Access and Reimbursement Manager- Texas Houston

Scorpion Therapeutics; United States; Remote; USD 170,000 - 218,000; Full time

Job summary

A leading biopharmaceutical company is seeking an Access and Reimbursement Manager to facilitate patient access to their specialty product. The role involves collaboration with healthcare providers, addressing access barriers, and educating stakeholders on reimbursement processes. Ideal candidates will have a strong background in access and reimbursement, excellent communication skills, and the ability to work independently in a fast-paced environment.

Benefits

Flexible Paid Time Off

Medical Insurance

Dental Insurance

Vision Insurance

Life and Disability Insurance

Qualifications

• Minimum of 5 years of experience in access and reimbursement or pharmaceutical roles.
• Knowledge of pharmacy benefit structures and reimbursement processes.

Responsibilities

• Support practices in ensuring optimal patient access to specialty products.
• Educate healthcare providers on reimbursement processes.
• Collaborate with internal teams to address access barriers.

Skills

Interpersonal Skills

Communication Skills

Problem-Solving

Education

Bachelor’s Degree

Advanced Degree or Certification

Job description

If you're aiming for a job like this, you need an edge.

JobsAI gives you that edge—by helping you upgrade your resume, analyze hiring managers’ LinkedIn profiles, and prepare with a built-in interview coach.

This is the smarter, faster way to compete in today’s job market.

Check out JobsAI

Madrigal Pharmaceuticals - Access and Reimbursement Manager Role

Madrigal is a biopharmaceutical company pursuing novel therapeutics for non-alcoholic steatohepatitis (NASH), also known as metabolic dysfunction associated steatohepatitis (MASH). Our first therapy, Rezdiffra (resmetirom), was granted accelerated approval by the U.S. Food and Drug Administration (FDA) for the treatment of adults with NASH with moderate to advanced liver fibrosis (consistent with stages F2 to F3 fibrosis) and is being studied in a Phase 3 trial for the treatment of NASH with compensated cirrhosis.

Overview

We are seeking dedicated and results-driven Access and Reimbursement Manager (ARMs) to join our team. In this role, you will serve as the primary field-based resource to support practices in ensuring optimal patient access to a large pharmacy benefit specialty product. You will collaborate closely with healthcare providers and internal teams to address access barriers, deliver patient-centric solutions, and educate stakeholders on reimbursement processes.

Open to candidates in Houston, TX.

Key Responsibilities

• Patient Access Support:

  Work directly with HCP offices to provide expertise on access and reimbursement challenges, including benefits investigation, prior authorizations, appeals, and financial assistance. Partner with healthcare providers to ensure patients have timely access to prescribed therapy by addressing access issues proactively.

• Education and Training:

  Educate healthcare providers and their staff on payer-specific policies, coverage criteria, and reimbursement processes for the specialty product. Conduct in-service programs and provide resources to help practices navigate access challenges effectively.

• Collaboration with Internal Teams:

  Act as a liaison between the field team and internal stakeholders, providing insights on regional access trends and challenges. Collaborate with trade, market access, sales, patient support services, and analytics teams to ensure alignment and support for practices.

• Problem Solving and Escalation:

  Identify and resolve access barriers through collaboration with payers, specialty pharmacies (SPs), and other key stakeholders. Escalate unresolved issues to appropriate teams, ensuring timely resolution and communication back to providers.

• Data-Driven Execution:

  Leverage data and analytics tools to identify access trends, prioritize efforts, and report progress to leadership. Maintain accurate records of activities and interactions with practices to ensure compliance and track outcomes.

Qualifications

• Bachelor’s degree required; advanced degree or certification in healthcare-related fields is a plus.
• Minimum of 5 years of experience in access and reimbursement, patient support services, or pharmaceutical field roles.
• Knowledge of pharmacy benefit structures, reimbursement processes, and specialty pharmacy networks.
• Experience in Hepatology, Gastroenterology, Endocrinology is preferred.
• Strong interpersonal and communication skills, with the ability to build relationships and provide exceptional customer service.
• Proven ability to work independently, prioritize tasks, and adapt to a fast-paced environment.
• 40-50% Travel required within the assigned territory.

Key Competencies

• Expertise in access and reimbursement, including payer policies and processes.
• Strong presentation and training skills, with the ability to explain complex concepts in a clear and concise manner.
• Problem-solving mindset with a focus on delivering practical solutions.
• Ability to collaborate effectively with cross-functional teams and external stakeholders.

Compensation

The expected annual base salary range for this role is between $170,000 – $218,000.

Compensation: Base salary is determined by several factors that include, but are not limited to, a successful candidate's qualifications, skills, education, experience, business needs, and market demands. The role may also be eligible for bonus, equity, and comprehensive benefits, which include flexible paid time off (PTO), medical, dental, vision, and life and disability insurance.

Equal Opportunity Employment

Madrigal is an Equal Opportunity Employer. All employment is decided on the basis of qualifications, merit, and business need. Applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex gender identity, sexual orientation, national origin, age, disability, protected veteran or disabled status, or other characteristic protected by applicable federal, state, or local law.

Recruitment Fraud Warning

Unsolicited resumes from agencies should not be forwarded to Madrigal. Madrigal will not be responsible for any fees arising from the use of resumes through this source. Madrigal will only pay a fee to agencies if a formal agreement between Madrigal and the agency has been established.

Please be aware that we are currently receiving numerous reports of individuals misrepresenting themselves as Madrigal Pharmaceuticals’ Hiring Managers, seeking to engage with job candidates through fraudulent online advertisements or job posting sites. These unauthorized individuals are using Madrigal’s name and logo in an attempt to solicit up-front fees and obtain personal information from interested job candidates. Please know that Madrigal does not conduct interviews via text or in chat rooms; conduct interviews via Skype, RingCentral or solely via telephone; charge candidates an advance fee of any kind (e.g., fees for purchasing equipment); nor does it offer positions of employment without undergoing a thorough recruiting process. Interviews with Madrigal are conducted via the Zoom platform.

Please also note that any correspondence with regard to employment would come from an authorized madrigalpharma.com email address or from an email address from one of our trusted search firm partners. We are aware that incorrect/fraudulent email addresses, with Madrigal misspelled, have been utilized in these most recent fraud attempts. If you receive unsolicited employment offers from people claiming to work for Madrigal we recommend that you: do not respond to their questions; do not open any attachments; and do not click on any hyperlinks.