Job Description
*With its beginnings in a family run pharmacy in Correggio, Italy in the 1920s, Recordati is now a global pharmaceutical company, listed on the Italian stock exchange, with over 4,500 employees and turnover of over Euro 2bn. We are a group of like-minded, passionate individuals who go to extraordinary lengths for our patients, customers, partners, investors and the people across the globe who we serve. We develop and commercialise medicines to serve people living with common diseases, as well as those living with some of the rarest, in around 150 countries. At Recordati, our mantra is simple. We’ve always believed that health, and the opportunity to live life to the fullest, is a right, not a privilege. Whether that is for common diseases or the rarest – we want to give people the opportunity to be the best version of themselves. This drive will never stop. Together, we will always be reimagining tomorrow – with new ideas, new technologies and new innovations to fight diseases. Recordati. Unlocking the full potential of life.* This position is with Recordati Rare Diseases, Inc. (RRD), North America, an affiliate of Recordati Recordati Rare Diseases, Inc. (RRD) develops high-impact therapies for rare diseases, focusing on providing treatments to underserved communities in the U.S. Our mission is to mitigate the impact of rare diseases through increased awareness, better diagnoses, and improved treatment access in endocrinology, metabolic, hematology and oncology franchises. RRD is dedicated to fostering a dynamic work environment that promotes professional growth and a significant impact on patients' lives. Reporting Structure Reports To: Associate Director, Field Reimbursement Direct Reports: None Areas Managed: Field Reimbursement Overview The Field Reimbursement Manager (FRM) will be responsible for managing accounts in a specified region focusing on but not limited to Endocrinology. The FRM is responsible for providing access and reimbursement education to healthcare providers (HCPs)and office personnel, including information regarding medical policies, prior authorization requirements, coding and billing, product access via buy-bill or specialty pharmacy with the goal of minimizing barriers to therapy. The FRM also supports by providing general education and case-specific next steps for appeals process in response to prior authorization denials. This role involves investing time on-site with HCPs, assessing their access and reimbursement needs education needs and facilitating collaboration with various stakeholders. Key Responsibilities Partnering with cross-functional parties on overall account and territory strategy to maximize internal/external customer knowledge on payor policy and processes Serve as subject matter experts on issues of coverage, access and reimbursement by providing compliant, limited support to US health care providers (HCPs) and their office staff in navigating the reimbursement landscape for products of Recordati Rare Diseases Inc. (RRD) after the HCP made an independent decision to prescribe Collaborate with HCP staff and Specialty Pharmacy to follow up with accounts that have outstanding prior authorization or appeals submissions Being a subject matter expert on reimbursement and regional-specific access landscape. This includes payor policies, prior authorization requirements, denials, appeals, peer to peer and other education required to navigate access for coverage of company therapies Collaborating with cross-functional parties on individual case management needs related to HCP education on reimbursement issues Collect field insights on payer trends, reimbursement challenges and provider needs to inform internal stakeholders Leveraging all available resources including internal data to develop and execute account plans/call purpose Complying with all laws, regulations and policies that govern the conduct of company activities, work with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct Complying with annual budget allocation within respective territory to Perform additional duties as may be assigned. Education And Experience Bachelor’s degree Experience in working in field-based role working with provider offices and/or with patient support HUB services Minimum of five to seven years of experience in the healthcare and/or pharmaceutical industry Minimum of three years successful field reimbursement experience Minimum of two years of experience working with buy and bill and/or specialty pharmacy networks Ability to analyze and interpret regulations and legislation regarding coding, coverage and reimbursements In-