At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference.If this is your profile, we want to hear from you.
Job Summary
The Senior Manager, Access and Reimbursement will appropriately inform, support and manage regional customers' needs with respect to Eisai's access and reimbursement programs in support of patient access to prescribed therapies (examples: patient assistance, reimbursement support, distribution and coverage policies). The Senior Manager, Access and Reimbursement is a customer-facing resource that is focused on the access and reimbursement process at the field level. In the event of an access or reimbursement issue, this role will quickly identify, triage, and elevate the situation to appropriate internal or external Eisai partners and manage the communication until appropriate resolution. This role will have a keen understanding of payer coverage issues/opportunities at the customer and regional level, as well as develop and implement appropriate and compliant strategies that increase access to Eisai's portfolio of products.
As a subject matter expert in access and reimbursement, this role will consistently and expeditiously communicate current and pertinent field access or when applicable, reimbursement information to regional and corporate partners, including customer feedback, payer coverage (medical/pharmacy benefit), and access to product procurement. This role will also appropriately and compliantly create and deliver high-level training programs to the sales force regarding general information on patient access issues, Eisai patient support programs, and appropriate guardrails to maintain separation between the sales force and the ARM team. This role will also educate physicians, office administrators, case managers, financial counselors, hospital CFOs, medical directors, billing personnel, and pharmacists in clinics and hospitals, as appropriate, on matters related to patient access to Eisai products.
Due to the leadership and access expertise, the Senior Manager, Access and Reimbursement is viewed by colleagues and customers as a valuable resource in support of patient access to prescribed Eisai medication.
Key Internal Customers: Market Access, Marketing Teams, Government Relations, Legal and Compliance
Key External Customers: Health Care Professionals and stakeholders responsible for patient coverage and access. These stakeholders are, but not limited to the following: Practice Mangers, Financial Counselors, Pharmacy Managers/Directors, Business Administrators, State Societies, and DME/MAC personnel.
Essential Functions
Act as the regional point of contact for customers with patient access and reimbursement needs. Proactively meet with personnel (e.g., office administrators' financial counselors, pharmacy stakeholders, and HCPs) in regional accounts. Provide education on Eisai's patient access and when applicable, reimbursement support. This includes patient support services, distribution for Eisai products and reimbursement support. Possess expertise in payer policies across the continuum and educate providers' office staff, as appropriate.
Work closely with customers to understand challenges in the patient access process. Based on patient access needs, provide information about appropriate services from the Eisai Assistance Program. In the event a patient access barrier or reimbursement issue is unable to be immediately resolved, effectively triage and elevate to appropriate internal Eisai personnel or external hub vendor for additional action.
Develop strategies to address access and reimbursement needs across a region. Identify payer trends and take initiative around developing, coordinating, and executing plans to create and maintain treatment access for patients. Analyze data to provide specific actionable steps to facilitate patient access to Eisai's portfolio. Provide publicly available payer updates to pertinent HCP personnel.
Communicate field insights to Market Access teams. Work within matrix organizational structure to collaborate across Market Access, Legal, and other functional teams, to develop and implement program solutions for both new and in-line products. Present compliant patient services updates to executive stakeholders quarterly, and Marketing/Brand, as necessary and appropriate.
Consistently demonstrate uncompromised integrity while working cross-functionally and collaboratively with internal and external stakeholders. Strong understanding of legal and regulatory parameters... For full info follow application link.
Eisai is committed to a policy of equal employment opportunity for all employees and applicants. The Company also strives for a work environment free from discrimination and harassment. It is Eisai’s policy to comply with all applicable federal, state and local laws and regulations regarding nondiscrimination in employment and not to discriminate against any employee or applicant for employment on the basis of any protected status, including, but not limited to, race, color, national origin, religion, sex, age, disability, pregnancy, ancestry, creed, alienage or citizenship status, sexual orientation, gender identity and expression, marital status, military/veteran status, genetic information, or any other protected characteristic as established by law. Eisai is an Equal Opportunity Employer – Minority / Female / Disability / Vet
