Associate Director, Access Reimbursement Management- WI/MN/Northern OH

Sage Therapeutics is currently recruiting for an Associate Director Access Reimbursement Management to join their National Access Reimbursement Manager (ARM) team within the Market Access field organization.

Roles and Responsibilities (Essential Functions)

The Associate Director, Access Reimbursement Management will provide education, assistance, and issue resolution to healthcare providers (HCPs) and their office staff in response to patient access challenges for Sage in-line products. Outreach may be telephonic as well as in-person. Stakeholders include HCPs and office staff that are writing prescriptions for in-line Sage products, other healthcare settings utilizing Sage products, Sage Sales colleagues (NAMs and RBDs), Patient Support Coordinators, National Account Directors, and Specialty Pharmacies. In this role, you will be responsible for:

• Equipping HCPs and their staff, through education, to navigate the patient-level payer access requirements and approval process for ZURZUVAETM (zuranolone) CIV within a specified geographic region.

• Demonstrate an advanced understanding of public and private payers and how to research to determine specific coverage barriers and communicate effectively to internal stakeholders and external HCPs regarding education on Medicaid (FFS and Managed Care), commercial plans, PBM designs, policy changes, and formulary status.

• Knowledge of pharmacy benefit reimbursement practices, compliance, billing and coding processes, and utilization management / prior authorization process.

• Confidently reference reimbursement and access materials to educate HCPs on access related questions.

• Embraces Sage’s culture of compliance and ensures that all activities are fully compliant with Sage policies and procedures, applicable laws, regulations, and industry standards, aligning all activities with Our Values, including putting patients and their families first.

• Implementing and supporting the strategic tactical plan for the execution of product access and reimbursement through partnership with internal and external stakeholders.

• Analyzing data and reports to determine potential outreach efforts needed to educate HCPs regarding access related issues with specialty pharmacies and payers.

• Traveling to HCP sites on a limited basis when in person educational efforts are required Understanding of key stakeholders within an HCP office and how to navigate relationships in a manner that anticipates and adapts to customer reimbursement support needs and any market access challenges.

Experience, Education and Specialized Knowledge and Skills

Must thrive working in a fast-paced, innovative environment while remaining flexible, proactive, resourceful, and efficient. Excellent interpersonal skills, ability to develop important relationships with key stakeholders, good conflict management and negotiation skills, and ability to analyze complex issues. Demonstrated ability to analyze complex situations and communicate a path forward in a simple, streamlined manner.

Basic Qualifications:

• Bachelor’s degree required.

•  6+ years experience in payer marketing, patient support programs, or field reimbursement support. This experience must include:

  • Advanced understanding of the healthcare environment specifically around delivering services to Health Care Professionals.

  • Experience with products that utilize specialty pharmacies.

  • Experience with educating health care providers on product access questions and researching coverage for pharmacy benefit products within commercial and government payers.

  • Experience navigating through complex access challenges specific to specialty pharmacy in multiple regions / states.

Preferred Qualifications:

• Ability to communicate effectively payer coverage criteria, payer policy, and prior approval processes.

• Ability to communicate and manage process expectations effectively across internal and external customer bases.

• Ability to manage multiple internal cross functional touch points and effectively prioritize the support of field service requests within a large geographical region.

• Understanding of national and state legislative, Medicare, Medicaid, and private payer and pharmacy coverage initiatives affecting reimbursement of pharmaceutical and biotechnology products.

• Compliance with all Sage corporate policies, internal procedures and training, and applicable laws and industry codes in collaboration with Sage’s Legal, Regulatory, and Compliance

• Results oriented, self-organized and self-starter with a proven track record of results.

• Possess strong critical thinking, problem solving, and analytical skills with high attention to detail.

• Possesses strong written and verbal communication skills.

• Desire to innovate and work in a fast-paced, energetic environment with competing priorities.

• Ability to Travel up to 30% for key meetings.

• Must be located within 50 miles of a major airport in or near the territory.

• Valid driver’s license

• Embrace our core values: Put People First, Improve Lives, Cultivate Curiosity, Do Right, and Forge New Pathways.

• Excitement about the vision and mission of Sage.

Employment Type:Employee

Job ID:R002259

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Equal Opportunity Employer. All qualified applicants will receive consideration for employment without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other factors prohibited by law.

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We value our relationships with professional recruitment firms. To protect the interests of all parties, and given the large volume of inquiries received from third-party placement agencies, we are not able to respond to all agency inquiries. We do not accept unsolicited resumes from any source other than directly from candidates for current or future positions. Submission of unsolicited resumes in advance of a signed agreement between our company and a placement agency does not create an implied obligation and, if an unsolicited candidate represented by a placement agency is hired, we are not obligated to pay a fee. Only approved recruitment firms will be allowed to provide services to Sage Therapeutics, Inc.

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