Position Summary:
Remote ARM subject matter expert for FILSPARI (Sparsentan) access & reimbursement in assigned territory; educates internal/external stakeholders (HCPs and sales) and helps move patients through reimbursement.
Responsibilities:
- Key contact for patient access and reimbursement; support providers/professional staff.
- Lead FILSPARI onboarding expertise: from Patient Start Form (PSF) submission through REMS enrollment to reimbursement.
- Educate physician practices on PSF completion, REMS enrollment, prior authorization/appeals, and medical policy steps for reimbursement.
- Monitor cases; proactively resolve complex access issues via Hub/HCP/sales coordination.
- Assist with missing/incorrect PSF/REMS info; clarify required information with Hub/REMS Administrator partners.
- Resolve access issues (PAs, appeals, denials, letters of medical necessity, REMS); partner with reimbursement stakeholders.
- Provide sales case-status updates; log daily notes in standardized platform.
- Lead weekly case status meetings; coordinate with Hub, specialty pharmacies, and REMS admin.
- Identify regional reimbursement trends; create quarterly business plan; support HCP education opportunities.
- Maintain HIPAA compliance within program guidelines.
Qualifications / Required:
- Bachelorβs degree (or equivalent combination).
- 5+ years in pharmaceutical/health industry with Hubs, payers, HCPs (or related).
- 3+ years reimbursement/access/case management.