Access Reimbursement Strategy Lead

Supernus, Inc.; United States; On-site; USD 170,000 - 198,000; Full time

Benefits offered by this job

Health, dental, vision insurance

401(k) with company match

Stock equity awards

Job summary

Supernus Pharmaceuticals is seeking a Senior Specialist for payer access and reimbursement strategy. The role focuses on educating HCPs and staff about patient-level payer requirements, with emphasis on Medicaid, commercial plans, and PBM considerations.

You will collaborate with cross-functional teams to implement strategic access initiatives, analyze payer data, and travel for on-site education as needed. A strong background in healthcare reimbursement and payer policy is essential.

Qualifications

• Bachelor’s degree and 8+ years of experience in field sales, patient support programs, patient case management, or field reimbursement support.
• Experience navigating complex access challenges in specialty pharmacy across multiple regions/states.
• Experience educating health care providers on product access and researching coverage for pharmacy benefit products.
• Advanced understanding of the healthcare environment and payer policy concepts.
• Proficient in communicating payer coverage criteria and prior authorization processes.

Responsibilities

• Equip HCPs and staff with education to navigate patient-level payer access requirements.
• Demonstrate knowledge of Medicaid, commercial plans, PBM designs, and formulary status.
• Understand reimbursement practices, billing and coding, and prior authorization processes.
• Educate HCPs using reimbursement materials and address access-related questions.
• Support strategic plan for product access and reimbursement with stakeholders.
• Analyze data to identify outreach for payer education and access issues.
• Travel to HCP sites for on-site education when needed.

Skills

Payer access knowledge

Healthcare payer landscape

Communication skills

Cross-functional collaboration

Time-zone coordination

Education

Bachelor’s degree

Tools

Excel

Power BI

Veeva CRM

Job description

Supernus Pharmaceuticals is seeking a Senior Specialist for payer access and reimbursement strategy. The role focuses on educating HCPs and staff about patient-level payer requirements, with emphasis on Medicaid, commercial plans, and PBM considerations.

You will collaborate with cross-functional teams to implement strategic access initiatives, analyze payer data, and travel for on-site education as needed. A strong background in healthcare reimbursement and payer policy is essential.