Access & Reimbursement Manager (New York)

Travere Therapeutics; New York (NY); Remote; USD 158,000 - 205,000; Full time

Job summary

A leading biopharmaceutical company seeks an Access & Reimbursement Manager to support patients and healthcare providers by addressing reimbursement challenges associated with FILSPARI (Sparsentan). This role involves collaboration with internal teams and HCPs to navigate insurance barriers and enhance patient onboarding processes. Candidates should possess a Bachelor’s degree, along with substantial experience in reimbursement in the pharmaceutical sector.

Benefits

Health benefits

Retirement plans

Paid time off

Incentives and stock options

Qualifications

• 5+ years in pharmaceutical/health industry.
• Experience with Hubs, payers, HCPs.
• 3+ years reimbursement/access/case management experience.

Responsibilities

• Serve as the key contact for patient access and reimbursement.
• Proactively identify and resolve complex patient access issues.
• Deliver regional access landscape expertise and education.

Skills

Customer Relations

Reimbursement Processes

Communication

Problem Solving

Education

Bachelor’s degree in related field

Job description

Access & Reimbursement Manager (New York) page is loaded

Access & Reimbursement Manager (New York)

Apply locations New York - Remote | time type Full time | posted on Posted 15 Days Ago | job requisition id R-100751

Department: 104075 Global Market Access & HEOR

Location: New York - Remote

Be a part of a global team that is inspired to make a difference in the lives of people living with rare disease.

At Travere Therapeutics, we recognize that our exceptional employees are vital to our success. We are a dedicated team focused on meeting the unique needs of rare patients. Our work is rewarding – both professionally and personally – because we are making a difference. We are passionate about what we do.

We are seeking talented individuals who will thrive in our collaborative, diverse, fast-paced environment and share in our mission – to identify, develop and deliver life-changing therapies to people living with rare disease. We stick by our values centered on patients, courage, community, and collaboration to pursue our vision of becoming a leading biopharmaceutical company dedicated to the delivery of innovation and hope to patients in the global rare disease community.

At Travere Therapeutics, we are in rare for life. We continue to courageously forge new paths as we move toward a common goal of elevating science and service for rare patients.

Position Summary:

The Access & Reimbursement Manager (ARM) will be a subject matter expert on access & reimbursement for FILSPARI (Sparsentan), working remotely within their assigned geography to provide education and case-specific support to internal and external stakeholders including but not limited to health care providers (HCPs) and sales force within their assigned region. The ARM must have extensive expertise in navigating insurance and access-related barriers and will be a highly collaborative individual who proactively manages multiple priorities in a fast-paced environment (e.g., fielding daily questions from sales team, working with Hub, specialty pharmacy partners, and office contacts to move patients through the reimbursement process, accurately updating daily reports).

Responsibilities

• Proactive Office Support Throughout FILSPARI Onboarding Process: Serve as the key contact responsible for patient access and reimbursement in an assigned geography, providing appropriate support to providers and professional staff. Cultivate the highest level of expertise in the FILSPARI onboarding process, from Patient Start Form (PSF) submission through REMS enrollment to reimbursement. Walk offices through what to expect from the FILSPARI onboarding process, either when a new PSF comes in or when an opportunity for re-education is identified. Educate physicians and practices on the full onboarding process, including PSF completion, REMS enrollment, prior authorization, appeals, and medical policy steps to obtain reimbursement. Closely monitor cases as they progress.

• Escalated Support for Specific Cases: Proactively identify and resolve complex patient access issues by working across the Hub, HCP offices, and field team. Assist with missing information on PSFs or REMS forms, coordinate with partners, and resolve access issues such as prior authorization, appeals, denials, and medical necessity letters. Partner with reimbursement stakeholders to communicate challenges and solutions, ensuring patients move through reimbursement successfully.

• Sales Force Communication / Partnership: Seek timely updates on case statuses, educate the sales force on reimbursement complexities, log calls and notes, lead weekly case update meetings, and coordinate with stakeholders to move cases forward. Operate in compliance with HIPAA and program guidelines.

• Proactive Trend Identification and Education: Deliver regional access landscape expertise, anticipate changes, create business plans to address barriers, and educate internal and external stakeholders on payer trends and changes.

Education/Experience Requirements:

• Bachelor’s degree in related field or equivalent experience.
• 5+ years in pharmaceutical/health industry with Hubs, payers, HCPs.
• 3+ years reimbursement/access/case management experience.
• Preferred: Specialty pharma, nephrology, rare disease, REMS experience.

Additional Skills/Experience:

• Embodies core values: Courage, Community Spirit, Patient Focus, Teamwork.
• Experience managing access for new-to-market medications, complex accounts, specialty pharmacy products, and building relationships with HCPs and stakeholders. Strong understanding of insurance reimbursement, government payers, and education on reimbursement processes. Proficient in basic computer skills. Well-organized, able to multitask, and communicate effectively. Field-based role requiring residence in the territory and up to 35% travel. Must meet credentialing requirements for healthcare facility access.

Total Rewards Offerings: Travere offers comprehensive benefits including health, financial, work-life, wellness programs, life insurance, disability, retirement plans, and paid time off. Compensation includes base pay, incentives, and stock options. Target base pay range: $158,000 - $205,000. This may vary based on experience and location. Applications are accepted until the position is filled. Travere is an EEO/AA/Veteran/Disability employer. For accommodations, contact [e-mail].