Cell Therapy Market Access Manager managing access strategies for treatment centers across North Central United States. Collaborating with internal and external teams to improve patient access and market strategies.
Responsibilities
Maintain full accountability for ensuring assigned Cell Therapy treatment centers have a clear understanding of all elements of Market Access, including Government payer policy, local payer dynamics and coverage policy, complex reimbursement, coding & billing dynamics, and all components of the Cell Therapy ordering and distribution process
Work cross functionally within the Cell Therapy Account Management Team, Payer Account Executives, Cell Therapy Patient Operations, Cell Therapy Patient Support Services, Cell Therapy Access Strategy Team, and other matrix teams as needed to ensure Market Access product objectives are met
Support and maintain collaborative relationships with the Cell Therapy customer facing matrix team, in accordance with the approved rules of engagement
Support P&T adoption in activated and newly activated treatment centers
Identify and provide relevant regional marketplace feedback in a timely manner to management on customer business trends, competitive updates and account issues/opportunities
Drive the detailed understanding of complex Cell Therapy site-of-care economics for treatment centers
Effectively drive access pull through within Cell Therapy identified accounts by establishing access account management goals, successfully assisting Cell Therapy Account Managers by ensuring there are no access barriers across both inline and new indications
Establish and maintain effective relationships with key access stakeholders within each assigned Cell Therapy treatment center
Facilitate and drive patient journey within accounts as appropriate and as needed
Ensure access challenges are escalated and triaged accordingly within identified accounts
Contribute to the development and execution of focused business plans that align with the identified access objectives for Cell Therapy accounts
Deliver impactful presentations with external healthcare professionals on access and reimbursement related topics
Meet annual and ongoing performance reviews and competency requirements and assignments.
Significant business travel required, primarily in the assigned geography and occasionally for national meetings and conferences.
Requirements
Bachelor’s degree in Business, Health or Life Sciences, Healthcare Administration, or related field required; advanced degree (MBA, MA Public Health, PharmD, etc.) preferred
1+ years of direct Cell therapy experience strongly preferred
10+ years of overall Pharmaceutical and/or Healthcare industry experience in support of policy, access and reimbursement preferred
5+ years of Oncology, Hematology or other complex, high cost buy and bill therapy reimbursement experience required, including: Coverage, coding, billing and payment Medicare (NCD, IPPS, OPPS, 340B, etc.) Medical policy, managed care coverage processes and practice for inpatient and outpatient settings of care
Local coverage determinations Commercial case rate negotiations Certified Coder or Biller is a plus
Exhibit a high degree of Market Access and Cell Therapy technical expertise within both payer and hospital systems
Thorough knowledge of reimbursement, coding and billing across both inpatient and outpatient settings of care
Thorough understanding of P&T processes across academic and community sites of care
Knowledge of health insurance coverage and reimbursement, inclusive of private Commercial coverage, Medicare, and Medicaid
Knowledge of health economics
Thorough knowledge of the healthcare industry sales and marketing
Thorough understanding of US compliance laws and guidelines
Experience in both Academic and Community settings of care preferred
Demonstrated ability to work successfully in a fast-paced environment with the need to manage constant change.
Proven ability to deal with ambiguity – ready to change gears and plans quickly
Demonstrated ability to build relationships quickly and credibly across internal partners and external customers
Proven organizational skills with ability to problem solve and manage multiple urgent priorities in parallel
Flexible, adaptable, and able to react to changing circumstances and priorities with high level of commitment and professionalism
Demonstrated ability to develop key strategies and execute them; Strong analytical, consulting, and business planning skills
Excellent written and verbal communication skills
Experience working with finances/budgets
Excellent interpersonal skills to effectively work with many diverse customers
Excellent presentation skills to engage and meet the needs of various audiences
Ability to work independently and travel as needed (up to 50%)
Ability to drive a car with a valid driver's license.
Proven success in new product launches
Proficient skillset working with PowerPoint and Excel.
Benefits
Health Coverage: Medical, pharmacy, dental, and vision care.
Wellbeing Support: Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP).
Financial Well-being and Protection: 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support.
Paid Time Off US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees)
Additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
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