Job Description

About This Role

Biogen is seeking an Access and Reimbursement Manager (ARM) to educate HCPs and staff on non-clinical barriers to help support their patients with Major Depressive Disorder (MDD) and Post-Partum Depression (PPD). The ideal candidate should be collaborative, strategic, and results-driven, with expertise in billing, coding, reimbursement, pharmacy distribution models, and patient access support programs. The role will involve engaging with stakeholders in both in-office and virtual settings.

What You’ll Do

You’ll be a critical member of the field-based Neuropsychiatry team responsible for building cross-functional partnerships to enable market access initiatives. You will establish, build, and maintain touch points with critical stakeholders to advance key access and reimbursement objectives and strategies in a compliant manner. You will be focused on educating healthcare providers and their patients by leveraging your expertise in federal and private payer markets, national/regional payer policies, prior authorizations, pharmacy distribution models and patient access support programs.

Who You Are

You are a tenacious leader and reimbursement authority who thrives in a fast-paced and complex environment. You are a people connector focused on building partnerships internally and externally to help advance key access and reimbursement organizational priorities and initiatives. You have a unique ability to distill complex payer information in a streamlined and digestible manner for your stakeholders. You take a differentiated and individual approach with your stakeholders and accounts. You are a passionate leader that consistently demonstrates provider and patient centricity.

Key Responsibilities:

• Serve as the primary reimbursement resource within assigned territory by providing both technical and practical support to avert or resolve reimbursement issues and support access across the patient journey.
• Coordinate local care team to ensure access and reimbursement process is efficient across assigned territory. ARM serves as point person coordinating partnerships with Territory Business Managers, Regional Directors, MA&R, Patient Services, etc.
• Demonstrate an advanced understanding of public and private payers, how to research to determine specific coverage barriers, and how to communicate effectively to all relevant stakeholders regarding Medicaid (FFS and Managed Care), commercial plans, PBM designs, policy changes, and formulary status.
• Demonstrate knowledge of pharmacy benefit reimbursement practices, compliance, billing and coding processes, and utilization management/prior authorization process.
• Work with internal cross-functional partners (MA&R Payer Marketing) to assist in implementing pull-through and push-through programs designed to maximize payer coverage.
• Support, adopt, and promote a culture of compliance to ensure all activities are fully compliant with Company policies and procedures, applicable laws, regulations, and industry standards.

Qualifications

• BA/BS required; MBA, MHA or RN preferred
• The ideal candidate will have 5-7 years of reimbursement experience; psychiatry, co-promotion and/or launch experience is preferred
• Extensive experience with patient services model and financial assistance programs experience
• Exemplary work ethic, cross-functional stakeholder management skills, and an ability to manage multiple and often-evolving strategic priorities
• Role includes travel within assigned territory, inclusive of overnight travel
• Beneficial to live near major US airport

Additional Information

The base compensation range for this role is $131,000 to $211,000. Base salary is determined by a combination of factors including, but not limited to, job related years of relevant experience, internal equity, and location of the job. Additionally, this role is eligible for participation in Biogen’s LTI grants and other incentive programs. Biogen offers a full range of benefits that include medical, dental, life, long and short-term disability insurances, vacation, end-of-year shutdown, and 401K participation and matching contributions.

All your information will be kept confidential according to EEO guidelines.

Why Biogen?

Our mission to find therapies for neurological and rare diseases is a unique focus within our industry and this shared purpose is what connects us as a team. We work together to overcome obstacles and to follow the science. We are resilient as we strive to make an impact on our patients’ lives and on changing the course of medicine. Together, we pioneer. Together, we thrive.

At Biogen, we are committed to building on our culture of inclusion and belonging that reflects the communities where we operate and the patients we serve. We know that diverse backgrounds, cultures, and perspectives make us a stronger and more innovative company, and we are focused on building teams where every employee feels empowered and inspired. Read on to learn more about our DE&I efforts.

All qualified applicants will receive consideration for employment without regard to sex, gender identity or expression, sexual orientation, marital status, race, color, national origin, ancestry, ethnicity, religion, age, veteran status, disability, genetic information or any other basis protected by federal, state or local law. Biogen is an E-Verify Employer in the United States.