Field Reimbursement Manager - Gastroenterology

About the role

Ardelyx, a commercial-stage biopharmaceutical company, is hiring a Field Reimbursement Manager (FRM) for its gastroenterology business, based in Little Rock, Arkansas. The FRM supports the patient access process by executing the territory strategic plan, understanding the patient access process and navigating patient support programs. The role works closely with Field Sales and other internal stakeholders as an access and reimbursement expert for assigned geographies.

Key responsibilities

• Build and maintain working relationships with Patient Services Program Partners, Field Sales and Healthcare Providers to support patient access
• Help HCPs with the patient journey by educating them on prior authorization, appeals and denials
• Review patient-specific information when sites request help resolving coverage challenges
• Partner with stakeholders to identify and remove patient and HCP access barriers, using HUB and specialty pharmacy partners
• Monitor patient start trends in assigned geographies and plans and work with Field Sales to mitigate challenges
• Stay current on payer and prescriber market dynamics and on HUB and specialty distribution channels
• Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid managed care and commercial plans
• Adapt resourcing and messaging to HCPs and their staff as the healthcare ecosystem changes

Required profile

• B.A./B.S. degree with 6-9 years of experience in field reimbursement, patient services, market access or related functions in pharma/biotech, or equivalent experience
• 3-5 years as a field reimbursement manager in public or private field reimbursement, access services, healthcare operations or equivalent
• Direct experience with GI products or providers preferred
• Reports to an Associate Director/Director, Field Access and Reimbursement

Required skills

• Expert knowledge of insurance eligibility, benefit verification, prior authorization, appeal processes, financial assistance, co-pay support and free product programs
• Knowledge of Medicare Part D, commercial and Medicaid
• Understanding of HCP office processes, prescription flow and clinic operations
• Data evaluation and trend analysis
• Strong communication and cross-functional influence

What we offer

• Anticipated annualized base pay of $145,000-$210,000, with possible annual bonus and equity awards
• 401(k) with employer match, 12 weeks of paid parental leave, equity incentive plans
• Health, dental, vision, life insurance and disability plans
• Flexible time off, at least 11 paid holidays and a winter holiday shutdown