Field Reimbursement Manager - South Central, USA (TX, OK, LA, MO, AR, MS)

Job Description Summary

Now as an independently listed company, Sandoz aims to increase its strategic focus, operate with greater agility, set clearer business objectives, enhance shareholder returns, and strengthen its culture for us, the Sandoz associates. This is an exciting time in our history, and by creating a new and ambitious path, it will provide a unique opportunity for us all, both professionally and personally.

Join us as a Founder of our ‘new’ Sandoz!

 

Job Description

As the Field Reimbursement Manager (FRM), you will facilitate the patient journey through Sandoz’ Patient Support Services, to educate and address reimbursement and patient access processes, and to help Healthcare Provider offices understand how Sandoz Patient Support Programs (PSP) assist patients. FRMs support Sandoz biosimilar products in Neurology (MS); Endocrinology; Oncology; Immunology (Rheum; Derm; Gastro) and Ophthalmology (Retina).

This position is Remote Field Based (Non-Sales) covering South Central, USA (TX, OK, LA, MO, AR, MS). The Sandoz FRM is a Field Based role that requires minimum 50% travel. This is a remote role, and qualified candidates must reside within the workable geography (TX; OK; LA; MO; AR; MS) to cover their assigned accounts.

Major accountabilities will include, but not limited to:

The FRM manages daily activities to support patient access to Sandoz products and services in healthcare provider offices including:

• Demonstrate deep knowledge in reimbursement and access across Sandoz products. 
• Sandoz Patient Support Programs (HUB) offerings and how they support the patient journey for both Medical Benefit and Pharmacy Benefit products.
• Educate physician office staff on the appropriate use of the patient assistance programs and call center support services, including web-based provider programs
• Link with sales representatives (if applicable), patient support programs, and national/regional payer account managers to call out and resolve local payer issues.
• Ability to condense sophisticated issues into simple solutions by working with peers and internal collaborators to improve the patient experience.
• Educate providers and office staff on prior authorization requirements, product coverage status, and payer appeals requirements, processes and timelines for both Medical Benefit and Pharmacy Benefit products.
• Serve on internal advisory teams to provide patient insights that will lead to solutions approved by Sandoz review committee.
• Provide live one-on-one support training on patient support programs to providers & staff, offices, IDNs, hospitals, and infusion centers for the Sandoz Biosimilars business unit portfolio.

What you'll bring to the role:
 

Education:

• Minimum of a bachelor's degree is required

Work Experience:

• Minimum of 5 years proven experience in public and private third-party Reimbursement arena or pharmaceutical industry in managed care, clinical support, patient services or sales.
• Minimum of 5 years demonstrated ability with coding & billing and in office support programs for medical benefit products.  Understanding of the Specialty Pharmacy patient journey for Rx products.
• Establishing relationships within a practice by working closely with them to help remove reimbursement barriers to specialty products for their patients
• Ability to collaborate with matrix partners including multiple sales representatives, sales leadership, Key Account Managers; Payer Account Managers and internal colleagues to reach common goals
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in both Medicare Part B (Medical Benefit) & Medicare Part D (Pharmacy Benefit design and coverage policy)
• Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems, and Infusion Centers.

Desirable Requirements:

• Excellent presentation skills
• Ability to handle expenses within allocated budgets
• Good driving record
• Skilled in PowerPoint, Excel, Word, CRM (Salesforce.com)
• Understanding of patient privacy laws including HIPAA and similar state laws

Sandoz offers a generous employee benefits package that includes a competitive salary, health insurance coverage for medical, prescription drugs, dental and vision, a generous company match for retirement savings accounts, and generous paid time off. 

The pay range for this position at commencement of employment is expected to be between $144,000 and $216,000/year; however, while salary ranges are effective from 1/1/24 through 12/31/24, fluctuations in