Access & Reimbursement Manager, Sleep

Jazz Pharmaceuticals; Nashville (TN); On-site; USD 148,000 - 222,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) retirement savings plan

Flexible paid vacation

Job summary

Jazz Pharmaceuticals, a global biopharma company, seeks a Sleep Access and Reimbursement Manager to drive payer strategies in the Kentuckiana region. You will educate provider offices on payer policies, REMS processes, and patient support services, partnering with cross-functional teams to expand product access.

The role requires 5+ years in pharma reimbursement or access, strong analytics, and willingness to travel 70–75%. Base pay ranges from $148,000 to $222,000 plus benefits.

Qualifications

• BA/BS Degree required; MBA preferred; 5+ years in pharma or biopharma with field-based customer exposure.
• Experience with HUB, Patient Services and REMS programs.
• Experience with Integrated Health Systems and managed care knowledge preferred.

Responsibilities

• Implement payer strategies to achieve Business Unit and Corporate goals.
• Educate provider offices on payer prior authorization, billing and coding.
• Serve as REMS program expert for providers and patients.
• Develop payer and reimbursement plans with area/region sales teams.
• Build relationships with key providers and account managers to expand product access.

Skills

Account Management

Reimbursement

Provider relations

Strategic thinking

Analytics

Education

BA/BS Degree

MBA preferred

Tools

MS Office

Excel

PowerPoint

Job description

If you are a current Jazz employee please apply via the Internal Career site.

Jazz Pharmaceuticals is a global biopharma company whose purpose is to innovate to
transform the lives of patients and their families. We are dedicated to developing
life-changing medicines for people with serious diseases - often with limited or no
therapeutic options. We have a diverse portfolio of marketed medicines, including leading
therapies for sleep disorders and epilepsy, and a growing portfolio of cancer treatments.
Our patient-focused and science-driven approach powers pioneering research and development
advancements across our robust pipeline of innovative therapeutics in oncology and
neuroscience. Jazz is headquartered in Dublin, Ireland with research and development
laboratories, manufacturing facilities and employees in multiple countries committed to
serving patients worldwide. Please visit www.jazzpharmaceuticals.com for more information.

The Sleep Access and Reimbursement Manager (ARM) is responsible for executing the Xywav market access business plan pertaining to the assigned geography, working with provider officesand outpatient care centersto ensure both providers and their staff are educated on payer and reimbursement policies and procedures, as well as providing expertise on the REMS program and patient support services. The ARM will work in collaboration with Field Sales, Sales Management, Patient Support Services, Managed Markets, Trade & Distribution, internal commercial teams, and other cross-functional partners to achieve the business unit objectives.

The ARM will also develop relationships with all key personnel, targeted physicians, office managers, and staff vital to making Jazz's products accessible within key customer accounts. Provider and account interface, as well as billing and coding education within compliance, will be a key focus. This position will also play a critical role in ensuring REMS provider and patient enrollment, education on REMS process and requirements, and serve as an expert on patient support services.

Territory covers: Kentuckiana (Louisville/Indianapolis S/Nashville/St. Louis)

