Access & Reimbursement Manager (Southern California)
Travere Therapeutics
Summary
The Access & Reimbursement Manager (ARM) will be a subject matter expert on access & reimbursement for FILSPARI (Sparsentan), working remotely within their assigned geography 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.
Job description
Responsibilities
- Serve as the key contact responsible for patient access and reimbursement in an assigned geography, providing support to providers and professional staff.
- Cultivate expertise in the FILSPARI onboarding process, from Patient Start Form (PSF) submission through REMS enrollment to reimbursement.
- Educate physicians and physician practices on the full FILSPARI onboarding process, including PSF completion, REMS enrollment, prior authorization approvals, appeal approvals, and medical policy steps.
- Proactively identify and solve complex patient access issues by working across the Hub, HCP offices, and field team.
- Assist physicians and office staff in resolving access issues such as prior authorization, appeals, denials, letters of medical necessity, and REMS.
- Partner with reimbursement stakeholders (specialty pharmacy, sales team, HCP office, REMS administrator) to communicate challenges and ensure patient progress.
- Educate sales force on complexities surrounding the pharmaceutical reimbursement process.
- Log calls and notes within a standardized platform daily.
- Lead weekly case status update meetings with sales force and sales leadership.
- Deliver expertise in regional and local access landscape and act as Subject Matter Expert for FILSPARI onboarding.
- Identify trending barriers to reimbursement and create quarterly business plans to address them.
- Work with market access team to monitor payer trends and educate internal and external stakeholders.
Education/Experience Requirements
- Bachelor’s degree in related field required. Equivalent combination of education and applicable job experience may be considered.
- 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.
Additional Skills/Experience
- 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).
- Proven ability to build relationships with HCPs, office staff, sales team, and Hub counterparts.
- Comprehensive understanding of private/commercial insurance reimbursement, government payer Medicare Part D, VA, etc.
- Demonstrated experience in helping to educate on reimbursement processes (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).
- Well organized with the ability to multitask, prioritize, and manage shifting responsibilities in a dynamic, cross-functional teamwork environment.
- Excellent collaboration skills with strong attention to detail and the ability to multi-task and manage complexity.
- Strong interpersonal and organizational skills and excellent verbal and written communication skills are required.
- The position is field based and the candidate must live in their territory or immediate adjacency.
- Flexibility to travel as needed (up to 35%).
- 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.
Requirements
- Bachelor’s degree in related field required. Equivalent combination of education and applicable job experience may be considered.
- 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).
- Proven ability to build relationships with HCPs, office staff, sales team, and Hub counterparts.
- 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).
- Well organized with the ability to multitask, prioritize, and manage shifting responsibilities in a dynamic, cross-functional teamwork environment.
- Excellent collaboration skills with strong attention to detail and the ability to multi-task and manage complexity.
- Strong interpersonal and organizational skills and excellent verbal and written communication skills are required.
- The position is field based and the candidate must live in their territory or immediate adjacency.
- Flexibility to travel as needed (up to 35%).
- 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.
Benefits
- Health Insurance
- Financial Planning
- Wellness Programs
- Employee Support Programs
- Life Insurance
- Disability Insurance
- Retirement Plans
- Employer Match
- Paid Time Off
- Stock Options
Company overview
Travere Therapeutics is a biopharmaceutical company headquartered in San Diego, California, dedicated to identifying, developing, and delivering life-changing therapies for people living with rare kidney and metabolic diseases. Founded in 2011 as Retrophin and rebranded as Travere Therapeutics in 2020, the company has established itself as a leader in rare disease therapeutics with a focused pipeline targeting conditions with significant unmet medical needs. Their flagship product, FILSPARI® (sparsentan), received full FDA approval in September 2024 to slow kidney function decline in adults with primary IgA nephropathy (IgAN) who are at risk for disease progression. The company also has a Phase 3 clinical program for pegtibatinase (TVT-058) targeting classical homocystinuria (HCU), a rare genetic metabolic disorder. Travere maintains a commercial portfolio including Thiola EC® and Thiola® for cystinuria, demonstrating their commitment to serving rare disease communities through comprehensive therapeutic solutions. With a global presence and strategic partnerships, Travere Therapeutics continues to advance innovative treatments while supporting patient access and education initiatives for rare disease populations.