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Associate Director, Specialty Access & Reimbursement - Southern California

Job Description

Job Overview:

The Access and Reimbursement Manager (ARM) plays a pivotal role in securing and maintaining patient access to Biogen MS therapies by engaging with Key Neurology Accounts and TOUCH Authorized Infusion Providers. This role demands expertise in reimbursement and payer access, coupled with a deep understanding of local marketplace dynamics. The ARM collaborates across all levels of healthcare providers and systems, driving innovative strategies to optimize patient access and enhance outcomes. Responsibilities include implementation of patient access strategy, site of care management, and resolving complex reimbursement issues. The ARM serves as a key liaison between internal teams and external stakeholders, ensuring alignment and execution of tactical plans.

This territory covers: Southern California (coverage area greater Los Angeles / greater San Diego) 

Principal Responsibilities:

Neurology Account Engagement:

  • Develop business plans for Priority Accounts in collaboration with matrix team.
  • Conduct Biogen Portfolio Overviews to enhance revenue optimization and improve provider and patient satisfaction.
  • Deliver provider education through ARM-led and Peer to Peer programming.

Infusion Site Management:

  • Develop regional infusion site strategy and oversee its implementation.
  • Ensure compliance with REMS program, medical and site of care policies, including REMS certification.
  • Provide education and support on billing/coding, coverage/payment, and clinical aspects of MS therapies.
  • ARMs support Biogen’s infused monoclonal antibody, Tysabri, which can be procured via buy and bill. Buy and Bill experience is a plus

Patient Access & Provider Reimbursement:

  • Navigate patient services escalations and resolve complex reimbursement issues.
  • Initiate and maintain patient access to Biogen therapies across the MS portfolio.

Cross-functional Leadership & Collaboration:

  • Analyze business trends and opportunities as part of the Regional Director Leadership Team.
  • Lead regional initiatives related to patient access and collaborate with local field teams and patient services.
  • Provide ongoing education on services, solutions, and access across the matrix team.

Who You Are:

The ideal candidate is a detail oriented and analytical with exceptional interpersonal and presentation skills, adept at navigating complex, matrixed environments with ease. They excel in strategic business planning, leveraging their strong written and verbal communication abilities to drive impactful results and foster organizational success.

Qualifications

  • Minimum 5-7+ years of pharmaceutical/biotech experience
  • Track record in field reimbursement, clinical education, or pharmaceutical sales/management
  • Experience navigating complex accounts
  • Strong presentation and communication skills
  • Knowledge of Managed Care and patient privacy laws
  • Valid driver’s license
  • BS/BA required, MBA preferred
  • Candidates must live within the assigned territory- Southern California

Key Competencies:

  • Customer Focused: Prioritizes patient, payer, and physician needs, fostering strategic relationships.
  • Problem Solving: Demonstrates creative problem-solving abilities and innovative thinking.
  • Manages Complexity through Collaboration: Integrates complex information and maintains connections with stakeholders.
  • Healthcare and Reimbursement Business Acumen: Stays updated on healthcare policy, payers, and market trends.
  • Engaging Others Through Effective Communication: Delivers persuasive presentations and builds effective relationships.
  • Impact and Influence: Executes influence strategies to advance shared business goals.

Additional:

The ARM will be field based and require significant travel that may extend from 40-80% depending on the territory geography, customer requirements, meetings and required training.

The ARM must demonstrate a long-term track record of adherence to Corporate Compliance Policies.

Additional Information

The base compensation range for this role is $164k to $246k. Base salary is determined by a combination of factors including, but not limited to, job related years of relevant experience, internal equity, and location of the job. Additionally, this role is eligible for participation in Biogen’s LTI grants and other incentive programs. Biogen offers a full range of benefits that include medical, dental, life, long and short-term disability insurances, vacation, end-of-year shutdown, and 401K participation and matching contributions.

Why Biogen?

We are a global team with a commitment to excellence, and a pioneering spirit. As a mid-sized biotechnology company, we provide the stability and resources of a well-established business while fostering an environment where individual contributions make a significant impact. Our team encompasses some of the most talented and passionate achievers who have unparalleled opportunities for learning, growth, and expanding their skills. Above all, we work together to deliver life-changing medicines, with every role playing a vital part in our mission. Caring Deeply. Achieving Excellence. Changing Lives.

At Biogen, we are committed to building on our culture of inclusion and belonging that reflects the communities where we operate and the patients we serve. We know that diverse backgrounds, cultures, and perspectives make us a stronger and more innovative company, and we are focused on building teams where every employee feels empowered and inspired. Read on to learn more about our DE&I efforts.

All qualified applicants will receive consideration for employment without regard to sex, gender identity or expression, sexual orientation, marital status, race, color, national origin, ancestry, ethnicity, religion, age, veteran status, disability, genetic information or any other basis protected by federal, state or local law. Biogen is an E-Verify Employer in the United States.