Essential duties and responsibilities may include all or some of the following

• The ARM will implement strategies that achieve Business Unit and Corporate goals and objectives.
• Analyze Data and develop Action Steps
• Establish and maintain strategic relationships with assigned providers and provider accounts.
• Educate and enhance awareness and utilization of patient access services, ensure providers understand payer prior authorization requirements and information, and educate offices on coding and billing
• Serve as a field-based expert on the REMS program processes and procedures, including enrollment requirements for providers and patients.
• Educate and inform provider offices on available patient services, collaborating and communicating with the Patient Access group and the Specialty Pharmacy to ensure optimal customer experience.
• Collaborate and coordinate with area and regional sales teams to develop payer and reimbursement action plans for key provider accounts.
• Monitor, document, and communicate coverage policy and changes.
• Collaborate with internal and external partners to maintain a payer coverage and reimbursement database, and communicate changes to field sales and sales management teams.
• Collaborates with Managed Markets to educate customers surrounding Commercial Payers, state Medicaid Agencies, Managed Medicaid Organizations, Healthcare Maintenance Organizations, Pharmacy Benefit Organizations, Health Care Plans, GPOs, DOD and Veterans Integrated Service Networks and other strategic healthcare entities specific to assigned initiatives and product requirements.
• Conducts annual business development reviews for Jazz corporate and division management, as well as required updates and reviews with assigned area and regional sales team(s).
• Provide managed care and reimbursement training and educational activities for internal and external stakeholders.
• Remain current on key managed care, reimbursement, and policy activities, as well as serve as an expert for Jazz on business trends within key provider accounts.
• Ensure all pertinent information regarding current products, new products, competitive data and overall information important to Jazz is brought to the attention of proper company personnel.
• Represent Jazz at various industry functions such as payer and reimbursement meetings, payer policy meetings, professional organization meetings, and other meetings as assigned.
• Demonstrates territory planning, priorities, and time management specific to geographical area of responsibility
• Maintains accurate expenses within budget, timely and accurate completion of all reports, correspondence, and records as required by Jazz.
• Execution of all activities within the defined Jazz regulatory and compliance program.
• Maintain company manuals, reports, computer systems, records, brochures, computers and other equipment assigned to the position.

QUALIFICATIONS

• BA/BS Degree (MBA preferred), and at least 5 years of pharma, biopharmaceutical, and/or medical device experience calling on field based customers with demonstrated successful track record.
• Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationships.
• Experience working with HUB, Patient Services, and/or REMS programs
• Experience working with Integrated Health Systems-- preferred
• Managed Care and Reimbursement Knowledge --preferred
• Experience in building a team atmosphere with sales representatives, either with direct or indirect leadership authority.
• Ability to make sound decisions within time/resource constraints.
• Proven skills in strategic decision-making and problem-solving.
• Excellent analytical skills focusing on key accounts and uncovering business opportunities.
• Experience working with billing and medical claims personnel in healthcare settings preferred.
• Proficient with MS Office including Excel, Word, PowerPoint preferred
• Candidates should live near a major airport and be willing and able to travel approximately 70-75% of the time (average 3-4 days per week).

REQUIRED EDUCATION / CERTIFICATIONS / LICENSES

• BA/BS Degree (MBA preferred)
• CPC, or similar coding certification preferred, not required

ADDITIONAL INFORMATION

DESCRIPTION OF PHYSICAL DEMANDS

• Frequently operating a computer, printer, telephone and other similar office machinery.

DESCRIPTION OF WORK ENVIRONMENT

• Frequent interactions with external contacts in their office environment with little exposure to excessive noise, dust, fumes, vibrations and temperature changes.
• Frequent computer laptop or tablet use, not usually at a workstation.
• Responsibilities may require a work schedule that may include working outside of "normal" work hours, in order to meet business demands.
• Frequent public contact requiring appropriate business apparel.

Jazz Pharmaceuticals is an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any characteristic protected by law.

FOR US BASED CANDIDATES ONLY

Jazz Pharmaceuticals, Inc. is committed to fair and equitable compensation practices and we strive to provide employees with total compensation packages that are market competitive. For this role, the full and complete base pay range is: $148,000.00 - $222,000.00

Individual compensation paid within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, and other pertinent factors. The goal is to ensure fair and competitive compensation aligned with the candidate's expertise and contributions, within the established pay framework and our Total Compensation philosophy. Internal equity considerations will also influence individual base pay decisions. This range will be reviewed on a regular basis.

At Jazz, your base pay is only one part of your total compensation package. The successful candidate may also be eligible for a discretionary annual cash bonus or incentive compensation (depending on the role), in accordance with the terms of the Company's Global Cash Bonus Plan or Incentive Compensation Plan, as well as discretionary equity grants in accordance with Jazz's Long Term Equity Incentive Plan.

The successful candidate will also be eligible to participate in various benefits offerings, including, but not limited to, medical, dental and vision insurance, 401k retirement savings plan, and flexible paid vacation. For more information on our Benefits offerings please click here: https://careers.jazzpharma.com/benefits.html.