Field Reimbursement Manager - South Central, USA (TX, OK, LA, MO, AR, MS)

Job Description Summary

Now as an independently listed company, Sandoz aims to increase its strategic focus, operate with greater agility, set clearer business objectives, enhance shareholder returns, and strengthen its culture for us, the Sandoz associates. This is an exciting time in our history, and by creating a new and ambitious path, it will provide a unique opportunity for us all, both professionally and personally.

Join us as a Founder of our ‘new’ Sandoz!

 

Job Description

As the Field Reimbursement Manager (FRM), you will facilitate the patient journey through Sandoz’ Patient Support Services, to educate and address reimbursement and patient access processes, and to help Healthcare Provider offices understand how Sandoz Patient Support Programs (PSP) assist patients. FRMs support Sandoz biosimilar products in Neurology (MS); Endocrinology; Oncology; Immunology (Rheum; Derm; Gastro) and Ophthalmology (Retina).

This position is Remote Field Based (Non-Sales) covering South Central, USA (TX, OK, LA, MO, AR, MS). The Sandoz FRM is a Field Based role that requires minimum 50% travel. This is a remote role, and qualified candidates must reside within the workable geography (TX; OK; LA; MO; AR; MS) to cover their assigned accounts.

Major accountabilities will include, but not limited to:

The FRM manages daily activities to support patient access to Sandoz products and services in healthcare provider offices including:

• Demonstrate deep knowledge in reimbursement and access across Sandoz products. 
• Sandoz Patient Support Programs (HUB) offerings and how they support the patient journey for both Medical Benefit and Pharmacy Benefit products.
• Educate physician office staff on the appropriate use of the patient assistance programs and call center support services, including web-based provider programs
• Link with sales representatives (if applicable), patient support programs, and national/regional payer account managers to call out and resolve local payer issues.
• Ability to condense sophisticated issues into simple solutions by working with peers and internal collaborators to improve the patient experience.
• Educate providers and office staff on prior authorization requirements, product coverage status, and payer appeals requirements, processes and timelines for both Medical Benefit and Pharmacy Benefit products.
• Serve on internal advisory teams to provide patient insights that will lead to solutions approved by Sandoz review committee.
• Provide live one-on-one support training on patient support programs to providers & staff, offices, IDNs, hospitals, and infusion centers for the Sandoz Biosimilars business unit portfolio.

What you'll bring to the role:
 

Education:

• Minimum of a bachelor's degree is required

Work Experience:

• Minimum of 5 years proven experience in public and private third-party Reimbursement arena or pharmaceutical industry in managed care, clinical support, patient services or sales.
• Minimum of 5 years demonstrated ability with coding & billing and in office support programs for medical benefit products.  Understanding of the Specialty Pharmacy patient journey for Rx products.
• Establishing relationships within a practice by working closely with them to help remove reimbursement barriers to specialty products for their patients
• Ability to collaborate with matrix partners including multiple sales representatives, sales leadership, Key Account Managers; Payer Account Managers and internal colleagues to reach common goals
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in both Medicare Part B (Medical Benefit) & Medicare Part D (Pharmacy Benefit design and coverage policy)
• Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems, and Infusion Centers.

Desirable Requirements:

• Excellent presentation skills
• Ability to handle expenses within allocated budgets
• Good driving record
• Skilled in PowerPoint, Excel, Word, CRM (Salesforce.com)
• Understanding of patient privacy laws including HIPAA and similar state laws

Sandoz offers a generous employee benefits package that includes a competitive salary, health insurance coverage for medical, prescription drugs, dental and vision, a generous company match for retirement savings accounts, and generous paid time off. 

The pay range for this position at commencement of employment is expected to be between $144,000 and $216,000/year; however, while salary ranges are effective from 1/1/24 through 12/31/24, fluctuations in the job market may necessitate adjustments to pay ranges during this period.  Further, final pay determinations will depend on various factors, including, but not limited to geographical location, experience level, knowledge, skills and abilities. The total compensation package for this position may also include other elements, including a sign-on bonus, restricted stock units, and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

On September 30, 2021, Sandoz entered into a 5-year Corporate Integrity Agreement. Certain positions will have responsibilities to support the execution and adherence to CIA obligations, CIA-related deliverables, and any relevant audit, monitoring or Independent Review Organization (IRO) remediation.

Sandoz - Notice at Collection to Employees Applicants 4.15.24[16].pdf

Why Sandoz?

Generic and Biosimilar medicines are the backbone of the global medicines industry. Sandoz, a leader in this sector, touched the lives of almost 500 million patients last year and while we are proud of this achievement, we have an ambition to do more!

With investments in new development capabilities, state-of-the-art production sites, new acquisitions, and partnerships, we have the opportunity to shape the future of Sandoz and help more patients gain access to low-cost, high-quality medicines, sustainably.

Our momentum and entrepreneurial spirit are powered by an open, collaborative culture driven by our talented and ambitious colleagues, who, in return for applying their skills experience an agile and collegiate environment with impactful, flexible-hybrid careers, where diversity is welcomed and where personal growth is encouraged! 

The future is ours to shape!

Join our Sandoz Network: If this role is not suitable to your experience or career goals but you wish to stay connected to hear more about Sandoz and our career opportunities, join the Network here:  https://talentnetwork.novartis.com/sandoztalentpool

Sandoz EEO Statement:
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Sandoz Reasonable Accommodations Statement:
Sandoz, Inc. is committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or to perform the essential functions of a position, please send an email to reasonable.accommodations@sandoz.com or call 1-609-422-4098 and let us know the nature of your request and your contact information. Please include the job requisition number in your message.

#Sandoz

 

EEO Statement:

The Novartis Group of Companies are Equal Opportunity Employers who are focused on building and advancing a culture of inclusion that values and celebrates individual differences, uniqueness, backgrounds and perspectives. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. We are committed to fostering a diverse and inclusive workplace that reflects the world around us and connects us to the patients, customers and communities we serve.

 

Accessibility and reasonable accommodations

The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or to perform the essential functions of a position, please send an e-mail to us.reasonableaccommodations@novartis.com or call +1(877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message.

 

Salary Range

$144,000.00 - $216,000.00

 

Skills Desired

Accountability, Account Management, Commercial Excellence, Competitive Intelligence, Compliance, Crm (Customer Relationship Management), Customer Engagement, Ethics, Healthcare Sector, Market Development, Problem Solving Skills, Process Knowledge, Revenue Growth, Selling Skills, Team Collaboration, Value Propositions