National Director, Access and Reimbursement

Company: Disability Solutions
Location: Raleigh
Posted on: April 19, 2024

Job Description:

*** Position can be based anywhere in US ***Who We Are: Harvesting Hope with a Growing FamilyAt Merz Therapeutics, we take a nurturing approach to our organization - treating colleagues like family, embracing our whole selves and creating a company culture that encourages growth and decisive action. We are committed to caring for whole communities by focusing on individuals suffering from movement disorders and neurological conditions and the healthcare providers dedicated to helping them, while simultaneously bolstering our team members in a united effort to make a difference.As a private, family-owned company, we have the liberty and support to make decisions for ourselves, our customers and the patients we serve. We pride ourselves on building an inclusive culture where there is room to celebrate individual growth and the ability to contribute to a common good as a collaborative team. Our mission is grounded in a long-term view of making a difference for the common good, while growing together as a family.If you're looking to immerse yourself in a passionate team rooted in community, connection and camaraderie, then we're looking for YOU! #IAmMerzTxAre you ready to galvanize a team around a culture of care, putting patients first to spark change?The National Director will recruit, lead, coach and manage the Reimbursement Access Managers. This team is responsible for ensuring optimal provider and patient access, effective pull-through of reimbursement services and program support along with patient affordability programs as it relates to Merz Therapeutics product portfolio.They will have demonstrated individual success in reimbursement expertise, including interpretation of coverage, coding and payment policies in order to lead a high-performance RAM team with a national footprint. Other areas of focus will include but not be limited to:

• Provide leadership oversight and management of vendor relationships across HUB services and ensuring compliant implementation of patient affordability programs while monitoring program goals and key performance indicators.
• Establish analytic rigor to the patient support services channel and assist the commercial business in driving data driven decisions based on vendor reporting and performance metric dashboards.
• Engage with external access/reimbursement experts within industry to continually gain insights of emerging opportunities that will drive innovation and program enhancements to optimize customer service and patient access to therapies.
• Build and develop productive working relationships with field based business partners and internal cross-functional stakeholders such as marketing, finance, legal and compliance.Major dutiesDescriptionLeadership of RAM TeamStrategically coach RAMs to ensure they are delivering information that facilitates patient access to and appropriate reimbursement of Merz products. Monitor RAM adoption of HUB services and patient support programs at the practice level to support patient compliance to therapy. Identify areas of training to continue to elevate individual and team business acumen and competency within the access and reimbursement landscape. Train to a skill set that facilitates a "lead from behind" mentality in workingclosely with TBM counterparts to maximize efforts with customers. Hold team accountable to Merz values and operating norms.Marketing CollaborationProvide insight in the development of the marketing tools and resources necessary to support the RAM team discussions with practices to ensure they are aware of our HUB services, patient affordability programs, product access levels across payer channels, enhanced product access within specific markets including support of practice and patient portals in tangent with external vendors.Vendor ManagementOversight of daily operations of all reimbursement HUB programs and patient affordability programs ensuring appropriate service levels to all customers. Propose solutions and recommendations for improvements. Communicate regularly with marketing, finance and sales management so all opportunities/issues are addressed in a timely manner. Perform site visits to regularly review vendor activity and performance metrics, call center activity and to optimize relationships with vendors.Field Sales CollaborationEstablish expectations for working in close collaboration with Regional Sales Directors to facilitate ongoing feedback of RAM team performance in support of aligned customers across TBMs and KADs. Monthly communication to support efficient use of RAM time, customer routing, local market access challenges and opportunities to support field sales to a greater level.Current CMS TrendsMonitor Centers for Medicare and Medicaid Services (CMS) reimbursement policiesand keep abreast of trends in reimbursement and health policy that affect Merz' products and the markets in which they compete.MBO ReportingEstablish measurable performance parameters and monitor individual RAM activity against those key metrics. Responsible for quarterly reporting of MBO performance ofteam requiring documentation, scoring and individual RAM conversations to support payout levels.Training & DevelopmentEnsure team is trained to fully support all reimbursement and patient/payer support programs offered by Merz and that customers view these programs as the best in class. Lead content and facilitation of training during the Midyear and National sales meetings. Work closely with VP, Market Access and Sales Training to provide relevant workshopsto ensure the RAMs are seen as the most knowledgeable team in industry as it pertains to Merz defined therapeutic areas.Internal Business Partner CollaborationHigh touch points with Commercial Analytics, Finance, Compliance and Legal are required to ensure appropriate oversight of revenue management, Veeva reporting, appropriate use of programs and resources and compliant interaction of the RAM team with customers.Payer LandscapeRequire RAM team to have optimal knowledge of coverage landscape as defined by customer base within aligned geography. Work closely with National Account Director team to stay current with changes and/or hurdles that could impact access to productportfolio. Support local market diagnostics of NAD team when developing category management strategies.Education- Bachelor's degree or relevant work experiencePreferredProfessional experience- Minimum of 5 -7 years in managing a high-performance team combined with experience in billing, coding, practice management, and/or pharmaceutical reimbursement support.RequiredKnowledge, skills and abilities (incl. languages)- Demonstrated ability to build organizational capability and deep experience developing andmanaging manufacturer HUB operations or specialty drug patient services/call center.Required- Excellent collaboration skills, critical thinking, and a high level of competence in product reimbursement (coverage, coding and payment) for pharmaceutical products (including specialty pharmaceuticals), patient confidentiality and product access requirements.Required- Successful leadership, project management, and presentation skills, including proven ability to manage through a "highly matrix" environment.Required- Proactive, results oriented, self-starter with demonstrated proven experience in a reimbursement environment.Required- Ability to interpret and integrate business strategies into actionable patient access initiatives.RequiredDon't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Merz Therapeutics we are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.Recruitment Note: Merz Therapeutics only sends emails from verified "merz.com" addresses and never asks for sensitive, personal information or money. If you have any doubts about the authenticity of any type of communication from, or on behalf of Merz Therapeutics, please contact Therapeutics.HR@merz.com

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