Patient Access Reimbursement Manager- REMOTE IN TERRTIORY (WESTERN REGION OF THE US)

Company: Tolmar
Location: Denver
Posted on: April 25, 2024

Job Description:

Description* Position is REMOTE IN TERRTITORY candidates must be located in the Western Region of the United States*
Purpose and Scope
The Patient Access and Reimbursement Manager (PARM) is a critical front-line member of the Tolmar Access and Reimbursement team who represents Tolmar's interest with HCP accounts, as well as all internal Tolmar stakeholders and field sales personnel. The PARM will be an expert and provides education, training and hands-on assistance related to access of Tolmar products.

Essential Duties & Key Accountabilities
Provider Account Support

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• Critical point person for all reimbursement and acquisition logistical aspects of a high touch Central Precocious Puberty medication for a rare disease with controlled acquisition options within a changing payer landscape.
  
• Assists HCP offices with questions related to Buy/Bill management. Educate/Assist with Specialty Pharmacy (SP) understanding, expectations and logistics. Continually educate office staff on appropriate steps, educate on the importance of chart documentation, keep offices up to date on payer policies for Tolmar products and triage issues to the appropriate HUB and SP.
  
  Primary responsibilities include:
  
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  • Managing patient assistance and reimbursement support services offered to providers and related to patient access to buy/bill and SP products.
    
  • Coordinating with Tolmar's patient support services program representatives.
    
  • Educating office staff on the use of Buy/Bill and SP products, patient assistance and reimbursement support services.
    
  • Participating in sales training related to product reimbursement.
    
  • Utilizing data to think critically through acquisition challenges from a variety of outlets including SP, Specialty Distributors and Mainline Distributors.
    
  • Assist new offices to inform them about reimbursement issues as well as providing education on various MRL approved resources pertaining to reimbursement, acquisition and coding.
    
  • Ensures all actions taken create a positive impact on the patient journey and the brand experience in a compliant manor.
    
    Specialty Pharmacy Support
    
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    • Work closely with the external and internal customers to trouble shoot SP related issues. PARM work closely with their Director of Access to manage customer related issues directly with the SP's.
      
    • PARM should have an expert level of knowledge pertaining to SP logistics and operations.
      
    • PARM must be able to analyze data and know how to make that data into actionable steps to facilitate patient access to Eligard and Fensolvi.
      
    • Work closely with SP's to understand logistical issues that arise and provide MRL approved resources and programs to facilitate patient access as well as communicate with SP's to find resolutions to issues that arise at the SP.
      
    • Identify gaps in account knowledge of the SP process and provide education/resources to fill those gaps and improve the account and physician experience.
      
      Internal Partnerships
      
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      • Consistent, reliable, timely and high-quality support of the field, as well as all other internal commercial functions.
        
      • Strong leadership role to the field teams by establishing a solutions oriented approach, working with your Account Managers (AMRs) and Directors of Corporate Accounts (DCAs) to build and execute local plans to overcome barriers to Eligard and Fensolvi access.
        
      • Specific examples include:
        
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        • Identify in conjunction with the field, specific targeted accounts where the PARM will assist with product acquisition or SP dispense.
          
        • Collaborate with AMRs, RSDs, and DCAs to build local business plans; participate in district business reviews as the expert resource on the reimbursement landscape from regional, district, state and local perspective.
          
        • Provide the leadership team with actionable feedback (across the organization) on support programs such as the bridge program, copay card, SPP performance, to guide changes to improve access.
          
        • Provide internal customers updates on changes in managed market dynamics specific to SP's/SD's/MDs as well as local payer issues-needs. Track customer trends in order to help inform internal business decisions, e.g. Health care policy changes.
          
        • Proactively collaborate with business analytics to understand common logistical issues in top accounts and proactively develop plans for education and to find solutions for better patient access to Eligard and Fensolvi. Ensure alignment with Vice President of Sales and Regional Directors.
          