 

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Average salary estimate

$205000 / YEARLY (est.)
min
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$164000K
$246000K

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What You Should Know About Associate Director, Specialty Access & Reimbursement - Southern California, Biogen

Join Biogen as an Associate Director of Specialty Access & Reimbursement in Southern California, where your skills can make a real difference! In this dynamic role, you'll be at the forefront of securing access to life-changing MS therapies, teaming up with Key Neurology Accounts and TOUCH Authorized Infusion Providers. Your expertise in reimbursement and payer access, alongside a keen understanding of the local market, will empower you to craft innovative strategies for optimizing patient access. Collaborating with healthcare providers, you will manage site of care implementations, resolve complex reimbursement issues, and ensure that patients receive the support they need. With responsibilities ranging from developing business plans for Priority Accounts to leading regional infusion site strategies, each day presents new challenges and opportunities. You’ll play a vital role in educating providers through presentations and programming while navigating escalations in patient services. If you're detail-oriented, possess strong communication skills, and thrive in complex environments, this could be the perfect opportunity for you. Join us in fostering strategic relationships, contributing to the business's success, and ultimately changing lives through the power of access and reimbursement at Biogen!

Frequently Asked Questions (FAQs) for Associate Director, Specialty Access & Reimbursement - Southern California Role at Biogen
What are the main responsibilities of an Associate Director, Specialty Access & Reimbursement at Biogen?

As an Associate Director, Specialty Access & Reimbursement at Biogen, you will be tasked with developing business plans for key accounts, managing infusion site strategies, and resolving reimbursement issues for patients. Your role also includes providing education on billing and coding related to Biogen’s therapies while ensuring compliance with established medical policies.

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What qualifications are necessary for the Associate Director, Specialty Access & Reimbursement position at Biogen?

To qualify for the Associate Director, Specialty Access & Reimbursement role at Biogen, candidates should have 5-7 years of experience in pharmaceutical or biotech fields, ideally with a background in reimbursement or clinical education. A Bachelor’s degree is required, and an MBA is preferred. Strong communication skills and knowledge of managed care laws are also essential.

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What does the travel requirement look like for the Associate Director, Specialty Access & Reimbursement role at Biogen?

In the Associate Director, Specialty Access & Reimbursement position at Biogen, significant travel is expected, ranging from 40-80%. This travel is essential for meeting with healthcare providers and managing accounts across Southern California, including the greater Los Angeles and San Diego areas.

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How does the Associate Director, Specialty Access & Reimbursement contribute to patient access at Biogen?

The Associate Director, Specialty Access & Reimbursement at Biogen plays a crucial role in ensuring patient access to therapies by initiating and maintaining coverage, resolving reimbursement challenges, and driving provider education. Your efforts will directly impact the overall accessibility of Biogen's MS therapies for patients in Southern California.

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What skills are necessary for success as an Associate Director, Specialty Access & Reimbursement at Biogen?

Success as an Associate Director, Specialty Access & Reimbursement at Biogen requires exceptional interpersonal and communication skills, strategic problem-solving abilities, and a deep understanding of healthcare policies and market trends. Being detail-oriented and analytical is also crucial to navigate the complex reimbursement landscape effectively.

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Common Interview Questions for Associate Director, Specialty Access & Reimbursement - Southern California
Can you describe your experience with reimbursement processes in the pharmaceutical industry?

In answering this question, highlight specific experiences you've had with reimbursement processes, including any challenges you've faced and how you successfully navigated them. Mention your familiarity with payer policies, coding, and billing as they pertain to MS therapies, showcasing your ability to resolve complex reimbursement issues.

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How do you approach building relationships with key accounts and healthcare providers?

For this question, provide examples of your networking strategies, including how you identify key stakeholders and engage them in meaningful conversations. Discuss your communication style and efforts to understand their needs, ensuring you convey your customer-focused approach.

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What strategies might you implement to enhance patient access to Biogen's therapies?

Demonstrate your strategic thinking by outlining specific initiatives you've previously employed or could consider in the role. Discuss analyzing data trends, collaborating with local field teams, or providing education to providers to enhance access and improve patient outcomes.

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How do you stay updated on changes in healthcare policy and reimbursement trends?

Express your commitment to professional development through active participation in industry seminars, subscriptions to relevant publications, and networking with peers. Highlight how continuous learning enables you to adapt strategies in real-time for effective patient access management.

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Describe a time when you overcame a significant challenge in your career.

Choose a specific instance that demonstrates your problem-solving skills and resilience. Discuss the challenge, the steps you took to address it, and the positive outcome, emphasizing your analytical skills and strategic collaboration in navigating complex situations.

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What role does compliance play in the Associate Director, Specialty Access & Reimbursement position?

Explain that compliance is critical in all aspects of pharmaceutical sales and access roles. Highlight your understanding of regulations surrounding patient privacy, billing practices, and the importance of adhering to corporate compliance policies to protect both the company and patients.

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How would you tailor your educational programs for providers to ensure effectiveness?

Share your approach to designing educational content that meets provider needs and adapts to various learning styles. Discuss utilizing feedback loops with providers to enhance program effectiveness and the significance of clear communication regarding the benefits of Biogen’s therapies.

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What metrics would you use to evaluate the success of your access and reimbursement strategies?

Identify relevant metrics such as patient access rates, reimbursement resolution times, and provider satisfaction scores. Explain that analyzing these metrics can help you assess the efficacy of your strategies and initiate opportunities for improvement.

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Can you discuss your experience with infusion site management?

Provide insights into your previous roles where you managed infusion sites, focusing on strategy development and implementation processes. Mention how you ensured compliance and effectively communicated with providers and patients throughout the management.

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How do you handle conflicts or disagreements with internal teams or external stakeholders?

Explain your conflict resolution approach, emphasizing active listening, empathy, and finding common ground. Share specific examples where you implemented these techniques to foster collaboration and achieve successful outcomes.

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DATE POSTED
December 4, 2024

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