Field Reimbursement Manager, Texas
Location: Dallas, TX, US
Are you looking for a patient-focused, innovation-driven company that will inspire you and empower you to shine? Join us as a Field Reimbursement Specialist.
At Takeda, we are transforming the pharmaceutical industry through our R&D-driven market leadership and being a values-led company. To do this, we empower our people to realize their potential through life-changing work. Certified as a Global Top Employer, we offer stimulating careers, encourage innovation, and strive for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our global teams are united by an unwavering commitment to deliver Better Health and a Brighter Futureto people around the world.
Here, you will be a vital contributor to our inspiring, bold mission.
The purpose of the Field Reimbursement Specialist (FRS) role is to navigate through reimbursement barriers for patients and providers, and therefore, optimize access to Takeda specialty products for the appropriate patients.
The FRS will provide proactive field-based reimbursement education to key accounts including, but not limited to, infusion clinics, PGP practices, academic institutions, hospitals and specialty pharmacies as appropriate based on Takeda’s expanding portfolio needs. They will also identify and resolve reimbursement issues.
FRS will play a significant role in strategy development and execution in preparation or response to marketplace changes.
FRS will also provide education and guidance to the Specialty field staff in understanding and addressing reimbursement and access challenges.
Develop relationships with patient access stakeholders including office management, institution administrators, billing and coding staff, nurses, and other individuals to deliver information that facilitates patient access to and appropriate reimbursement of Takeda products
Navigate specialty product access and reimbursement landscape at a Regional, Customer and Patient level to optimize access appropriately for Takeda specialty products.
Reaction based activities would include case-specific issues at an account and patient level, Regional changes in access requirements and processes and education of account changes to the Specialty Sales force and Managed Markets teams
Develop and execute local market-based initiatives that will educate access stakeholders within key accounts on the value and process of Takeda’s reimbursement, support and education services
Be responsible for understanding and upholding Takeda Legal and Compliance guidance at a customer and field leadership level in terms of access, cost and reimbursement related issues.
Reactively and appropriately respond to patient case issues at the account level and support the use of HUB services to resolve current and future problems.
Be able to build professional relationships while navigating sensitive conversations related to access, cost and reimbursement in a manner that supports the vision of Takeda’s partnership and commitment to the specialty community.
Partner with Managed Markets and Sales to lead local level access strategies. Develop plans for communicating payer criteria, PA terms and updates from RAM/NAM teams to accounts, Sales and the HUB. Additionally, inform the strategy by communicating payer intelligence gained from accounts with key stakeholders (RAM/NAM, Sales, HUB).
Lead account training with key stakeholders on the use of Takeda’s reimbursement and support services, including but not limited to HUB services.
Proactively educate specialty sales team on key reimbursement updates as well as provide guidance on how to appropriately address account reimbursement concerns.
Develop in-service training plans for specialty sales in collaboration with sales training.
Manage daily activities that are aligned to area level business plans aimed at navigation of access and reimbursement for the specialty portfolio. This would include, but is not limited to, targeting, frequency strategy, resource allocation and communication plan with cross-functional teams.
Conduct regular account review meetings that provide activity and trend analysis for use of HUB services and overall Takeda specialty product use.
Identify, communicate and resolve reimbursement concerns, specialty pharmacy and other issues with appropriate internal stakeholders, including Sales, Government Affairs, Marketing, Managed Markets and Specialty Channel NAM(s).
Education, Behavioural Competencies and Skills:
Minimum 3 years relevant experience including similar reimbursement roles within pharmaceutical or biotech or account based reimbursement management.
Excellent working knowledge of evolving reimbursement landscape and the practice management environment
Demonstrated willingness to collaborate and partner with internal colleagues
Demonstrated knowledge of the complex regulatory environment
Demonstrated excellence in written and verbal communication skills
Demonstrated excellence in account management, relationship development and account penetration
Outstanding interpersonal skills and flexibility to meet customer demands
MBA or advanced degree
Strong base in healthcare policy, reimbursement, market access, or similar industry is preferred.
Experience with infusible buy & bill products in Immunology and/or gastroenterology
Complex reimbursement experience
Valid driver's license
Anticipate extent of travel up to 75%
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