Partner, US Field Access & Reimbursement - Retina at Astellas Pharma

Job description

ARM - Partner, US Field Access & Reimbursement – Retina, Greater San Francisco This position covers Northern Nevada & Northern California. It is a field-based role and will require regular travel within the defined geography. About Astellas Astellas is a global life sciences company committed to turning innovative science into VALUE for patients. We provide transformative therapies in disease areas that include oncology, ophthalmology, urology, immunology and women's health. Through our research and development programs, we are pioneering new healthcare solutions for diseases with high unmet medical need. Learn more at Astellas.com. Are you driven to make a real difference in the lives of patients? We're seeking passionate individuals who thrive in dynamic environments, embrace new ideas, and aren't afraid to take intelligent risks. People who act with unwavering integrity and are deeply committed to making a tangible impact. Purpose & Scope: This individual contributor role will engage with healthcare professionals (HCPs) and their relevant staff members, serving as the account team subject matter expert for compliant access and reimbursement topics. With expertise in payer coverage, healthcare payment models, and utilization management criteria (i.e. Prior Authorization, Step Edits, other forms of precertification), this individual is a critical member of the Astellas matrix team serving patient and customer needs. The role requires establishing and maintaining collaborative relationships with internal matrix teams and external customers to ensure Astellas Pharma Support Solutions’ range of programs and offerings are appropriately utilized to support patients prescribed/administered Astellas products. Responsibilities: Proactively identify accounts in need of access and reimbursement support and educate HCP/office staff about Astellas programs that support patient access and affordability, and provider reimbursement. Effectively communicate support (utilizing MAP-approved messages, services, programs, and offerings) to address challenges/opportunities. Provide education on billing/coding and reimbursement (for buy-and-bill products) Assist offices with patient specific access challenges and liaise with the Patient Support Program (PSP) administrators and reimbursement HUB in a HIPAA-compliant manner. Maintains awareness of the evolving legal, regulatory and compliance environment to ensure ability to conduct business in accordance with Astellas Legal/Compliance guidance and policies. Develop relationships with key office staff within priority accounts to improve patient access and affordability and achieve defined customer engagement metrics. Establish cross-functional partnership with internal matrix teams (including Sales, Key Account Management, and Payer Account Management) to create and regularly update Account Business Plans and service the needs of customers: Operate as a pivotal member of the internal matrix team to advance strategic customer relationships towards true partnership at key accounts Appropriately exchange insights regarding real time market access dynamics, and patient access needs Proactively identify training needs related to patient access, reimbursement and affordability for internal partners and assist in delivery of appropriate education. Raise awareness of customer access and affordability issues and imperatives to leadership. Qualifications Required: Minimum of 10+ years of experience within the pharmaceutical industry or equivalent business experience; including minimum of 3+ years in Sales, Account Management, or Field Reimbursement. 3+ years of experience in a therapeutic area relevant to the position, such as ophthalmology/retina, demonstrating a strong understanding of the specific needs and challenges within assigned therapeutic field Customer focused mindset and demonstrated ability to provide timely response to customer requests per defined expectations. Buy-and-bill experience with know