Proactive Office Support Throughout FILSPARI Onboarding Process:
Access & Reimbursement Manager (ARM), serves as the key contact responsible for patient access and reimbursement in an assigned geography that provides appropriate support to providers and professional staff.
Cultivate the highest level of expertise in the FILSPARI onboarding process, from Patient Start Form (PSF) submission through REMS enrollment to reimbursement.
Walk offices through what to expect from the FILSPARI onboarding process, either when a new PSF comes in or when an opportunity for re-education is identified.
Educate physicians and physician practices on the full FILSPARI onboarding process, including how to complete the PSF, how to enroll patients and physicians in REMS, requirements for prior authorization approvals, appeal approvals, and specific medical policy steps to obtain reimbursement.
Closely monitor cases as they progress through the onboarding process.
Escalated Support for Specific Cases:
Proactively identify and solve complex patient access issues by working across the Hub, HCP offices and communicating with field team. Educate physicians (in-person or virtual) on escalated reimbursement issues.
Assist physicians and office staff when PSFs or REMS enrollment forms are submitted with information missing; coordinate with Hub and REMS Administrator partners to be able to clearly explain to the office what information is missing.
Assist physicians and office staff in resolving access issues (prior authorization, appeals, denials, letters of medical necessity, REMS), and help ensure appropriate education to avoid future reimbursement hurdles.
Effectively partner with reimbursement stakeholders (specialty pharmacy, sales team, HCP office, REMS administrator, etc.) to communicate challenges, identify solutions, and ensure the patient is progressing through the reimbursement process.
Understand specifics and support questions associated with PSF submission, REMS enrollment, payer policies (e.g., PAs process and denial, and appeals), patient reimbursement (e.g., Co-pay, PAP), reimbursement issues & opportunities (as needed).
Sales Force Communication / Partnership:
Proactively seek out timely and regular updates on case statuses, leveraging network of reimbursement stakeholders.
Periodically ride with and educate sales force on complexities surrounding the pharmaceutical reimbursement process. Maintain a level of expertise on specific payors and the requirements for claim approvals.
Log calls and notes within standardized platform daily, to provide clear and concise updates that drive toward action and emphasize next steps and owners (based on standardized template).
Lead weekly case status update meetings with sales force and sales leadership in a way that demonstrates confidence and prepare
Benefits
Health insuranceVision insuranceRemote work options
Additional Information
Department:
104075 Global Market Access & HEOR
Location:
California - Remote
Be a part of a global team that is inspired to make a difference in the lives of people living with rare disease.
At Travere Therapeutics, we recognize that our exceptional employees are vital to our success. We are a dedicated team focused on meeting the unique needs of rare patients. Our work is rewarding - both professionally and personally - because we are making a difference. We are passionate about what we do.
We are seeking talented individuals who will thrive in our collaborative, diverse, fast-paced environment and share in our mission - to identify, develop and deliver life-changing therapies to people living with rare disease. We stick by our values centered on patients, courage, community, and collaboration to pursue our vision of becoming a leading biopharmaceutical company dedicated to the delivery of innovation and hope to patients in the global rare disease community.
At Travere Therapeutics, we are in rare for life. We continue to courageously forge new paths as we move toward a common goal of elevating science and service for rare patients .
Position Summary:
The Access & Reimbursement Manager (ARM) will be a subject matter expert on access & reimbursement for FILSPARI (Sparsentan), working remotely within their assigned geography to provide education and case-specific support to internal and external stakeholders including but not limited to health care providers (HCPs) and sales force within their assigned region. The Access & Reimbursement Manager must have extensive expertise in navigating insurance and access related barriers and will be a highly collaborative individual who proactively manages multiple priorities in a fast-paced environment (e.g., fielding daily questions from sales team, working with Hub, specialty pharmacy partners, and office contacts to move patients through the reimbursement process, accurately updating daily reports). Preference will be given to candidates residing in or near the Inland Empire vicinity; however, candidates living anywhere within the territory will be considered.
Travere · CA