Reimbursement manager

Position Title : Field Reimbursement Manager - Rare Blood Disorders, Patient Support Services

Territory : Midwest (ND, SD, IA, IL, IN, KS, NE, MN, MO, WI, MI)

Sanofi, an innovative global healthcare company, is driven by one purpose : we chase the miracles of science to improve people’s lives.

Our team, across some 100 countries, is dedicated to transforming the practice of medicine by working to turn the impossible into the possible.

We provide potentially life-changing treatment options and life-saving vaccine protection to millions of people globally, while putting sustainability and social responsibility at the center of our ambitions.

The specialty care business unit of Sanofi focuses on rare diseases, rare blood disorders, multiple sclerosis, oncology, and immunology.

We help people with debilitating and complex conditions that are often difficult to diagnose and treat. Our approach is shaped by our experience developing highly specialized treatments and forging close relationships with physician and patient communities.

We are dedicated to discovering and advancing new therapies, providing hope to patients and their families around the world.

The Rare Blood Disorder franchise is a patient centric organization responsible for delivering the highest quality education and service regarding disease and treatment.

The goal of the franchise is to penetrate existing and new markets to meet business goals by educating physicians and healthcare professionals on a portfolio of products while upholding the Company's mission and values.

The Rare Blood Disorders reimbursement environment for specialty biologics has proven to be highly challenging for Health Care Providers (HCPs) and Patients.

Payer medical and pharmacy Utilization Management (UM) criteria create process delays for patients like required Benefits Investigations (BI), Prior Authorization (PA), Denial Appeals, detailed Clinical Documentation, and Peer to Peer reviews.

Assisting HCPs and Patients to gain access to prescribed treatments requires dedicated and knowledgeable customer facing support.

This support is provided by our Field Reimbursement Management team.

The FRM team is a critical front-line member of the Sanofi Rare Blood Disorder Patient Access and Reimbursement team. The primary purpose of this role is to provide information and education to support HCP offices and patients in obtaining appropriate access to Sanofi products.

Goals include education of patient affordability offerings, and a strong understanding of the patient support programs of Sanofi.

FRMs support the company and divisional reimbursement strategy and this position also requires the ability to successfully navigate working across multiple internal and external stakeholders, and program vendors to deliver an exceptional customer experience.

Job Responsibilities :

FRMs will be subject matter experts on Sanofi’s rare blood disorder patient support programs, payer claim processes, billing and coding education, access issue resolution, financial assistance and alternative funding options provided by our patient support program.

Develop effective business plans to execute brand strategies that are consistent with corporate brand and marketing plans and are tailored to geography and customer context.

Coordinate all business activities and drive results within geographic area of responsibility. Ensure effective execution of Sanofi strategies and tactics within assigned geographic area.

Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products.

Develop and maintain relationships MAC Medical Directors, Medical Policy staff and Advisory Committee members to ensure brand access

Monitor commercial, Medicare, and Medicaid communications on coverage, coding, and payment

Partner with internal and external colleagues to create a culture of respect, prioritization and focus on the launch of products

Educate office personnel on appropriate billing information including approved codes for approved uses, medical & pharmacy benefits, patient support program offerings.

Establish relationships within targeted healthcare provider offices to assist HCPs in resolving payer coverage issues that may be barriers to Sanofi product access in a manner that complies with all company policies and standard operating procedures.

Ensure training is completed and demonstrate appropriate clinical knowledge of the respective products

Manage and adhere to all company policies and Legal and Regulatory guidelines.

Uphold and exemplify Sanofi’s core values.

Basic Qualifications :

BA / BS Degree required, preferably in life science or business, MBA a plus

Minimum 10+ years' experience in the pharmaceutical or related healthcare industry

4-7+ years pharmaceutical / biotech reimbursement or access experience in buy and bill setting and specialty pharmacy with demonstrated exceptional results

Demonstrated success of cross functional teamwork and working in a matrix environment (sales, market & value access, case management, medical affairs, brand marketing, etc.)

Experience launching Rare disease product(s) or complex specialty products

Experience in coordinating patient and provider support services such as specialty pharmacy, reimbursement services, nursing services, specialty distributor, etc.

Ability to travel to meetings / trainings / programs as necessary - additional travel will be required within the assigned geography.

Valid driver's license

Preferred Qualifications :

Hematology / Oncology experience preferred

Hematology / Oncology physician reimbursement experience preferred

Must be energetic and driven to succeed

Excellent strategic thinking, analytical, and communication skills required

Strong understanding and experience supporting infused products, especially in the provider office and health care facility settings of care

Significant experience and understanding of the ever-changing payer environment and its impact on patient access to products infused in provider offices and health care facility settings of care.

Must achieve and maintain compliance with all applicable Sanofi compliance policies, procedures, and legal requirements.

Travel Requirements :

50%-60% Travel, depending on geography

Last updated : 2022-11-19