Field Reimbursement Manager, Rare Disease-West

West Region

• Territory Coverage: Las Vegas, Long Beach, Los Angeles, San Diego, and San Jose
• Location Requirement: The ideal candidate must reside within the territory.

Ideal candidates would like near a major airport.

Job Summary

The Field Reimbursement Manager is a regionally field based position that provides reimbursement and access support for patients who have been prescribed a rare disease product. Reporting to the Director, Patient Access Solutions, he/she will work closely with physicians, nurses, pharmacists, and ancillary staff, as well as patients and caregivers of patients to prevent and address barriers to patient access and reimbursement. Also, this candidate will align with Kyowa Kirin’s Commercial and Patient Services Team(s), to ensure that the team is collaborating on behalf of patients, their care teams, and other therapy partners to ensure access to uninterrupted therapy and support throughout the patient treatment journey.

Essential Functions

• Provide coordination of care to patients and their caregivers accessing a rare disease product by working with Healthcare Providers to ensure access
• In person meetings with patients, healthcare providers, and/or other office staff to discuss and educate on product specific coverage and reimbursement, alternative insurance and coverage options, and relevant information to aid in the continued access of a rare disease product.
• Assist with and provide information and education regarding general reimbursement and process related information and assistance to help HCPs obtain reimbursement for their patients
• Ensure that all patients and providers are well educated and informed throughout the treatment journey to ensure and maintain treatment schedule as prescribed by their provider
• Subject matter expert on relevant reimbursement topics related to rare disease therapy
• Billing, reimbursement, and procurement options expert
• Able to provide support to help troubleshoot billing and coverage hurdles with office staff
• Provide ongoing support and input to Kyowa Kirin’s Patient Services, Marketing, Market Access, Sales, Legal/Compliance, and Medical team partners as needed in order to provide on-going support
• Liaison with Kyowa Kirin’s Commercial team’s internal and external stakeholders
• Attend meetings and represent Kyowa Kirin at industry conferences as needed
• Attendance at company sponsored and external customer meetings when requested
• Expertise in regionally based plan/policy as well as nationally and government funded plans
• Understanding of company based and external alternative co-pay and financial support programs, 501c3 and other advocacy groups

Job Requirements

Education

Bachelor’s Degree or equivalent experience required

Experience

• A minimum of 5+ years of experience in a Market Access and/or Patient Services role, with extensive prior knowledge in patient access and reimbursement required

Technical Skills

Proficient in MS Office