Field Reimbursement Manager Tzield UT ID
Sanofi
Summary
The Field Reimbursement Manager (FRM) will be the field subject matter expert relating to product procurement, buy & bill processes, billing and coding, financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion center procedures and other business-related issues for T1D.
Job description
Main Responsibilities
- FRMs will be subject matter experts on product procurement as it relates to medical payer policy requirements, buy & bill processes, billing and coding education, claims and adjudication by site of care, financial assistance offerings from patient support program, and billing of Sanofi T1D products by health care providers and/or healthcare facilities.
- Act as the main point of contact for the Patient Support Services Hub, and communicate and collaborate cross-functionally to lead Pull Through efforts
- Plan and implement geographic business plans to support appropriate access to Sanofi products
- Compliantly educate office personnel on appropriate payer policy requirements and billing codes
- Provide support in triaging contracting, billing and coding, access and procurement questions and other issues where appropriate.
- Establish positive and productive working relationships with all key customer segments (internal and external).
- Conduct HCP office visits to facilitate pull through efforts and problem solve escalated issues as a HIPAA compliant contact.
- Work compliantly to reduce cycle time and increase conversion rate for patients prescribed Sanofi products.
Basic Qualifications
- BA/BS Degree required. Preferably in life science or business. MBA a plus
- Minimum 7+ years of experience in the pharmaceutical/healthcare industry
- Ability to travel to meetings/trainings/programs as necessary - additional travel will be required within the assigned geography
- Demonstrated success of cross functional teamwork and working in a matrix environment (sales, market access, customer service, medical affairs, marketing, etc.)
- Must be energetic and driven to succeed
- Interpersonal skills including managing and resolving conflict and building strong working relationships
- Obtain ability to adapt to change and react constructively in a high-energy and fast paced environment
- Excellent strategic thinking, analytical, and communication skills required
- Strong understanding and experience supporting products in the provider office and health care facility settings of care
- Significant experience and understanding of the ever-changing payer environment and its impact on patient access to products in provider offices and health care facility settings of care
- Achieve and maintain compliance with all applicable Sanofi-Genzyme policies and procedures, regulatory and legal requirements, and help to monitor compliance during cross functional team interactions
- Valid driver's license
Preferred Qualifications
- 4+ years pharmaceutical/biotech business relations experience, with demonstrated exceptional results
- Experience with T1D patients or autoimmune conditions
- Physician reimbursement experience
- Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs
- Infusion therapy experience
- Home care coordination experience
- Buy & Bill, white bag, and specialty pharmacy experience
- Market access experience
- Leadership (direct or indirect) experience
- Ability to manage relationships, administrative business and projects remotely
Travel Requirements
~50% travel, depending on geography. Ability to travel to meetings/trainings/programs when necessary.
Requirements
- BA/BS Degree required. Preferably in life science or business.
- Minimum 7+ years of experience in the pharmaceutical/healthcare industry
- Ability to travel to meetings/trainings/programs as necessary - additional travel will be required within the assigned geography
- Demonstrated success of cross functional teamwork and working in a matrix environment (sales, market access, customer service, medical affairs, marketing, etc.)
- Must be energetic and driven to succeed
- Interpersonal skills including managing and resolving conflict and building strong working relationships
- Obtain ability to adapt to change and react constructively in a high-energy and fast paced environment
- Excellent strategic thinking, analytical, and communication skills required
- Strong understanding and experience supporting products in the provider office and health care facility settings of care
- Significant experience and understanding of the ever-changing payer environment and its impact on patient access to products in provider offices and health care facility settings of care
- Achieve and maintain compliance with all applicable Sanofi-Genzyme policies and procedures, regulatory and legal requirements, and help to monitor compliance during cross functional team interactions
- Valid driver's license
Benefits
- Company employee benefit programs
Company overview
Sanofi is a French multinational pharmaceutical and healthcare company headquartered in Paris, France. Founded in 1973, the company has grown through strategic mergers and acquisitions to become one of the world's leading pharmaceutical corporations. Sanofi operates as an R&D-driven, AI-powered biopharma company committed to improving people's lives through breakthrough science. The company's portfolio spans seven major therapeutic areas including cardiovascular diseases, diabetes, oncology, immunology, rare diseases, neurology, and vaccines. Through its subsidiary Sanofi Pasteur, it is the world's largest producer of vaccines. Sanofi employs over 84,000 people across more than 100 countries and maintains a significant presence in both developed and emerging markets. The company's innovative pipeline focuses on advancing precision medicines and biologics while maintaining a strong commitment to sustainability and ethical business practices. Sanofi's mission centers on chasing the miracles of science to deliver transformative healthcare solutions globally.