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Director, Access and Reimbursement

Posted on Apr 5, 2021 by Merz North America

Raleigh, NC 27601
Research
Immediate Start
Annual Salary
Full-Time


Strategically coach RAMs to ensure they are delivering information that facilitates patient access to and appropriate reimbursement of Merz products. Monitor RAM adoption of HUB services and patient support programs at the practice level to support patient compliance to therapy. Identify areas of training to continue to elevate individual and team business acumen and competency within the access and reimbursement landscape. Train to a skill set that facilitates a lead from behind mentality in working closely with TBM counterparts to maximize efforts with customers. Hold team accountable to Merz values and operating norms.


Provide insight in the development of the marketing tools and resources necessary to support the RAM team discussions with practices to ensure they are aware of our HUB services, patient affordability programs, product access levels across payer channels, enhanced product access within specific markets including support of practice and patient portals in tangent with external vendors.


Strong collaboration with internal stakeholders with oversight of daily operations of all reimbursement HUB programs and patient affordability programs. Propose solutions and recommendations for improvements. Communicate regularly with marketing, finance and sales management so all opportunities/issues are addressed in a timely manner. Regularly review vendor activity and performance metrics, call center activity to optimize relationships with vendors.


Establish expectations for working in close collaboration with Regional Sales Directors to facilitate ongoing feedback of RAM team performance in support of aligned customers across TBMs and KADs. Monthly communication to support efficient use of RAM time, customer routing, local market access challenges and opportunities to support field sales to a greater level.


Monitor Centers for Medicare and Medicaid Services (CMS) reimbursement policies and keep abreast of trends in reimbursement and health policy that affect Merz' products and the markets in which they compete.


Establish measurable performance parameters and monitor individual RAM activity against those key metrics. Responsible for quarterly reporting of MBO performance of team requiring documentation, scoring and individual RAM conversations to support payout levels.


Ensure team is trained to fully support all reimbursement and patient/payer support programs offered by Merz and that customers view these programs as the best in class. Lead content and facilitation of training during the Midyear and National sales meetings. Work closely with VP, Managed Markets and Sales Training to provide relevant workshops to ensure the RAMs are seen as the most knowledgeable team in industry as it pertains to Merz defined therapeutic areas.


High touch points with Commercial Analytics, Finance, Compliance and Legal are required to ensure appropriate oversight of revenue management, Veeva reporting, appropriate use of programs and resources and compliant interaction of the RAM team with customers.


Strategically coach RAMs to ensure they are delivering information that facilitates patient access to and appropriate reimbursement of Merz products. Monitor RAM adoption of HUB services and patient support programs at the practice level to support patient compliance to therapy. Identify areas of training to continue to elevate individual and team business acumen and competency within the access and reimbursement landscape. Train to a skill set that facilitates a lead from behind mentality in working closely with TBM counterparts to maximize efforts with customers. Hold team accountable to Merz values and operating norms.


Provide insight in the development of the marketing tools and resources necessary to support the RAM team discussions with practices to ensure they are aware of our HUB services, patient affordability programs, product access levels across payer channels, enhanced product access within specific markets including support of practice and patient portals in tangent with external vendors.


Strong collaboration with internal stakeholders with oversight of daily operations of all reimbursement HUB programs and patient affordability programs. Propose solutions and recommendations for improvements. Communicate regularly with marketing, finance and sales management so all opportunities/issues are addressed in a timely manner. Regularly review vendor activity and performance metrics, call center activity to optimize relationships with vendors.


Establish expectations for working in close collaboration with Regional Sales Directors to facilitate ongoing feedback of RAM team performance in support of aligned customers across TBMs and KADs. Monthly communication to support efficient use of RAM time, customer routing, local market access challenges and opportunities to support field sales to a greater level.


Monitor Centers for Medicare and Medicaid Services (CMS) reimbursement policies and keep abreast of trends in reimbursement and health policy that affect Merz' products and the markets in which they compete.


Establish measurable performance parameters and monitor individual RAM activity against those key metrics. Responsible for quarterly reporting of MBO performance of team requiring documentation, scoring and individual RAM conversations to support payout levels.


Ensure team is trained to fully support all reimbursement and patient/payer support programs offered by Merz and that customers view these programs as the best in class. Lead content and facilitation of training during the Midyear and National sales meetings. Work closely with VP, Managed Markets and Sales Training to provide relevant workshops to ensure the RAMs are seen as the most knowledgeable team in industry as it pertains to Merz defined therapeutic areas.


High touch points with Commercial Analytics, Finance, Compliance and Legal are required to ensure appropriate oversight of revenue management, Veeva reporting, appropriate use of programs and resources and compliant interaction of the RAM team with customers.


Require RAM team to have optimal knowledge of coverage landscape as defined by customer base within aligned geography. Work closely with National Account Director team to stay current with changes and/or hurdles that could impact access to product portfolio. Support local market diagnostics of NAD team when developing category management strategies.




Reference: 1152695034

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