Sr. Manager, Access & Reimbursement Manager - (Buffalo, NY) (field based)

Position Summary 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. Key External Stakeholders include Health Care Professionals and stakeholders responsible for physician reimbursement and patient coverage and access issues. These stakeholders include: Practice Managers, Financial Counselors, Pharmacy Managers/Directors, Business Administrators, State Societies, C and D Suite Health System personnel, and revenue cycle/integrity stakeholders. Responsibilities 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. Key Skills Communication & Cross-functional Influence Critical Thinking & Business Agility Industry & Regulatory (Market Access) Mentoring / People Development Project Management Reimbursement Knowledge Qualifications Bachelor's degree in related field (Master's preferred) with 8+ years of relevant experience in pharma/biotech industry. Previous patient access or reimbursement experience strongly preferred. Experience related to distribution, patient support programs, financial assistance, and patient assistance programs. Market Access payer and/or patient access support programs experience. Experience of the US healthcare system across one or more major payer segments (Medicare, Medicaid, Federal, and Commercial). Experience working with medical and pharmacy benefits, coverage policies, and reimbursement. Proven performance in earlier role. As a condition of employment and an essential function of this field-based position, applicants must be able to engage in person with HCPs and other third parties at their offices, institutions and other appropriate locations on a regular basis. Applicants may be required to complete third parties' credentialing and/or entry requirements, which may include an attestation or providing proof of having received certain vaccinations. Applicants with qualifying medical or religious reasons must request a reasonable accommodation by contacting the Human Resources Department. Salary & Benefits The annual base salary range for the Sr. Manager, Access & Reimbursement Manager (Buffalo, NY) is $166,000–$217,900. Under current guidelines, this position is eligible to participate in the Eisai Inc. Annual Incentive Plan and Eisai Inc. Long Term Incentive Plan. Final pay determinations will depend on factors including experience level, education, knowledge, and skills. Employees are eligible to participate in Company employee benefit programs. For additional information, visit the EISAI Compensation & Benefits page. Legal Information Eisai is an equal opportunity employer and is committed in policy and in practice to recruit, hire, train, and promote in all job qualifications without regard to race, color, religion, gender, age, national origin, citizenship status, marital status, sexual orientation, gender identity, disability, or veteran status. Eisai prohibits discrimination against persons because of disability, including disabled veterans. Eisai Inc. participates in E-Verify. E-Verify is an Internet-based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States. #J-18808-Ljbffr