Job Purpose

Purpose is to establish, maintain, and grow business relationships within designated hematology oncology practices, regional hospitals, integrated delivery networks (IDNs) and other emerging key accounts in the assigned geography to enhance reimbursement and patient access to Monoferric. This individual will work in a highly collaborative environment that includes field sales, market access, and regulatory.

This role will be based out of the Southeast region.

Responsibilities:

• Pro-actively educate provider offices on Monoferric Patient Solutions at the regional level in targeted accounts (oncology clinic/practice, hospital, IDN, emerging customers) by strategically prioritizing high utilization accounts.
• Assist customers in the Monoferric Patient Solutions enrollment process using approved user guides and marketing collateral.
• Partner with targeted hematology/oncology practices and regional health systems to track status of customer co-pay claims to ensure timely payment and a claim adjudication rate of 100%.
• Work with provider accounts to enroll using the most effective patient co-pay assistance process for each account’s workflow: mail, fax, or ACH.
• Act as the subject matter expert on payer reimbursement by educating customers on regional payer coverage issues, coding changes and appropriate claims submission processes.
• Assist with determining coverage and access options available for Monoferric.
• Work with hub and provider office to address payor reimbursement challenges by providing approved Letter of Medical Necessity template and information on each regional payer’s appeals process.
• Collaborate with National Payer Accounts Team to track payer coverage outcomes which are considered by account team when negotiating with payers.
• Responsible for Liaising with reimbursement hotlines regarding alternative funding/financial assistance programs.
• Collaborate with hub, internal Sales and Market Access teams to triage reimbursement challenges from customers.
• Identify at risk accounts and work cross-functionally on solutions and best positioning for value in partnering with Pharmacosmos.
• Manage your time effectively to maximize every opportunity to build and strengthen business relationships and provide solutions to your key accounts.
• Participate in strategic planning and evaluation sessions with Pharmacosmos senior leadership, sales, marketing, contracting and legal.
• Manage internal and external customer relationships to ensure that key account needs are identified and addressed. Know what additional resources and stakeholders are needed and how to execute that process within your account.
• Understand and identify the short and long-term strategic vision and objectives within each of your assigned key accounts.
• Actively maintain understanding of the drivers and trends within the healthcare industry that affect your accounts and shape their overall business and buying decisions.
• Maintain a high level of payer and related Managed Markets benefit structures, reimbursement mechanisms, legal and regulatory influences, health management programs, and product distribution knowledge necessary to accomplish goals.
• Maintain accurate records of all account activity and provide management with regular reporting on reimbursement issues at the customer level.
• Special projects as assigned by the Director, Monoferric Patient Solutions.
• Other Duties as assigned.

Requirements for Position:

• Required: 4-year bachelor’s degree; MBA preferred.
• At least 5 years experience with payer Reimbursement and Pharma patient services programs is required.
• Account management experience highly preferred (oncology clinics and hospital systems).
• Ability to establish and maintain executive relationships (C Suite and Pharmacy Director) in health systems and oncology clinics/practices.
• Experience with buy and bill pharmaceutical products.
• A strategic outlook and critical thinking are essential along with strong clinical, financial, and analytical skills.
• Solid understanding of the current environment and reimbursement trends in community oncology practices, including alternative payment models.
• Superior communication, teamwork, and ability to work in a high matrix environment.
• Oncology and Hematology therapeutic experience preferred.
• Up to 50% travel

Competencies:

• 
  Teamwork/Collaboration – Works toward common goals by supporting, encouraging, and sharing information with colleagues, both internal and external.
• Communication— Speaks, writes, listens and presents information in a logical and articulate manner appropriate for the audience. Skilled in developing and delivering presentations and leading meetings.
• Leadership: Operate with high integrity in all matters with a proven ability to motivate teams and individuals; ability to build consensus and lead cross-functionally without authority.
• Negotiation: Confer with others to reach resolution; explore alternatives and positions to reach outcomes that gain support and acceptance of all parties.
• Drive: Produce consistent, high quality and quantity outputs and meaningful results that contribute to the agency mission and strategic goal on time.
• Problem Solving: Determine what is wrong in complex situations by identifying root causes and working with others to permanently fix problems with win/win solutions.

Attitude and Demeanor:

• Proud Pharmacosmos ambassador
• Strong personal leadership
• Inspire cross-functional transparency and collaboration
• Customer-centric ‘can-do’ attitude and goal focused
• Ambitious, independent, analytical, collaborative, loyal, organized

Flexibility

Our roles can evolve over time. Reasonable flexibility is, therefore, a key part of any job at Pharmacosmos. Significant variations in duties and responsibilities should be discussed between the employee and manager.

All job requirements listed indicate the minimum level of knowledge, skills and/or experience necessary to perform the job proficiently. This job description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any other job-related duties as requested by their supervisor, subject to reasonable accommodation.

Pharmacosmos Therapeutics Inc. is committed to equal opportunity in employment. We value diversity which embraces all perspectives towards innovation and are committed to making PTI a truly inclusive place to work where everyone of us can be our best and true selves.

We select and employ qualified candidates in accordance with their competencies and skills to perform the duties of the job regardless of gender, gender identity or expression, ancestry, national or ethnic origin, marital status, race, religion, color, age, disability, sexual orientation, military, or veteran status.

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