Boston, MA / Hartford, CT, US + other states.
The CAR T (Cellular Therapy) Market Access Manager (CMAM) is responsible for executing access and reimbursement strategies within identified Cell Therapy accounts specific to the assigned geography during all phases of account onboarding and post onboarding. This role will lead all Cell Therapy Market Access activities and will collaborate with a variety of internal partners and external customers. It is required that the CMAM live within the assigned territory. The CMAM will report into the East Region Director, Cell Therapy Market Access Managers. The individual is required to achieve all assigned goals while maintaining compliance with all BMS standards.
The Northeast geography/territory will cover: MA, NY, CT, NH, VT, RI and ME.
Responsibilities
- Exhibit a high degree of Market Access and Cell Therapy technical expertise within both payer and hospital systems
- Maintain full accountability for ensuring assigned Cell Therapy treatment centers have a clear understanding of all elements of Market Access, including Government payer policy, local payer dynamics and coverage policy, complex reimbursement, coding & billing dynamics, and all components of the Cell Therapy ordering and distribution process.
- Work cross functionally within the Cell Therapy Account Management Team, Payer Account Executives, Cell Therapy Patient Operations, Cell Therapy Patient Support Services, Cell Therapy Access Strategy Team, and other matrix teams as needed to ensure Market Access product objectives are met
- Support and maintain collaborative relationships with the Cell Therapy customer facing matrix team, in accordance with the approved rules of engagement
- Support P&T adoption in activated and newly activated treatment centers
- Identify and provide relevant regional marketplace feedback in a timely manner to management on customer business trends, competitive updates and account issues/opportunities
- Drive the detailed understanding of complex Cell Therapy site-of-care economics for treatment centers
- Effectively drive access pull through within Cell Therapy identified accounts by establishing access account management goals, successfully assisting Cell Therapy Account Managers by ensuring there are no access barriers across both inline and new indications
- Establish and maintain effective relationships with key access stakeholders within each assigned Cell Therapy treatment center
- Facilitate and drive patient journey within accounts as appropriate and as needed
- Ensure access challenges are escalated and triaged accordingly within identified accounts
- Contribute to the development and execution of focused business plans that align with the identified access objectives for Cell Therapy accounts
- Deliver impactful presentations with external healthcare professionals on access and reimbursement related topics
- Meet annual and ongoing performance reviews and competency requirements and assignments
- Significant business travel required, primarily in the assigned geography and occasionally for national meetings and conferences
Qualifications:
- Bachelor’s degree in Business, Health or Life Sciences, Healthcare Administration, or related field required; advanced degree (MBA, MA Public Health, PharmD, etc.) preferred
- 1+ years of direct Cell therapy experience strongly preferred
- 10+ years of overall Pharmaceutical and/or Healthcare industry experience in support of policy, access and reimbursement preferred
- 5+ years of Oncology, Hematology or other complex, high cost buy and bill therapy reimbursement experience including:
- Coverage, coding, billing and payment
- Medicare (NCD, IPPS, OPPS, 340B, etc.)
- Medical policy, managed care coverage processes and practice for inpatient and outpatient settings of care
- Local coverage determinations
- Commercial case rate negotiations
- Buy and bill experience required, complex, high cost buy and bill therapy experience preferred. Certified Coder or Biller is a plus
- Thorough knowledge of reimbursement, coding and billing across both inpatient and outpatient settings of care
- Thorough understanding of P&T processes across academic and community sites of care
- Knowledge of health insurance coverage and reimbursement, inclusive of private Commercial coverage, Medicare, and Medicaid
- Knowledge of health economics
- Thorough knowledge of the healthcare industry sales and marketing
- Thorough understanding of US compliance laws and guidelines
- Experience in both Academic and Community settings of care preferred
- Demonstrated ability to work successfully in a fast-paced environment with the need to manage constant change.
- Proven ability to deal with ambiguity – ready to change gears and plans quickly
- Demonstrated ability to build relationships quickly and credibly across internal partners and external customers
- Proven organizational skills with ability to problem solve and manage multiple urgent priorities in parallel
- Flexible, adaptable, and able to react to changing circumstances and priorities with high level of commitment and professionalism
- Demonstrated ability to develop key strategies and execute them; Strong analytical, consulting, and business planning skills
- Excellent written and verbal communication skills
- Experience working with finances/budgets
- Excellent interpersonal skills to effectively work with many diverse customers
- Excellent presentation skills to engage and meet the needs of various audiences
- Ability to work independently and travel as needed (up to 50%)
- Ability to drive a car with a valid driver’s license
- Proven success in new product launches
- Proficient skillset working with PowerPoint and Excel.
As this position requires operation of a Company-provided vehicle, candidates must meet the requirements of “Qualified Driver,” as determined by the Company in its sole discretion, including but not limited to the following: 1) at least 21 years of age; 2) a driver’s license in good standing issued by your state of residence, and 3) a driving risk level deemed acceptable by the Company.
The starting compensation for this job is a range from $175,000 – $230,000, plus incentive cash and stock opportunities (based on eligibility).
The starting pay rate takes into account characteristics of the job, such as required skills and where the job is performed.
Final, individual compensation will be decided based on demonstrated experience.
This job ad will be unpublished on 28/11/2024.
This job is posted by Bristol Myers Squibb.
This link brings you to the website of Bristol Myers Squibb.
Please mention that you found the role via EuropeanHealthEconomics.com. Thank you and good luck!
