Sobi
Field Reimbursement Manager Hematology/Oncology (Northeast)
Sobi, Waltham, Massachusetts, United States, 02254
Company Description
Statistics show that women and underrepresented groups tend to apply to jobs only if they meet 100% of the qualifications. Sobi encourages you to change that statistic and apply. Rarely do candidates meet 100% of the qualifications. We look forward to your application!
At Sobi, each person brings their unique talents to work as a team and make a difference. We are dedicated to developing and delivering innovative therapies to improve the lives of people who live with a rare disease. Our edge comes from our team of people and our commitment to patients.
Our mission and culture at Sobi North America get us excited to come to work every day, but here are a few more reasons to join our team:Competitive compensation for your workGenerous time off policySummer FridaysOpportunity to broaden your horizons by attending popular conferencesEmphasis on work/life balanceCollaborative and team-oriented environmentMaking a positive impact to help ultra-rare disease patients who are in need of life saving treatmentsJob Description
The Field Reimbursement Manager (FRM) is a key field-based position within the Market Access team at Sobi, reporting to the Director of Field Reimbursement. Focused on the therapeutic area of Hematology/Oncology, this non-promotional role plays a critical role in facilitating patient access by addressing reimbursement challenges and offering resourceful support to healthcare systems, institutions, hospitals, and healthcare provider practices. Through proactive problem-solving and patient-centered service, the FRM supports healthcare professionals and their staff to alleviate access barriers, fostering an exceptional customer experience and increasing awareness of access solutions.
Including, but not limited to the following:
Customer Engagement : The Hematology/Oncology Field Reimbursement Manager (FRM) will maintain a targeted account list and engage proactively with accounts both virtually and in person.Relationship Building : Work proactively with assigned customers to build and sustain relationships across key departments, including medication access teams, pharmacy, practice and office managers, and procurement/reimbursement departments.Subject Matter Expertise : Serve as the subject matter expert in pharmacy benefit reimbursement and access across all channels (Commercial, Medicare, Medicaid, Government). Educate and identify compliant solutions to address patient access and reimbursement challenges.Support for Healthcare Providers : Assist healthcare provider offices, health systems, institutions, and hospitals in understanding the mechanics of patient benefit verification, product ordering via Specialty Pharmacy and Specialty Distribution, CPT coding, and J-Codes.Liaison Role : Act as a bridge between customers, patient services, and Sobi's sales and account management teams to address escalated access and payer issues effectively.Cross-Functional Collaboration : Work closely with patient support hubs and case managers to resolve escalations and access issues compliantly. Collaborate with local Sobi colleagues to provide robust, cross-functional support for accounts within a defined geography.Local Solutions and Market Insight : Develop local solutions based on account and market insights. Provide Sobi leadership with actionable market intelligence, inspiring solution-oriented collaboration across cross-functional teams.Specific Duties
Expertise in Reimbursement and Access
Demonstrates comprehensive knowledge of reimbursement and access across all channels, including Commercial, Medicare, Medicaid, Exchange, and Government. Serves as the subject matter expert on payers within the supported markets.Understands all phases of specialty distribution and core services of specialty pharmacies to facilitate access and streamline product procurement.Possesses a solid grasp of healthcare structures, payment systems, and reimbursement methodologies.Collaborative Approach to Success
Works effectively with both internal and external partners to drive results, contributing to a cohesive team environment. Demonstrates an understanding of matrix team dynamics, ensuring cross-functional alignment to address payer issues, improve customer experience, reduce administrative barriers, and maximize strategic outcomes.
Internal Partners : Collaborates closely with Sales, Marketing, Patient Services, Trade Team, National and Regional Account Directors, and Medical Affairs.External Partners : Builds and nurtures relationships with health systems, institutions, hospitals, healthcare providers, practice managers, and access/reimbursement departments to support access and reimbursement.
Advanced Problem-Solving Skills
Applies strong problem-solving abilities to address complex patient access challenges across payers and specialty pharmacies.Educational Support for Healthcare Providers
Educates health systems, institutions, hospitals, and HCP office staff on:
Patient Service Program options to optimize patient access.Prior authorization requirements, coverage status, and the payer appeals process, including timelines and requirements.
