Access and Reimbursement Manager (San Francisco/Sacramento)

Mallinckrodt Pharmaceuticals; Sacramento (CA); Hybrid; USD 132,000 - 211,000; Full time

Job summary

Keenova seeks an Access and Reimbursement Manager to lead case pull-through for open therapy programs in the San Francisco and Sacramento area. You will collaborate with prescribing offices, Patient Service Center, and sales teams to accelerate patient starts and maintain treatment access.

The role requires deep knowledge of payer design, navigating complex authorizations, and developing tactical plans based on payer mix.

Qualifications

• 5+ years' experience with specialty pharma products or 2+ years in access-related roles.
• Experience in ophthalmology, nephrology, rheumatology, pulmonology, neurology or dermatology.
• Strong understanding of insurance and benefit design with commercial and government payers.
• Experience in Access & Reimbursement, payer management, specialty pharmacy distribution, and patient services.
• Ability to navigate complex authorization processes for specialty meds.
• Ability to design case-specific strategies with Patient Service Center based on payer mix.
• Coordinate pull-through with PSC, case managers, sales and pharmacies.
• Willingness to travel up to 60% for field roles.

Responsibilities

• Lead case pull-through and improve access for patients.
• Identify payer trends and coordinate tactical plans with partners.
• Educate HCP offices on best practices to streamline authorization.
• Collaborate with Patient Service Center, case managers, sales and pharmacies.
• Maintain ethics and integrity regarding legal and regulatory parameters.
• Adapt to evolving business needs in a fast-paced environment.

Skills

Access & Reimbursement

Payer account management

Specialty Pharmacy distribution

Patient Services

Case Management

Authorization processes

Stakeholder collaboration

Field travel

Education

Bachelor's or higher degree

Job description

Job Title

Access and Reimbursement Manager (San Francisco/Sacramento)

Requisition

JR000016050 Access and Reimbursement Manager (San Francisco/Sacramento) (Open)

Location

San Francisco, CA

Additional Locations

Sacramento, CA

Job Description Summary

The primary responsibility of the ARM is to help create and maintain treatment access for patients through the duration of the course of therapy. While the sales specialist drives new business demand, the ARM leads the "pull-through" process on open cases by taking compliant actions that improve access and expedite a patient's start to treatment. The ARM facilitates this process by working directly with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales colleagues.

In addition to leading case "pull-through", the ARM also identifies payer trends, alerts business partners, and takes initiative around developing, coordinating and executing tactical plans in order to create and maintain treatment access for patients. Due to the ARM's leadership and access expertise, this individual is viewed by colleagues and customers as a valuable resource that plays a critical role in their success.

The ARM consistently demonstrates uncompromised ethics and integrity while helping others understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance related to patient assistance programs.

The ideal candidate enjoys working in a fast-paced environment and has the ability to prioritize business needs, solve complex problems, develop strong customer relationships, and motivate others to take appropriate action to move cases forward. The ARM needs to quickly and successfully adapt to evolving and changing business needs.

Job Description

Qualifications:

• Minimum of 5 years' experience working with specialty pharmaceutical products, or minimum of 2 years' access-related position outside of pharma
• Experience preferred in one or more of the following areas:
  • Ophthalmology
  • Nephrology
  • Rheumatology
  • Pulmonology
  • Neurology
  • Dermatology
• Strong understanding of insurance and benefit design with both commercial and government payers
• Background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, Case Management
• Successful navigation of complex authorization processes for specialty medications
• Working with a Patient Service Center/Hub in order to design case-specific strategies based on payer mix, benefit design, and authorization requirements.
• Coordinating case pull-through with the Patient Service Center, Case Managers, Sales, and Specialty Pharmacies
• Field responsibilities that include supporting and educating HCP offices on best practices that streamline the authorization process and expedite treatment access for patients
• Communicating with SPs to improve processing time and help facilitate shipment scheduling
• Demonstrated analytical, problem solving, and relationship-building skills
• Excellent communication, organizational and leadership skills
• Customer interaction and field travel up to 60% - overnights dependent on geography
• Preferred Location:

Education:

• Bachelor's or higher degree required

Keenova offers employees a Total Rewards package which includes competitive pay and benefits. To learn more about our Total Rewards benefits please visit: Keenova Careers | Serve and Grow with Purpose | Keenova

The expected base pay range for this position is $132K - $211K. Please note that base pay offeredmay vary depending on factors including job-related knowledge, skills, and experience.

This position is eligible for a bonus in accordance with the terms of the applicable program. Bonuses are awarded at the Company's discretion.

Disclaimer: The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to change or modify such duties as required.

At Keenova, we believe that no one should be alone in their pursuit of better health. This purpose drives us as we pair quality therapeutics with human support-showing up in big moments and small to help patients find comfort and confidence.

We bring deep expertise and resolve to every therapeutic area we serve, including immunology, urology,men's health, orthopedics, critical care, and pediatric endocrinology. We work with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference.

We are Keenova-keen to solve, keen to serve. Learn more at www.keenova.com.