Sr. Manager, Access & Reimbursement Manager Minneapolis, MN

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai’s human health care (hhc) mission. We’re a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer’s disease.

As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference.

The Access and Reimbursement Manager (ARM) will provide appropriate support for patient access to prescribed Eisai products, including through communication with healthcare professionals about insurance coverage and reimbursement for Eisai products and Eisai’s patient support programs. In the event of an access or reimbursement issue, this role will quickly identify and triage, as needed, the situation to appropriate internal or external Eisai partners and manage the communication until appropriate resolution.

This role will have a keen understanding of payer coverage at the customer and regional level and strong communication skills to appropriately educate on payer policies. This role will support the Neurology business unit, providing compliant access and reimbursement education to support an Eisai Alzheimer’s product that will necessitate an understanding of buy-and-bill, miscellaneous J Code billing and specialty distribution procurement.

The ARM role will be a field-based individual contributor reporting into the Eisai Access and Reimbursement team under Patient Services/Market Access.

Working closely with and reporting to the Associate Director, Access and Reimbursement, the ARM, will be the functional lead for Access and Reimbursement activities across HCP offices, alternate sites of infusion care, State Societies, and Health Systems/institutions.

Health Care Professionals and stakeholders responsible for physician reimbursement and patient coverage and access issues. These stakeholders include, but are not limited to the following:
Practice Managers, Financial Counselors, Pharmacy Managers/Directors, Business Administrators, State Societies, C and D Suite Health System personnel, and revenue cycle/integrity stakeholders.

• Act as the point of contact for assigned customers with patient access and reimbursement needs/challenges to provide relevant education and support.
• Identify, triage, and elevate customer issues to relevant internal/vendor teams as required, and drive resolution.
• Develop strategies to address access and reimbursement needs across assigned customer group/region.
• Create and deliver high-level training programs to the sales force (e.g., general information on patient access issues, Eisai patient support programs, separation between sales and access/reimbursement).
• Proactively track payer trends; develop, coordinate, and execute plans to create and maintain treatment access for patients based on analyses of trends and information.
• Communicate current and pertinent field access/reimbursement information (e.g., customer feedback, payer coverage
  -medical/pharmacy benefit, access to product procurement, payer updates) to relevant internal/external stakeholders.
• Educate external stakeholders (e.g., physicians, office administrators, case managers, financial counselors, medical directors, billing personnel, pharmacists) as appropriate, on matters related to patient access to Eisai products.

• Bachelor's degree in related field (Master's preferred) with 8+ years of relevant experience in pharma/biotech industry.
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