Reimbursement & Access Policy Manager (West US)

Location of role Remote, Western US

Key Responsibilities MAIN PURPOSE OF JOB

The Reimbursement & Access Policy Manager will be responsible to be subject-matter expert on reimbursement, access and coverage issues affecting product(s) by ensuring access to care for appropriate patients within a defined geography or customer list. This includes identifying and removing reimbursement barriers within sites of care through engagement with payers, health care providers and their staff, and patient support service program.

Key Responsibilities

• Serve as primary field-based lead for education, assistance, and appropriate issue resolution with office staff with respect to reimbursement for Company products.
• Invest appropriate time necessary with customers to assess their education needs and facilitate collaboration.
• Educate the health care provider’s office staff on published payer approval processes, identify access barriers, and highlight support available to increase access to Company products.
• Educate the office staff and field peers on patient support program and its benefits.
• Serve as liaison to patient support program case managers to assist with patient site of care transitions and active reimbursement-related access issues.
• Consistent with company policy, monitor, analyze, and triage situations which may adversely impact patient access to therapy.
• Serve as subject matter expert for internal team members and external office staff regarding treatment guidelines, policy changes, formulary status and the impact of healthcare reform on coverage.
• Educate peers about various elements of Market Access, including reimbursement, medical coverage policies and medical benefit design.
• Execute managed market initiatives to a high level of achievement.
• Demonstrate knowledge and leadership to liaise with internal stakeholders (including cross functional teams such as Marketing, Operations, Trade and Sales Leadership teams) and develop/execute the strategy/tactics that ensure optimal product access.
• Thoroughly understand how payer policy decisions are made.
• Effectively utilize CRM system to maintain a data repository of all key account profiles keeping the life cycle of account management updated.
• Communicate effectively with the commercial team on relevant market trends.
• Operate in full compliance with company policies, local codes of conduct and ethics, corporate governance and applicable law.
• Implement business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.
  
  

Experience & Knowledge

• 7+ years of demonstrated experience and proven success in biotech/pharmaceutical industry.
• 5+ years of demonstrated experience of successful track record focused on provider reimbursement-related matters.
• Relevant Oncology and Rare Disease/Orphan Drug experience with buy and bill product(s).
• Proven credibility in gaining access to key decision makers and influencers.
• Field sales management experience preferred.
• Successful experience in product launches and execution of launch strategies/tactical plans.
• Strong financial background and analytical skills.
• Relevant experience in revenue cycle, buy-and-bill, formulary, prior authorization, coding, and appeals processes of which three years are in specialty disease state(s).
• Excellent technical knowledge and expertise in payer policy (Medicaid, Medicare, Private Payer), including all elements of reimbursement (coding, coverage and payment).
  
  

Education & Qualifications

• Bachelor’s degree – BA/BS required
• Home office-based with average of 20% travel
• Candidates must live in close proximity to a major airport
• Valid US Driver's License
• Must be able to fly and/or drive to see target customers
• Additional travel to meetings/trainings/programs, as necessary
  
  

Annual salary range:

This position is eligible for standard Company benefits, including medical, dental, vision, time off and 401k, as well as participating in Immunocore's annual incentive plans. Incentive plans are contingent on achievement of personal and company performance. Actual compensation may vary from posted hiring range based upon geographic location, work experience, education, and/or skill level.

$155,000 - $202,000

About the Company Immunocore (NASDAQ: IMCR) is a pioneering, commercial-stage T cell receptor biotechnology company whose purpose is to develop and commercialize a new generation of transformative medicines which address unmet patient needs in oncology, infectious diseases and autoimmune disease. Our leaders in R&D are internationally recognised as some of the biotech industry’s most successful drug developers. We are creating not just an environment where great minds can interact but an innovation powerhouse answering the big questions.

Focused on delivering first-in-class biological therapies to patients, we have developed a highly innovative soluble TCR platform. Our ImmTAX molecules underpin a new generation of precision engineered drugs that harness the immune system to treat a broad spectrum of diseases with high unmet medical need, including oncology, infectious diseases and autoimmune diseases.

We strive to create a diverse and inclusive workplace, while seeking talented individuals to work with us across the many functions that will allow us to deliver new medicines to transform the lives of patients. You will work with outstanding people who together pioneer the research, development and commercialization of bi-specific TCR therapies. We aim to create an environment where individual contributions and initiatives can be maximized, while fostering a culture of collaboration, based on respect and integrity. We want each individual employee to own their career, as part of high-performing teams, and in the context of on-the-job and formal continuous development and training, as well as constructive feedback. We always strive to identify ways to improve what we do and how we do it, by asking questions, voicing opinions, exploring various approaches and staying connected with healthcare professionals, patients, academia and other key partners.