Customer Support for Payer Coverage Navigation
Demonstrates skill in providing field-based customer support, including navigating payer coverage and managing the specialty pharmacy fulfillment process.Commitment to Compliance
Adheres to all relevant regulatory and Sobi compliance and ethics guidelines and fosters a culture of compliance through coaching and support.Qualifications
Education:
A minimum of a B.A/B.S. requiredExperience:
A minimum five (5) years of work experience in Pharmaceuticals/Biotech/Medical Device with relevant understanding of the following areas:Patient journey navigationPayer coverage policesPharmacy benefit reimbursementSpecialty pharmacy and distributionIn office dispensing accountsHub and Patient ServicesPreference will be given to candidates with the following experience:
Reimbursement experienceHematology/Oncology experienceCritical Skills
Demonstrated ability to work accounts; specifically working to identify, engage and build relationships with key reimbursement contacts, access personnel and practice managers within identified accounts.Industry Knowledge - proficient understanding of the pharmaceutical industry, disease state and drug distribution process (e.g., medical, specialty pharmacy, managed care systems, etc.)Understanding of Medicare and Medicaid drug coverage and current and pending changes to drug coverage benefitsTechnical Expertise (Reimbursement and Patient Access) -Demonstrates strong technical expertise: Reimbursement and patient access knowledge with the ability to effectively convey knowledge to key stakeholders.Computer Skills - Ability to effectively use technology to support escalation work internal and external portals and databases
Advanced Microsoft Excel skills that support analysis of large databases and manage a high volume of data
Analytical Skills - Ability to analyze and leverage data/reports to identify trends and opportunitiesDemonstrates Passion, high energy, excitement, and a sense of urgency toward organizational purpose and values.Cultivates High IMPACT Partnerships with internal and external partners-Develops meaningful partnerships based on Sobi Core Values striving to earn and preserve the trust, respect, and admiration of all stakeholders.Values & Unlocks Collaboration-Cultivates an atmosphere of interdependence, collaboration, and reciprocal communication that creates a winning environment that inspires all to demand the 'best' from themselves because winning is fun and fulfilling.Business Savvy-Demonstrates a clear understanding of the current territory business situation, marketplace, and environmentUnderstand HIPAA rules and regulations related to patient privacyStrong written and verbal communications as well as presentation skills
Responsibilities may require a work schedule that includes working outside of "normal" work hours, to meet business
Additional Information
This role is expected to require approximately ~ 30% travel
The base salary pay range for this role is $115,000-$150,000 annually. Actual pay for this position will take into account factors such as experience and location. In addition to a base salary, this position is also eligible for a competitive 401k match, short and long-term incentives, medical, dental, vision, STD/LTD and life insurance benefits, in addition to other health and wellness programs and offerings
All Sobi employees need to demonstrate behaviors in line with Sobi's core values: Care, Ambition, Urgency, Ownership and Partnership. Are you ready to be on the Sobi team? Come join a culture that empowers every person to be the person that makes a difference for rare disease.
Why Join Us?
We are a global company with over 1,700 employees in more than 30 countries and are committed to the societies where we operate. With a deeply skilled management team directing our day-to-day wins, and a Board with a stellar track record, we're ready to take on the world's diseases, ailments and adversity. Our people believe they have the power to make a positive impact in others' lives because that's exactly what we do here. If you're seeking a career that taps into your talents in a way that makes the world a better, healthier place, we just may have a job for you.
We know our employees are our most valuable asset, and our culture conveys that. We offer a competitive benefits package, to support the health and happiness of our staff.
Sobi Culture
At Sobi, we refuse to accept the status quo. This is because we have witnessed first-hand the challenges facing those affected by rare diseases, and have used this knowledge to shape our business to find new ways of helping them.
As a specialized biopharmaceutical company, we are dedicated to rare diseases. And we see this focus as a strength. By effectively turning our research into ground-breaking treatments, we help make medicine more accessible and open up more possibilities for patients and more opportunities for those caring for them. This has been our approach since day one, but we know we can't change the world of rare diseases on our own. Accomplishing this requires strong partnerships with patients, partners and stakeholders across the entire value chain. Together, we define how our business can create solutions that serve the needs of those affected by rare diseases while facilitating sustainable growth.
An Equal Opportunity Employer
Sobi is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions at Sobi are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity, protected veterans and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status or protected groups by the laws or regulations in the locations where we operate.
Sobi is an affirmative action and equal opportunity employer. Disabled/Veterans. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to use or access this website to apply for a vacancy as a result of your disability. You can request reasonable accommodations by sending an email to talentacquisition@sobi.com.
COVID-19 Policy
For the safety of our employees and all individuals with whom we interact professionally, Sobi North America requires all new hires in the U.S. to be fully vaccinated for COVID-19 with proof of vaccination status. We will consider requests for reasonable medical or religious accommodations, as well as any state-specific exemptions, as required by applicable law.
