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About the Role

The Access & Reimbursement Manager (ARM) will be a subject matter expert on access & reimbursement for FILSPARI (Sparsentan), working remotely to provide education and case-specific support to internal and external stakeholders. The ARM must have extensive expertise in navigating insurance and access related barriers and will be a highly collaborative individual who proactively manages multiple priorities in a fast-paced environment.

Responsibilities

Serve as the key contact responsible for patient access and reimbursement in an assigned geography.
Cultivate expertise in the FILSPARI onboarding process, from Patient Start Form (PSF) submission through REMS enrollment to reimbursement.
Educate physicians and physician practices on the full FILSPARI onboarding process, including PSF submission, REMS enrollment, prior authorization approvals, appeal approvals, and medical policy steps for reimbursement.
Monitor cases as they progress through the onboarding process.
Proactively identify and solve complex patient access issues by working across the Hub, HCP offices and communicating with the field team.
Educate physicians (in-person or virtual) on escalated reimbursement issues.
Assist physicians and office staff when PSFs or REMS enrollment forms are submitted with missing information.
Assist physicians and office staff in resolving access issues (prior authorization, appeals, denials, letters of medical necessity, REMS).
Partner with reimbursement stakeholders (specialty pharmacy, sales team, HCP office, REMS administrator, etc.) to communicate challenges, identify solutions, and ensure patient progress.
Understand specifics and support questions associated with PSF submission, REMS enrollment, payer policies, patient reimbursement, and reimbursement issues & opportunities.
Proactively seek timely updates on case statuses, leveraging the network of reimbursement stakeholders.
Periodically ride with and educate the sales force on complexities surrounding the pharmaceutical reimbursement process.
Maintain expertise on specific payors and claim approval requirements.
Log calls and notes within a standardized platform daily.
Lead weekly case status update meetings with sales force and sales leadership.
Coordinate with Hub, specialty pharmacies, and REMS administrator stakeholders to share information and move cases forward.
Balance daily tasks and schedule to accommodate ad-hoc communication from the sales force and sales leadership.
Operate in compliance with HIPAA within program guidelines.
Deliver expertise in regional and local access landscape, anticipating changes and acting as the Subject Matter Expert for FILSPARI onboarding and reimbursement.
Identify trending barriers to reimbursement within your geography and create a quarterly business plan to address them.
Propose opportunities for HCP office education and collaborate with sales counterparts to develop and execute strategy.
Monitor national and regional payer trends and changes, and educate internal (sales) and external (HCPs) on changes.

Requirements

Bachelor’s degree in a related field required.
Equivalent combination of education and applicable job experience may be considered.
5+ years in the pharmaceutical / health industry working with Hubs, payers, HCPs or related area.
3+ years reimbursement / access / case management experience.
Specialty pharmaceutical, nephrology, rare disease, REMs experience preferred.
Experience in managing access complexities associated with a new to market medication.
Prior account management experience or prior experience with complex accounts (Payer landscape, government payer, VA).
Experience with specialty pharmacy products / products acquired through Specialty Pharmacy networks or specialty distributors (buy and bill).
Proven ability to build relationships with HCPs, office staff, sales team, and Hub counterparts.
Comprehensive understanding of private/commercial insurance reimbursement, government payer Medicare Part D, VA, etc.
Demonstrated experience in helping to educate on reimbursement processes (inc. foundational knowledge of benefit verifications, prior authorization, appeals, denials, letters of medical necessity, pre-determination requirement).
Computer skills (basic Excel, PowerPoint, etc.).
Ability to resolve issues / educate virtually (within access & reimbursement / case management).
Well organized with the ability to multitask, prioritize, and manage shifting responsibilities in a dynamic, cross-functional teamwork environment.
Excellent collaboration skills with strong attention to detail and the ability to multi-task and manage complexity.
Strong interpersonal and organizational skills and excellent verbal and written communication skills are required.
The position is field based and the candidate must live in their territory or immediate adjacency.
Flexibility to travel as needed (up to 35%).
The ability to perform face to face work with customers, colleagues and/or onsite in San Diego, and the ability to satisfactorily meet credentialling requirements for access to healthcare facilities and customer sites within your territory on an ongoing basis, are essential job functions of this position.

Skills

Access & Reimbursement Expertise
FILSPARI Onboarding Process
Patient Start Form (PSF) Submission
REMS Enrollment
Prior Authorization
Appeals
Denials
Letters of Medical Necessity
Payer Policies
Hub Operations
Specialty Pharmacy Coordination
Sales Force Education
HIPAA Compliance
Microsoft Excel
Microsoft PowerPoint
Virtual Education
Issue Resolution
Multitasking
Prioritization
Relationship Building
Collaboration
Attention to Detail
Interpersonal Skills
Organizational Skills
Verbal Communication
Written Communication

Location

New Jersey - Remote
New York - Remote

Work Type

Remote
Field Based

Experience Level

5+ years in pharmaceutical / health industry
3+ years reimbursement / access / case management experience

Education Level

Bachelor’s degree in a related field
Equivalent combination of education and applicable job experience

Salary/Compensations

$162,000.00 - $211,000.00

Benefits

Premium health, financial, work-life and well-being offerings for eligible employees and dependents
Wellness and employee support programs
Life insurance
Disability
Retirement plans with employer match
Generous paid time off

About the Company

Travere Therapeutics is a biopharmaceutical company dedicated to meeting the unique needs of rare patients.
The company is focused on identifying, developing, and delivering life-changing therapies to people living with rare disease.
Travere Therapeutics operates with values centered on patients, courage, community, and collaboration.
The company's vision is to become a leading biopharmaceutical company dedicated to the delivery of innovation and hope to patients in the global rare disease community.
Travere Therapeutics is committed to elevating science and service for rare patients.

Equal Opportunity

Travere Therapeutics, Inc. is an EEO/AA/Veteran/Disability Employer.
If you require a reasonable accommodation to complete the application or interview process, please contact accommodations@travere.com.