common goals, even in stressful situations
Ability to be flexible, jumping in to cover for teammates who might be out-of-office in the short-term
Results-orientation; drives toward outcomes and pull-through for HCP offices and patients
Education/Experience Requirements:
Bachelor's degree in related field required.
5+ years in pharmaceutical / health industry working with Hubs, payers, HCPs or related area
3+ years reimbursement / access / case management experience
Specialty pharmaceutical, nephrology, rare disease, REMs experience preferred.
Experience in managing access complexities associated with a new to market medication
Prior account management experience or prior experience with complex accounts (Payer landscape, government payer, VA)
Experience with specialty pharmacy products / products acquired through Specialty Pharmacy networks or specialty distributors (buy and bill)
Additional Skills/Experience:
The ideal candidate will embody Travere's core values: Courage, Community Spirit, Patient Focus and Teamwork.
Proven ability to build relationships with HCPs, office staff, sales team, and Hub counterparts
Strong communication skills, presentation, and organizational skills.
Comprehensive understanding of private/commercial insurance reimbursement, government payer Medicare Part D, VA, etc.
Demonstrated experience in helping to educate on reimbursement processes (inc. foundational knowledge of benefit verifications, prior authorization, appeals, denials, letters of medical necessity, pre-determination requirement
Computer skills (basic Excel, PowerPoint, etc.)
Ability to resolve issues / educate virtually (within access & reimbursement / case management)
The position is field based and the candidate must live in their territory or immediate adjacency.
Flexibility to travel as needed (up to 35%) for company meetings and specific business needs.
The ability to perform face to face work with customers, colleagues and/or onsite in San Diego, and the ability to satisfactorily meet credentialling requirements for access to healthcare facilities and customer sites within your territory on an ongoing basis, are essential job functions of this position.
#LI-remote
Total Rewards Offerings:
Travere provides comprehensive total rewards offerings that demonstrate our commitment as a diverse, equitable, people-centric, and pay-for-performance organization.
Benefits: Our benefits include premium health, financial, work-life and well-being offerings for eligible employees and dependents, wellness and employee support programs, life insurance, disability, retirement plans with employer match and generous paid time off.
Compensation: Our competitive compensation package includes a combination of both cash compensation (base pay and short-term incentive) and long-term incentive compensation (company stock), designed to recognize, retain, and reward employees.
Target Base Pay Range:
$138,000.00 - $190,000.00
*This information is current as of the date of this posting and may be modified in the future. Actual pay offered to a candidate will depend on a variety of factors including the candidate's experience, education, skills, and location.
Travere will accept applications on an ongoing basis until a candidate is selected for the position.
If you require a reasonable accommodation to complete the application or interview process, please contact us by sending an email to . Please note that this email address is to be used exclusively to request an accommodation with the online application, interview or hiring process only. Travere HR will not reply to emails sent to this address for any other reason.
Travere Therapeutics, Inc. is an EEO/AA/Veteran/Disability Employer