Videos To Watchhttps://www.youtube.com/watch?v=BZtAI7qxiHs
Statistics show that women and underrepresented groups tend to apply to jobs only if they meet 100% of the qualifications. Sobi encourages you to change that statistic and apply. Rarely do candidates meet 100% of the qualifications. We look forward to your application!
At Sobi, each person brings their unique talents to work as a team and make a difference. We are dedicated to developing and delivering innovative therapies to improve the lives of people who live with a rare disease. Our edge comes from our team of people and our commitment to patients.
Our mission and culture at Sobi North America get us excited to come to work every day, but here are a few more reasons to join our team:Competitive compensation for your workGenerous time off policySummer FridaysOpportunity to broaden your horizons by attending popular conferencesEmphasis on work/life balanceCollaborative and team-oriented environmentMaking a positive impact to help ultra-rare disease patients who are in need of life saving treatmentsJob Description
The Field Reimbursement Manager (FRM) is a key field-based position within the Market Access team at Sobi, reporting to the Director of Field Reimbursement. Focused on the therapeutic area of Hematology/Oncology, this non-promotional role plays a critical role in facilitating patient access by addressing reimbursement challenges and offering resourceful support to healthcare systems, institutions, hospitals, and healthcare provider practices. Through proactive problem-solving and patient-centered service, the FRM supports healthcare professionals and their staff to alleviate access barriers, fostering an exceptional customer experience and increasing awareness of access solutions.
Including, but not limited to the following:
Customer Engagement : The Hematology/Oncology Field Reimbursement Manager (FRM) will maintain a targeted account list and engage proactively with accounts both virtually and in person.Relationship Building : Work proactively with assigned customers to build and sustain relationships across key departments, including medication access teams, pharmacy, practice and office managers, and procurement/reimbursement departments.Subject Matter Expertise : Serve as the subject matter expert in pharmacy benefit reimbursement and access across all channels (Commercial, Medicare, Medicaid, Government). Educate and identify compliant solutions to address patient access and reimbursement challenges.Support for Healthcare Providers : Assist healthcare provider offices, health systems, institutions, and hospitals in understanding the mechanics of patient benefit verification, product ordering via Specialty Pharmacy and Specialty Distribution, CPT coding, and J-Codes.Liaison Role : Act as a bridge between customers, patient services, and Sobi's sales and account management teams to address escalated access and payer issues effectively.Cross-Functional Collaboration : Work closely with patient support hubs and case managers to resolve escalations and access issues compliantly. Collaborate with local Sobi colleagues to provide robust, cross-functional support for accounts within a defined geography.Local Solutions and Market Insight : Develop local solutions based on account and market insights. Provide Sobi leadership with actionable market intelligence, inspiring solution-oriented collaboration across cross-functional teams.Specific Duties
Expertise in Reimbursement and Access
Demonstrates comprehensive knowledge of reimbursement and access across all channels, including Commercial, Medicare, Medicaid, Exchange, and Government. Serves as the subject matter expert on payers within the supported markets.Understands all phases of specialty distribution and core services of specialty pharmacies to facilitate access and streamline product procurement.Possesses a solid grasp of healthcare structures, payment systems, and reimbursement methodologies.Collaborative Approach to Success
Works effectively with both internal and external partners to drive results, contributing to a cohesive team environment. Demonstrates an understanding of matrix team dynamics, ensuring cross-functional alignment to address payer issues, improve customer experience, reduce administrative barriers, and maximize strategic outcomes.
Internal Partners : Collaborates closely with Sales, Marketing, Patient Services, Trade Team, National and Regional Account Directors, and Medical Affairs.External Partners : Builds and nurtures relationships with health systems, institutions, hospitals, healthcare providers, practice managers, and access/reimbursement departments to support access and reimbursement.
Advanced Problem-Solving Skills
Applies strong problem-solving abilities to address complex patient access challenges across payers and specialty pharmacies.Educational Support for Healthcare Providers
Educates health systems, institutions, hospitals, and HCP office staff on:
Patient Service Program options to optimize patient access.Prior authorization requirements, coverage status, and the payer appeals process, including timelines and requirements.
