Field Reimbursement Manager - West

Statistics show that women and underrepresented groups tend to apply to jobs only if they meet 100% of the qualifications. Sobi encourages you to change that statistic and apply. Rarely do candidates meet 100% of the qualifications. We look forward to your application! At Sobi, each person brings their unique talents to work as a team and make a difference. We are dedicated to developing and delivering innovative therapies to improve the lives of people who live with a rare disease. Our edge comes from our team of people and our commitment to patients. Our mission and culture at Sobi get us excited to come to work every day, but here are a few more reasons to join our team: Competitive compensation for your work Generous time off policy Summer Fridays Opportunity to broaden your horizons by attending popular conferences Emphasis on work/life balance Collaborative and team-oriented environment Making a positive impact to help ultra-rare disease patients who are in need of life saving treatments Introduction/Purpose: Reporting to the Director of Field Reimbursement, the Field Reimbursement Manager (FRM) is an important member of the Sobi Market Access team. The FRM is a field-based, non-promotional resource for health systems, institutions, hospitals, and HCP practices/groups that serves as the key to help unlock patient access and resolve reimbursement issues. The FRM is a critical component of customer support and will rely on strong problem-solving skills to provide an outstanding customer experience for patients, providers and staff to ease the burden of access and improve access awareness to Sobi therapies.  Travel Requirements: Field-based role with regular travel throughout the assigned territory. Preference given to candidates residing within the territory , which includes  California, Washington, Oregon, Alaska, Hawaii, and portions of Idaho and Nevada . Responsibilities and Expectations: Customer Engagement: Maintain a targeted account list and proactively engage customers through both virtual and in-person interactions  Relationship Management: Build and maintain strong relationships with key stakeholders including medication access teams, pharmacy, office/practice managers, and reimbursement/procurement departments  Subject Matter Expertise: Serve as a reimbursement and access expert across all payer channels (Commercial, Medicare, Medicaid, Government), identifying compliant solutions to access challenges Access & Reimbursement Support: Educate customers on benefit verification, prior authorizations, appeals, specialty pharmacy/distribution models, CPT coding, and J-codes  Cross-Functional Collaboration: Act as a bridge between customers, patient services (HUB), sales, and account teams to resolve access barriers and escalations  HUB Partnership: Collaborate with Doptelet and Vonjo Connect HUBs and case managers to compliantly address escalations and access issues for hub patients  Market Insights: Provide feedback and insights to internal stakeholders to inform strategy and improve patient access solutions Territory Collaboration: Partner closely with local cross-functional colleagues to support accounts within a defined geography Demonstrates deep knowledge in: 1. Reimbursement and access across all channels (Commercial, Medicare, Medicaid, Exchange and Government)and is the subject matter expert of the payers in the markets they will support 2. All phases of specialty distribution, specialty pharmacy core services to assist with supporting access and product procurement healthcare structures, payment systems, and reimbursement methodology 3. Works collaboratively with internal and external business partners to win—Thinks and acts as a team; understands the nature and interdependencies of a matrix team environment and can effectively work cross-functionally to seize opportunities, resolve payer issues, improve customer experience, avoid bureaucracy, and maximize outcomes of strategies and key actions. Internal Partners: Sales, Marketing, Patient Services, Trade Team, National and Regional Account Directors, Medical Affairs · External Partners: Builds relationships with: Health Systems, Institutions, Hospitals, HCPs, practice managers, reimbursement/access departments, and other customers who support access & reimbursement 4. Exhibits strong problem-solving skills related to complex patient access challenges across payers and specialty pharmacies 4. Educates health systems, institutions, hospitals, and HCP office staff about: · Patient Service Program options to optimize patient access to Sobi’s products · Prior authorization requirements, coverage status, and payer appeals requirements, processes, and timelines 5. Comprehends and effectively demonstrates ability to conduct field-based customer support related to payer coverage and payment process (coverage navigation & specialty pharmacy fulfilment) 6. Adheres to all relevant regulatory and Sobi compliance & ethics guidelines and a willingness to coach to ensure a culture of compliance Experience: A minimum of a B.A/B.S. required A minimum five (5) years of work experience in Pharmaceuticals/Biotech/Medical Device with relevant understanding of the following areas: Patient journey navigation Payer coverage polices Pharmacy benefit reimbursement Specialty pharmacy and distribution In office dispensing accounts Hub and Patient Services Preference will be given to candidates with the following experience: Reimbursement experience Hematology/Oncology experience Demonstrated ability to work accounts; specifically working to identify, engage and build relationships with key reimbursement contacts, access personnel and practice managers within identified accounts. Industry Knowledge – proficient understanding of the pharmaceutical industry, disease state and drug distribution process (e.g., medical, specialty pharmacy, managed care systems, etc.) Understanding of Medicare and Medic