Access Reimbursement Manager- Mid Central North

Madrigal Pharmaceuticals; Illinois; On-site; USD 170,000 - 218,000; Full time

Job summary

A biopharmaceutical company is seeking an Access Reimbursement Manager in Illinois. This role involves supporting practices to ensure patient access to specialty products, collaborating with healthcare providers to address access barriers, and educating them on reimbursement processes. Ideal candidates have 5+ years of experience in access and reimbursement and strong interpersonal skills.

Benefits

Flexible PTO

Medical, dental, and vision insurance

Life and disability insurance

Qualifications

• 5+ years of experience in access and reimbursement or pharmaceutical roles.
• Knowledge of pharmacy benefit structures and reimbursement processes.
• Preferred experience in Hepatology, Gastroenterology, or Endocrinology.

Responsibilities

• Work with HCP offices on access and reimbursement challenges.
• Educate healthcare providers on payer-specific policies.
• Collaborate with internal teams to address access barriers.

Skills

Patient access expertise

Communication skills

Problem-solving

Data analysis

Education

Bachelor’s degree

Advanced degree or certification

Job description

Access Reimbursement Manager- Mid Central North

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.

Overview

Madrigal is a biopharmaceutical company focused on delivering novel therapeutics for metabolic dysfunction-associated steatohepatitis (MASH). Madrigal’s medication, Rezdiffra (resmetirom), is a once-daily, oral, liver-directed THR-β agonist designed to target key underlying causes of MASH. Rezdiffra is approved for the treatment of MASH with moderate to advanced fibrosis (F2 to F3). An ongoing Phase 3 outcomes trial is evaluating Rezdiffra for the treatment of compensated MASH cirrhosis (F4c).

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.

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 qualifications, skills, education, experience, business needs, and market demands. The role may also be eligible for bonus, equity, and comprehensive benefits, including flexible PTO, medical, dental, vision, and life and disability insurance.

Madrigal is an Equal Opportunity Employer. All employment is decided on the basis of qualifications, merit, and business need. Applicants will receive consideration 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 law.

Please be aware of fraud: Madrigal does not conduct interviews via text or in chat rooms, and interviews are conducted via Zoom or telephone. Only use authorized madrigalpharma.com email addresses or trusted search firm partners for correspondence.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

• Finance and Sales

Industries

• Pharmaceutical Manufacturing