Field Reimbursement Manager - New Orleans, LA
Ardelyx, Inc.
6 months ago
On-site
New Orleans, LA
Market Access
Responsibilities:
- Establish and maintain collaborative relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access
- Educate HCPs on prior authorization, appeals, and/or denials to support the patient journey
- Review patient-specific information when requested to resolve site issues or coverage challenges
- Identify, anticipate, and address patient/HCP access barriers with internal and external stakeholders; implement updates to address barriers
- Use HUB and specialty pharmacy partners to remove patient access barriers
- Monitor patient start trends in assigned geographies/plans and proactively address/mitigate challenges with Field Sales and Patient Services partners
- Maintain knowledge of market dynamics for payors/prescribers and of HUB/specialty distribution channels
- Serve as subject matter expert on access and affordability solutions across payer types/plans (Medicare, Medicaid Managed Care, Commercial)
- Adapt to the changing healthcare ecosystem by customizing resourcing and messaging to HCPs and staff
Qualifications:
- B.A./B.S. plus 6–9 years in field reimbursement, patient services, market access, or related pharma/biotech functions (or equivalent)
- 3–5 years as a field reimbursement manager in public/private field reimbursement or access services and/or healthcare operations (or equivalent)
- Extensive knowledge of medication access channels (preferred)
- Strong knowledge of specialty pharmacy and health insurance/benefits; expert understanding of eligibility, benefit verification, prior authorization, reimbursement coverage, appeals, and financial/co-pay/free-product programs
- Knowledge of HCP office processes (patient flow, prescription flow, clinic operations); GI product/provider experience preferred
- Strong customer, interpersonal, and communication skills; ability to influence cross-functionally
- Ability to evaluate data, identify trends/barriers, and translate into actionable steps
Benefits (as stated): 401(k) with employer match; 12 weeks paid parental leave; up to 12 weeks living organ/bone marrow leave; equity incentive plans; medical/prescription/dental/vision; life insurance and disability; flexible time off; annual Winter Holiday shut down; at least 11 paid holidays.
Work Environment:
- Reports to Associate Director/Director, Field Access and Reimbursement; up to 75% travel.
- Establish and maintain collaborative relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access
- Educate HCPs on prior authorization, appeals, and/or denials to support the patient journey
- Review patient-specific information when requested to resolve site issues or coverage challenges
- Identify, anticipate, and address patient/HCP access barriers with internal and external stakeholders; implement updates to address barriers
- Use HUB and specialty pharmacy partners to remove patient access barriers
- Monitor patient start trends in assigned geographies/plans and proactively address/mitigate challenges with Field Sales and Patient Services partners
- Maintain knowledge of market dynamics for payors/prescribers and of HUB/specialty distribution channels
- Serve as subject matter expert on access and affordability solutions across payer types/plans (Medicare, Medicaid Managed Care, Commercial)
- Adapt to the changing healthcare ecosystem by customizing resourcing and messaging to HCPs and staff
Qualifications:
- B.A./B.S. plus 6–9 years in field reimbursement, patient services, market access, or related pharma/biotech functions (or equivalent)
- 3–5 years as a field reimbursement manager in public/private field reimbursement or access services and/or healthcare operations (or equivalent)
- Extensive knowledge of medication access channels (preferred)
- Strong knowledge of specialty pharmacy and health insurance/benefits; expert understanding of eligibility, benefit verification, prior authorization, reimbursement coverage, appeals, and financial/co-pay/free-product programs
- Knowledge of HCP office processes (patient flow, prescription flow, clinic operations); GI product/provider experience preferred
- Strong customer, interpersonal, and communication skills; ability to influence cross-functionally
- Ability to evaluate data, identify trends/barriers, and translate into actionable steps
Benefits (as stated): 401(k) with employer match; 12 weeks paid parental leave; up to 12 weeks living organ/bone marrow leave; equity incentive plans; medical/prescription/dental/vision; life insurance and disability; flexible time off; annual Winter Holiday shut down; at least 11 paid holidays.
Work Environment:
- Reports to Associate Director/Director, Field Access and Reimbursement; up to 75% travel.