Job Information
Sanofi Group Senior Director Field Reimbursement in Springfield, Illinois
About Sanofi General Medicines
Sanofi General Medicines is currently building a strong, experienced, and passionate patient support team to support the launch of Tzield, an innovative therapy for people at risk of developing clinical-stage type 1 diabetes. This is a great opportunity to join a new and growing function and help shape the future of one of the most cutting-edge therapies in the industry today.
Position Summary
The individual in this role will need to demonstrate a deep passion for patients and caregivers with an emphasis on enhancing and optimizing the patient and prescriber experience with our support program offerings. Moreover, since this is a foundational role, this individual will need to quickly establish a team, establish compliant relationships with patients and providers, helping to ensure successful access to the prescribed treatment. Lastly, to be successful in this role, strong and compliant cross-functional collaboration with Sales and other commercial team members is essential
Primary responsibilities include but are not limited to:
Lead national team of Field Reimbursement Managers supporting newly launched Type 1 diabetes therapy, Tzield
Work closely with Patient Services support functions to coordinate activities in support of patient access
Partner with Field Sales and Market Access teams to ensure FRMs are working in close collaboration of matrix partners
Supervise team responsible for
Work closely with patients/caregivers and providers to gain access to therapy
Be the single point of contact for patients, caregivers, and providers in the assigned region
Back-up colleagues and collaborate across patient services team
Successfully and compliantly enroll patients into the program
Perform Benefit Verifications, Prior Authorization follow-up, and Appeal follow-up
Counsel patient/family on reimbursement options and financial assistance options
Manage general inquiries via phone or email
Work with specialty pharmacies and specialty distributors
Coordinate with different sites of care, including infusion centers
Manage the transition from infusion site to in-home infusion therapy as appropriate
Maintain case history for all assigned patients in the CRM system
Troubleshoot and resolve ongoing reimbursement issues (insurance changes, PAs, other)
Record and report Adverse Events and Product Complaints
Manage replacement requests from HCPs
Perform data entry, answer and make outbound calls, utilize email, fax and SMS to correspond with patients and HCPs as appropriate
Proactively communicate specific patient support offerings, utilizing MLR-approved materials
Schedule time with HCPs in the field or over Zoom to educate and/or work through reimbursement challenges
Educate HCPs and staff on product procurement through SP or Buy/Bill, site of care, and billing/coding
Inform HCPs and office staff of approved billing and reimbursement information using MLR-approved items (J-codes, EOBs, co-pay programs, etc.)
Provide HCPs with compliant information and coverage guidance to help address coverage and reimbursement matters
Stay educated about compliance and OIG guidance and policies regarding patient support programs and offerings
Assist with supervisory duties including but not limited to managing escalations, determining coverage when teammates are out of the office, assisting with vendor partner management, and helping with call quality monitoring
Attend patient meetings and represent Sanofi at industry conferences
Travel to national meetings and medical offices as needed
Qualifications
Bachelor’s Degree (general business, health sciences, public policy, or other related degrees) preferred or High School Diploma with relevant years of experience acceptable
Experience with new product launches, especially in rare diseases or specialty
Infusion product and/or specialty product experience (i.e. medical benefit coverage)
5-10 years of prior case management experience or healthcare experience
5-10 years of prior field reimbursement manager experience
3 years or more of team lead or supervisory experience
Reimbursement experience and strong understanding of health insurance and benefits, co-pay assistance programs, Medicare, Medicaid, and private payer policies
Strong listening, verbal, and written communications skills
Detail orientated and highly organized
Ability to multi-task in a fast-paced environment
Patient-centric and service-oriented mindset
Team orientated with proven experience compliantly partnering with commercial sales, market access, and other stakeholders
Bilingual desired, but not required
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
Candidates must complete all fleet safety training and must maintain an acceptable driving record regarding accidents and incidents.
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