Associate Director, Market Access & Reimbursement- Northern California

Role Summary

The Associate Director, Market Access & Reimbursement (ADMAR) is the primary field-based contact for education, assistance and issue resolution for healthcare providers and sites of care regarding patient access and reimbursement for Sarepta’s products in Northern California and Oregon. The role requires knowledge of market access and reimbursement processes, site readiness, and collaboration with internal teams to minimize access barriers for patients and providers.

Responsibilities

• Educate healthcare providers and sites of care on prior authorization processes, assist with denial/appeal navigation, and with product procurement through buy-and-bill and limited distribution networks; understand codes and the introduction of J-codes for claims submissions.
• Expand knowledge of the reimbursement landscape and identify barriers hindering patient access, educating providers accordingly.
• Analyze, monitor, and triage situations impacting patient access and assist in resolving distribution access challenges.
• Partner with SareptAssist Case Manager to navigate Specialty Pharmacy communications and proactively identify/prevent access and reimbursement issues.
• Ensure adherence to Sarepta’s Legal and Compliance guidance related to access, cost, and reimbursement.
• Build and maintain relationships with internal and external stakeholders, delivering reimbursement support 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 operational effectiveness.
• Assess site capabilities, identify gaps, and develop plans to address site capacity, equipment, and resource needs.
• Engage with executives and care teams, deliver presentations on FDA-approved labels, procurement options, and pricing to minimize barriers to access.
• Support formulary inclusion decisions and monitor committee timelines to confirm site readiness.
• Facilitate ongoing communication with sites to share best practices and retraining needs.
• Make informed decisions to ensure timely access to Sarepta products for identified patients.

Qualifications

• Bachelor’s degree required; MBA preferred.
• 10 years of relevant experience, with 5–8 years of field experience in biotech; reimbursement experience preferred.
• Experience in key account management, sales management, or rare disease product launches in Neuromuscular, Pediatric Neurology, Oncology, or related biotech fields; launch experience in rare diseases preferred.
• Knowledge of HIPAA and OIG guidance in rare diseases; hospital finance, claims processing, and billing/coding experience preferred.
• Ability to navigate the payer landscape and understand payer policies for Sarepta therapies.
• Understanding of prior authorization, denial management, specialty pharmacy processes, and buy-and-bill/reimbursement across multiple sites of care.
• Familiarity with buy-and-bill and specialty pharmacy networks, managed care, benefit design, and government payers; strong knowledge of market access and reimbursement.
• Knowledge of infused-biologic therapies for chronic, rare diseases.
• Self-driven, with strong time management and organizational skills; able to adapt to changing business needs.
• Strong cross-functional communication and collaboration skills; ability to influence others.
• Valid driver’s license; ability to travel up to ~60% within the assigned region.

Skills

• Account management and relationship-building
• Strategic site readiness and engagement
• Reimbursement analysis and issue resolution
• Payer policy navigation and coding familiarity
• Excellent communication and collaboration across functions

Education

• Bachelor’s degree required; MBA preferred.

Additional Requirements

• Ability to travel up to approximately 60% within the assigned geographic region.