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