The Ophthalmics Field Access Manager (FAM), helps to minimize reimbursement barriers for patients and providers and, therefore, helps to optimize access to OBU products in an assigned geography. The FAM works closely with internal partners in educating accounts regarding the reimbursement and access landscape and problem solving patient access challenges. They also execute ethical and solutions-oriented reimbursement programs and tactics, and proactively communicate payer information, including status, processes and practices. Primary Duties Works with internal partners to execute franchise, managed care, and territory business plans and objectives Develops long-term & short-term strategic account plans focusing on patient access to OBU therapies Develops and shares local market insights with colleagues to better understand barriers impacting access to OBU therapies Acts as a subject matter expert on the payer landscape relevant to the OBU Problem solves with respect to patient access challenges Key account partnerships which includes educating on OBU therapies payer coverage, prior authorization requirements, and medical necessity requirements Executes ethical and solutions-oriented reimbursement programs and tactics Trouble-shoots field account reimbursement issues, needs, concerns, or challenges Partners with third party OBU vendors Leverages available resources, including market access and demographic data to develop and execute account plans/call purpose. Proactively communicates and explains OBU/Takeda-specific reimbursement programs, policies, procedures and resources Works with relevant state, institutional or other societies regarding reimbursement topics Complies with all laws, regulations and policies that govern the conduct of Takeda activities Business travel, by air or car, is regularly required Responsibilities Meet and exceed the FAM team objectives Meet and exceed the OBU objectives Strong collaboration and communication with local market unit (Zone Director, Region Director, Sales Representatives, Key Account Managers, Market Access partners) to develop action plans to prioritize business and reimbursement needs, identify key FAM accounts, and to establish and maintain the team communication plan and pathway Proactively seek and reactively respond to identified coverage, access and reimbursement issues and challenges Education and Experience Requirements Minimum 2 years practice-facing, field-based reimbursement and/or access experience in the medical/pharmaceutical industry Strong knowledge and understanding of managed care: commercial payers, Medicare (including Part D and Low Income Subsidy), Medicaid and Specialty Pharmacy Must demonstrate excellent working knowledge of access and reimbursement, as well as the practice management environment Demonstrated ability and capacity to successfully negotiate and manage competing priorities Bachelor’s degree (B. A.) from four-year college or university, or degree-equivalent experience Eyecare/Ophthalmology experience preferred Key Skills, Abilities, and Competencies Strategic agility – Links responsibilities with the mission of the organization. Business acumen (strategic thinking/planning, analyzing/diagnosing, external perspective, accelerating change) Demonstrated leadership skills and ability to lead without authority with internal and external stakeholders Communicating with impact (influencing, listening and receptivity, candid and direct communication) Working effectively with others (builds rapport with internal and external stakeholders, collaboration and teamwork, energizing and engaging approach) Complexity and Problem Solving Navigates the complex regional payer landscape for OBU therapies; identify issues and facilitate problem-solving process Provides information on access requirement and processes, coverage and policy updates and patient resources to external customers Internal and External Contacts Advise, consult and coordinate regularly with external customers, as well as with the field personnel, direct reports, management peers, and other internal partners (marketing, managed care, training, professional education, etc.) Provides feedback to Area Director, FAM Team on initiatives and programs Other Job Requirements Moderate travel required. Must work evenings and weekends as needed. Work is from home. No office is provided by company.
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Shire, a wholly-owned subsidiary of Takeda, is an Equal Opportunity Employer committed to a diverse workforce. Shire, a wholly-owned subsidiary of Takeda, will not discriminate against any worker or job applicant on the basis of race, color, religion, gender, national origin, ancestry, age, sexual orientation, marital or civil partnership status, pregnancy, gender reassignment, non-job related mental or physical disability, genetic information, veteran status, military service, application for military service, or membership in any other category protected under law.
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