Customer Support for Payer Coverage Navigation
Demonstrates skill in providing field-based customer support, including navigating payer coverage and managing the specialty pharmacy fulfillment process.Commitment to Compliance
Adheres to all relevant regulatory and Sobi compliance and ethics guidelines and fosters a culture of compliance through coaching and support.Qualifications
Education:
A minimum of a B.A/B.S. requiredExperience:
A minimum five (5) years of work experience in Pharmaceuticals/Biotech/Medical Device with relevant understanding of the following areas:Patient journey navigationPayer coverage policesPharmacy benefit reimbursementSpecialty pharmacy and distributionIn office dispensing accountsHub and Patient ServicesPreference will be given to candidates with the following experience:
Reimbursement experienceHematology/Oncology experienceCritical Skills
Demonstrated ability to work accounts; specifically working to identify, engage and build relationships with key reimbursement contacts, access personnel and practice managers within identified accounts.Industry Knowledge - proficient understanding of the pharmaceutical industry, disease state and drug distribution process (e.g., medical, specialty pharmacy, managed care systems, etc.)Understanding of Medicare and Medicaid drug coverage and current and pending changes to drug coverage benefitsTechnical Expertise (Reimbursement and Patient Access) -Demonstrates strong technical expertise: Reimbursement and patient access knowledge with the ability to effectively convey knowledge to key stakeholders.Computer Skills - Ability to effectively use technology to support escalation work internal and external portals and databases
Advanced Microsoft Excel skills that support analysis of large databases and manage a high volume of data
Analytical Skills - Ability to analyze and leverage data/reports to identify trends and opportunitiesDemonstrates Passion, high energy, excitement, and a sense of urgency toward organizational purpose and values.Cultivates High IMPACT Partnerships with internal and external partners-Develops meaningful partnerships based on Sobi Core Values striving to earn and preserve the trust, respect, and admiration of all stakeholders.Values & Unlocks Collaboration-Cultivates an atmosphere of interdependence, collaboration, and reciprocal communication that creates a winning environment that inspires all to demand the 'best' from themselves because winning is fun and fulfilling.Business Savvy-Demonstrates a clear understanding of the current territory business situation, marketplace, and environmentUnderstand HIPAA rules and regulations related to patient privacyStrong written and verbal communications as well as presentation skills
Responsibilities may require a work schedule that includes working outside of "normal" work hours, to meet business
Additional Information
This role is expected to require approximately ~ 30% travel
The base salary pay range for this role is $115,000-$150,000 annually. Actual pay for this position will take into account factors such as experience and location. In addition to a base salary, this position is also eligible for a competitive 401k match, short and long-term incentives, medical, dental, vision, STD/LTD and life insurance benefits, in addition to other health and wellness programs and offerings
All Sobi employees need to demonstrate behaviors in line with Sobi's core values: Care, Ambition, Urgency, Ownership and Partnership. Are you ready to be on the Sobi team? Come join a culture that empowers every person to be the person that makes a difference for rare disease.
Why Join Us?
We are a global company with over 1,700 employees in more than 30 countries and are committed to the societies where we operate. With a deeply skilled management team directing our day-to-day wins, and a Board with a stellar track record, we're ready to take on the world's diseases, ailments and adversity. Our people believe they have the power to make a positive impact in others' lives because that's exactly what we do here. If you're seeking a career that taps into your talents in a way that makes the world a better, healthier place, we just may have a job for you.
We know our employees are our most valuable asset, and our culture conveys that. We offer a competitive benefits package, to support the health and happiness of our staff.
Sobi Culture
At Sobi, we refuse to accept the status quo. This is because we have witnessed first-hand the challenges facing those affected by rare diseases, and have used this knowledge to shape our business to find new ways of helping them.
As a specialized biopharmaceutical company, we are dedicated to rare diseases. And we see this focus as a strength. By effectively turning our research into ground-breaking treatments, we help make medicine more accessible and open up more possibilities for patients and more opportunities for those caring for them. This has been our approach since day one, but we know we can't change the world of rare diseases on our own. Accomplishing this requires strong partnerships with patients, partners and stakeholders across the entire value chain. Together, we define how our business can create solutions that serve the needs of those affected by rare diseases while facilitating sustainable growth.
An Equal Opportunity Employer
Sobi is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions at Sobi are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity, protected veterans and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status or protected groups by the laws or regulations in the locations where we operate.
Sobi is an affirmative action and equal opportunity employer. Disabled/Veterans. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to use or access this website to apply for a vacancy as a result of your disability. You can request reasonable accommodations by sending an email to talentacquisition@sobi.com.
COVID-19 Policy
For the safety of our employees and all individuals with whom we interact professionally, Sobi North America requires all new hires in the U.S. to be fully vaccinated for COVID-19 with proof of vaccination status. We will consider requests for reasonable medical or religious accommodations, as well as any state-specific exemptions, as required by applicable law.
Videos To Watchhttps://www.youtube.com/watch?v=BZtAI7qxiHs