Field Reimbursement Manager- Rare Blood Disorders, Patient Support Services, Mountain West

About the Role

The Rare Blood Disorders reimbursement environment for specialty biologics has proven to be highly challenging for Health Care Providers (HCPs) and Patients. Payer medical and pharmacy Utilization Management (UM) criteria create process delays for patients like required Benefits Investigations (BI), Prior Authorization (PA), Denial Appeals, detailed Clinical Documentation, and Peer to Peer reviews. Educating the HCPs on gaining access to prescribed treatments requires dedicated and knowledgeable customer facing support. This support is provided by our Field Reimbursement Management team.

The FRM team is a critical front-line member of the Sanofi Rare Blood Disorder Patient Services Program team. The primary purpose of this role is to provide information and education to support providers in obtaining appropriate access to Sanofi products. Goals include education of patient affordability offerings, and a strong understanding of the patient support programs of Sanofi. FRMs support the company and divisional reimbursement strategy, and this position also requires the ability to successfully navigate working across multiple internal and external stakeholders, and program vendors to deliver an exceptional customer experience.

Main Responsibilities

• FRMs will be subject matter experts on Sanofi’s rare blood disorder support program, payer claim processes, billing and coding education, access issue resolution, financial assistance and alternative funding options provided by our patient support program.
• Develop effective business plans to execute brand strategies that are consistent with corporate brand and marketing plans and are tailored to geography and customer context.
• Coordinate all business activities and drive results within geographic area of responsibility.
• Ensure effective execution of Sanofi strategies and tactics within assigned geographic area.
• Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products.
• Monitor commercial, Medicare, and Medicaid communications on coverage, coding, and reimbursement.
• Partner with internal and external colleagues to create a culture of respect, prioritization and focus on the launch of products.
• Educate office personnel on appropriate billing information including approved codes for approved uses, medical & pharmacy benefits, patient support program offerings.
• Establish relationships within targeted healthcare provider offices to assist HCPs in resolving payer coverage issues that may be barriers to Sanofi product access in a manner that complies with all company policies and standard operating procedures.
• Ensure training is completed and demonstrate appropriate clinical knowledge of the respective products.
• Manage and adhere to all company policies and Legal and Regulatory guidelines.
• Must achieve and maintain compliance with all applicable Sanofi compliance policies, procedures, and legal requirements.

Basic Qualifications

• Bachelor's degree
• 4+ years in pharma, biotech, healthcare, or life science industries in pharmacy reimbursement/access
• Ability to travel to meetings/trainings/programs as necessary - additional travel will be required within the assigned geography.

Preferred Qualifications

• Demonstrated success of cross functional teamwork and working in a matrix environment (sales, market & value access, case management, medical affairs, brand marketing, etc.)
• Experience launching Hemophilia product(s) or complex specialty products.
• Experience in coordinating patient and provider support services such as specialty pharmacy, reimbursement services, nursing services, specialty distributor, etc.
• Rare Hematology experience preferred
• Field Reimbursement Manager experience highly preferred.
• Specialty pharmacy reimbursement experience highly preferred.
• Must be a self-starter, energetic and driven to succeed in a collaborative team environment.
• Excellent strategic thinking, problem-solving, and communication skills required.
• Strong understanding and experience supporting self-infused products preferred.
• Significant experience and understanding of the ever-changing payer environment and its impact on patient access.