Associate Director, Access Reimbursement Management - West Coast Region

Supernus, Inc.; United States; Vor Ort; USD 170.000 - 198.000; Vollzeit

Benefits dieser Stelle

Health, dental, vision insurance

401(k) with company match

Stock equity awards

Zusammenfassung

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.

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

Payer access knowledge

Healthcare payer landscape

Communication skills

Cross-functional collaboration

Time-zone coordination

Ausbildung

Bachelor’s degree

Tools

Excel

Power BI

Veeva CRM

Jobbeschreibung

Supernus Pharmaceuticals is an award-winning biopharmaceutical company with more than 30 years of experience in developing and commercializing products that treat central nervous system (CNS) diseases. At Supernus, we develop innovative products that help treat neurological and psychiatric conditions. We currently have 9 products in the market that are making a real impact on patient outcomes.

Job Summary

Essential Duties & Responsibilities

• Equipping HCPs and their staff, through education, to navigate the patient-level payer access requirements and approval process for ZURZUVAE TM (zuranolone) CIV within a specified geographic region.
• Demonstrating an advanced understanding of public and private payers and how to research to determine specific coverage barriers and communicate effectively to internal stakeholders and external HCPs regarding education on Medicaid (FFS and Managed Care), commercial plans, PBM designs, policy changes, and formulary status.
• Knowledge of pharmacy benefit reimbursement practices, compliance, billing and coding processes, and utilization management / prior authorization process.
• Confidently reference reimbursement and access materials to educate HCPs on access related questions.
• Ensuring compliance with all Supernus policies and procedures, applicable laws, regulations, and industry standards.
• Implementing and supporting the strategic tactical plan for the execution of product access and reimbursement through partnership with internal and external stakeholders.
• Analyzing data and reports to determine potential outreach efforts needed to educate HCPs regarding access related issues with specialty pharmacies and payers.
• Traveling to HCP sites on a limited basis when in person educational efforts are required.
• Understanding of key stakeholders within an HCP office and how to navigate relationships in a manner that anticipates and adapts to customer reimbursement support needs and any market access challenges.
• Other responsibilities and projects assigned.

Knowledge & Other Qualifications

• Bachelor’s degree and minimum of eight years of experience in field sales, patient support programs, patient case manager, or field reimbursement support.
• Experience navigating through complex access challenges specific to specialty pharmacy in multiple regions / states preferred.
• Experience with educating health care providers on product access questions and researching coverage for pharmacy benefit products within commercial and government payers preferred.
• Advanced understanding of the healthcare environment specifically around delivering services to Health Care Professionals.
• Ability to communicate effectively payer coverage criteria, payer policy, and prior approval processes.
• Advanced knowledge of Microsoft office Excel, multiple data report databases (Power BI), and CRMS systems (Veeva) is required.
• Ability to communicate and manage process expectations effectively across internal and external customer bases.
• Ability to manage multiple internal cross functional touch points and effectively prioritize the support of field service requests within a large geographical region.
• Understanding of national and state legislative, Medicare, Medicaid, and private payer and pharmacy coverage initiatives affecting reimbursement of pharmaceutical and biotechnology products.
• Must be able to work the time zone hours for the assigned geography – equivalent to 8:00am-5:00pm Pacific time.
• Individuals must live within the geographical region or be willing to relocate to it.

Other Characteristics

• Ability to work independently and as part of a team and maintain high ethical standards of integrity and quality.
• Ability to have an innovative and dynamic approach to work.
• A self-starter able to work independently, but comfortable working in a team environment.
• Ability to consistently exhibit Supernus Values in interactions with employees at all levels of the organization, vendors, customers and others.
• Capable of performing other duties as assigned by Management.
• Authorized to legally work in the United States without visa sponsorship.

Physical Requirements/Work Environment/Travel Requirements

• Lifting Requirements: Exerting up to 10 pounds of force frequently constantly to pick up, move and/or carry objects.
• Walking: Intermittent walking and moving from location to location.
• Visual Acuity: to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer screen, iPad, or other electronic device and for operating motor vehicles.
• Driving and Travel: Must be able to drive an automobile and hold a valid U.S. Driver’s License and be able to travel 20-25% for key meetings and HCP on-site visits, dependent on assigned territory.
• Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately.

Compensation

At Supernus, we offer a competitive compensation package that reflects your experiences and contributions. The expected salary range for fully qualified candidates applying for this role is $170,000 to $198,000. This range is what the Company reasonably expects to offer for the position and is not reflective of the full compensation scale of the role. This range may be modified in the future. An individual’s salary within the range is based on multiple factors, which may include and are not limited to education, relevant experience, knowledge, length of industry experience and organizational needs. You also will be able to participate in a competitive benefits package, including but not limited to: health, dental, vision, paid time off, 401k company match, company paid life insurance and health and wellness benefits. The total compensation package for this position also includes other compensation elements such as stock equity awards, employee stock purchase programs and participation in our Company’s discretionary annual bonus program.

Supernus Pharmaceuticals is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, protected veteran status, age or any other characteristic protected by law.