Field Reimbursement Manager - Tzield (DC, VA, MD)

About the Job

The Field Reimbursement Manager (FRM) is a critical field-facing member of the Sanofi Patient Support Services organization and an integral part of the Tzield matrix team. This regionally aligned, field-based position provides reimbursement education and support for customers that utilize TZIELD (and other future products).

The FRM acts as the subject matter expert on access, reimbursement, billing & coding processes and provides support through product-specific provider reimbursement support, coordination of HUB/Patient Services reimbursement services, and managing payer/coverage pull-through initiatives.

Main Responsibilities

• Serve as subject matter expert on Sanofi patient support programs; payer policy, benefits and claim adjudication processes; billing & coding education; access issue resolution; financial assistance and alternative funding options.
• Plan and implement geographic business plans to support appropriate access for Sanofi products.
• Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria.
• Monitor commercial, Medicare, and Medicaid communications on coverage, utilization management requirements, and coding & billing.
• Partner with internal matrix colleagues (sales, case management/navigators, medical, therapeutic education managers, market access, regional/national account directors).
• Work with specialty pharmacies and specialty distributors, as needed.
• Coordinate with different sites of care, including infusion centers.
• Assist HCPs with transition process from infusion site to home infusion, as appropriate.
• Establish relationships and serve as primary point of contact for healthcare provider offices within assigned region to resolve payer coverage issues.
• Educate office personnel on appropriate billing guidelines including approved codes for approved uses, medical & pharmacy benefits, patient support program offerings.
• Compliantly support HCPs/staff with the program enrollment process.
• Communicate effectively with all internal/external partners & HCP customers.
• Ensure training is completed and demonstrate appropriate clinical knowledge of the respective product(s).
• Record & report Adverse Events.
• Effectively triage product replacement requests.
• Backup colleagues and collaborate across patient services team(s).
• Complete all company required compliance training in a timely manner.
• Complete all administrative duties in a timely and well-executed manner (expense reports, data entry into CRM system).
• Attend regional and national industry conferences, as allowed.

About You

Basic Qualifications

• BA/BS Degree required, preferably in life science or business, MBA a plus.
• 5+ years pharmaceutical/biotech/healthcare industry.
• Reimbursement or access experience in buy and bill setting, with demonstrated exceptional results is preferred.
• Must live within 50 miles of the assigned geography/region.
• Valid driver's license.

Preferred Qualifications

• Field Reimbursement, Market Access, or related experience.
• Physician and/or institutional reimbursement experience.
• Must be energetic and driven to succeed.
• Strong understanding and experience supporting infused (specialty) products, especially in provider office, health care facility settings of care, and home infusion.
• Significant experience and understanding of the ever-changing payer environment and its impact on patient access to products infused in provider offices and health care facility settings of care.
• Demonstrated success of cross functional teamwork, leading without authority and working in a matrix environment.
• Ability to travel to meetings/trainings/programs as necessary.
• Must achieve and maintain compliance with all applicable Sanofi compliance policies, procedures, and legal requirements.
• Excellent strategic thinking, analytical, and communication skills.
• Strong presentation skills.