Associate Director, Market Access & Reimbursement- Northern California

Role Summary

Associate Director, Market Access & Reimbursement – Northern California. Primary field-based contact for education, assistance and issue resolution for healthcare providers and sites of care with respect to patient access and reimbursement for Sarepta’s products. Territory includes Northern California and Oregon. Requires knowledge of market access and reimbursement, including procurement, payer policies, benefit design, prior authorizations, appeals, coding, and regulatory considerations.

Responsibilities

• Educate healthcare providers and sites on prior authorization processes, assist with denials/appeals, and support product procurement through buy-and-bill and limited distribution networks; understand product codes and administration codes, including J-codes.
• Identify barriers in the reimbursement landscape and educate providers on processes to improve patient access.
• Analyze, monitor, and triage situations impacting patient access and resolve distribution access challenges.
• Partner with the SareptAssist Case Manager to navigate specialty pharmacy communications and proactively prevent access issues.
• Adhere to Sarepta‚Äôs Legal and Compliance guidance related to access, cost, and reimbursement at customer and field leadership levels.
• Build relationships with internal and external stakeholders to provide reimbursement support and information to help providers facilitate patient access for Sarepta therapies.

Site Readiness/Engagement

• Identify and profile sites of care and key stakeholders, initiate discussions, and evaluate site readiness and operational effectiveness.
• Assess site capabilities, identify gaps, and develop resolution plans addressing capacity, equipment, and resource needs.
• Engage with C-suite leadership and care team stakeholders to present FDA-approved labels, procurement options, and pricing to minimize barriers to access.
• Support formulary inclusion decisions and monitor timelines to confirm site readiness.
• Maintain ongoing communication with sites, sharing best practices and addressing retraining needs and challenges.
• Demonstrate ability to make informed decisions to ensure timely access to Sarepta products for identified patients.

Qualifications

• Bachelor‚Äôs degree required; MBA preferred
• 10 years of relevant experience, with 5‚Äì8 years in field roles within biotech; reimbursement experience preferred
• Experience in key account management or rare disease product launches in biotech; launch experience in Neuromuscular, Pediatric Neurology, Oncology, or related areas preferred
• Knowledge of HIPAA and OIG guidance in rare diseases
• Hospital finance, claims processing, and/or billing/coding experience preferred
• Ability to navigate complex payer landscapes and understand payer policies for Sarepta therapies
• Understanding of PA processes, denial management, specialty pharmacy procurement, buy-and-bill, IV infusion coding, and reimbursement across multiple sites
• Knowledge of buy-and-bill, specialty pharmacy networks, managed care, and government payers and their impact on access
• Knowledge of infused biologic therapies for chronic, rare diseases
• Self-driven, with excellent time management and organizational skills; adaptable to changing business needs
• Strong cross-functional communication and collaboration; ability to influence others
• Valid driver‚Äôs license; ability to travel up to ~60% within the assigned region

Skills

• Account management
• Market access and reimbursement strategy
• Strong analytical and problem-solving abilities
• Effective communication with healthcare professionals and executives
• Project management and site readiness assessments

Education

• Bachelor‚Äôs degree required (MBA preferred)

Additional Requirements

• Travel up to approximately 60% within the geographic region