        • Provide support to AMRs, RSDs, DCAs and Internal Stakeholders on rules of engagement to educate and further clarify what is appropriate.
          
          
          
          Advocacy
          
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          • Works with the field to identify potential payer advocates and supports the Access team on issues relating to medical policy development and execution at the HCP level.
            
          • Ensure all Tolmar approved promotional speakers have an in-depth understanding of billing/coding, logistics and payer coverage.
            
            Knowledge & Qualifications
            
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            • BS or equivalent is required, MBA or advanced degree ideal.
              
            • 5-7 years of relevant experience in the Biopharma industry required.
              
            • Previous experience working with vendor relationships preferred.
              
            • Previous experience managing customer interactions.
              
            • Previous sales management and/or account management experience highly desirable.
              
              Working Conditions
              
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              • Office environment; requiring sitting and standing.
                
              • Travel as required.
                
                
                Compensation
                Tolmar compensation programs are focused on equitable, fair pay practices including market-based base pay and a strong benefits package. The final compensation offered may vary from the posted range based on the selected candidates qualifications and experience.
                The pay range for this position at commencement of employment is expected to be between ($183,200 and $274,800/year); however, while salary ranges are effective from 1/1/24 through 12/31/24, fluctuations in the job market may necessitate adjustments to pay ranges during this period. Further, final pay determinations will depend on various factors, including, but not limited to geographical location, experience level, knowledge, skills and abilities.
                About Tolmar
                Tolmar is proud to have earned a reputation for performance and innovation. Through a progressive company culture, Tolmar has established a legacy as a trusted name in the research, development and manufacturing of high quality topical products used in dermatology, and extended release dosing forms for products commonly used in urology and oncology. Founded in 2006, we are a private company known internationally for our advanced drug delivery capabilities and our unmatched commitment to our partners, and to the patients and provider communities we serve.
                Since our inception, Tolmar has produced 22 marketed products supported by 5 New Drug Applications (NDAs) and 17 Abbreviated New Drug Applications (ANDAs) across urology and oncology and dermatology. With more products forthcoming, our dedicated pipeline reflects Tolmar's future-focused approach.
                Tolmar offers exciting opportunities that will leverage your abilities, expand your skills, and reward your contributions in an atmosphere that encourages both personal and professional growth. Additionally, Tolmar offers competitive compensation and excellent benefits including:
                
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                • Competitive and inclusive medical, dental and vision coverage options
                  
                • Flexible Spending Accounts for medical expenses and dependent care expenses
                  
                • HSA through our HDHP
                  
                • CompleteCare reimburses you and your dependents for eligible health care expenses and premium expenses incurred under alternate group health coverage
                  
                • Generous 401K match - currently match 100% of your contributions up to the first 6% of compensation and 50% from 7%-12%, but never greater than 9%
                  
                • Tolmar-paid Life, LTD and STD insurance coverages, as well as voluntary benefit options
                  
                • Employee Assistance Plan, Legal Guidance and Funeral Planning & Concierge Services
                  
                • Adoption and family-planning benefits, Fertility and Family Forming Benefits
                  
                • Generous paid time off, including:
                  
                • Vacation, sick time and holidays
                  
                • Volunteer time to participate within your community
                  
                • Discretionary year-end shutdown
                  
                  We provide a positive work environment designed around the philosophy of mutual respect and the challenge and rewards of contributing to the continued success of our organization. Tolmar is committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion. Tolmar is an Equal Opportunity Employer. We do not discriminate on the basis age 40 and over, color, disability, gender identity, genetic information, military or veteran status, national origin, race, religion, sex, sexual orientation or any other applicable status protected by state or local law. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors.
                  
                  
                  
                  Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: Tolmar, Colorado Springs , Patient Access Reimbursement Manager- REMOTE IN TERRTIORY (WESTERN REGION OF THE US), Executive , Denver, Colorado