Manager, Access Services (Reimbursement Services) in Basking Ridge at Daiichi Sankyo

Date Posted: 1/25/2023

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Basking Ridge
  • Experience:
    Not Specified
  • Date Posted:
    1/25/2023
  • Job ID:
    R1186

Job Description

Join a Legacy of Innovation 110 Years and Counting!

Daiichi Sankyo Group is dedicated to the creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and technology. With more than 100 years of scientific expertise and a presence in more than 20 countries, Daiichi Sankyo and its 15,000 employees around the world draw upon a rich legacy of innovation and a robust pipeline of promising new medicines to help people. Under the Group’s 2025 Vision to become a “Global Pharma Innovator with Competitive Advantage in Oncology,” Daiichi Sankyo is primarily focused on providing novel therapies in oncology, as well as other research areas centered around rare diseases and immune disorders.
Summary

The Manager of Access Services is a member of the DSI U.S. Market Access division, reporting to the Director of Access Services & Reimbursement Policy. This individual will manage the day-to-day operations of the hub, PAP, free goods pharmacy, and copay program vendors. This role will be responsible for establishing processes to optimize program operations and monitor performance, thereby ensuring that patients and providers receive the highest level of service quality. Additionally, this role will support Access Services strategy, program policy development, marketing, and technology enhancements acting as an expert in Access Services programs, procedures, and data flows across hub/PAP/copay vendors and specialty pharmacy partners. The Manager will work collaboratively and communicate effectively with commercial teams, Supply Chain, and the Field Reimbursement Team to understand patient and customer needs and develop appropriate strategies. Also, this role will work closely with the Market Access Marketing team and the Legal, Medical, & Regulatory reviewer to implement patient support programs and program collateral materials.

Responsibilities

- Manage day-to-day operations and serve as point of contact for DSI Access Services program vendors (Hub, copay, PAP, to data needs, program resources, field escalations and inquiries, and internal reporting.
- Partner with Market Access Marketing, FRMs, and the Training team to develop necessary strategies, resources, training, and communication of Access Service Programs.
- Collaborate with marketing to develop program materials and participate in the Legal/Medical/Regulatory review process as the Access Services subject matter expert.
- Enhance patient and provider experience at the hub via FRM feedback, business, benchmarking, auditing, customer satisfaction data, and active team monitoring.
- Regularly monitor and analyze Hub platforms, processes, and program performance data and implement improvements, as needed.
- Develop and maintain, via annual review, all Access Services program SOPs, Business Rules, Workflows, Call Guides, Training, and Reports.
- Manage external vendors’ performance and internal team performance against Service-Level Agreement metrics, SOPs, and KPIs through weekly meetings/status calls, quarterly business reviews, and remediation for errors or missed KPIs (i.e., requesting CAPAs for errors, root cause analyses, etc.), if needed.
- Ensure individual and program compliance with all laws, regulations, and policies that govern the conduct of patient support programs or activities and patient privacy.


Qualifications: Successful candidates will be able to meet the qualifications below with or without a reasonable accommodation.


Education Qualifications (from an accredited college or university)

- Bachelor's Degree or equivalent experience required
- Master's Degree such as MBA or MPH preferred


Experience Qualifications

- 4 or More Years Patient Services experience working for a pharmaceutical company or vendor required
- 4 or More Years Demonstrated leadership and vendor management skills required
- 4 or More Years Demonstrated ability to identify, develop, and implement operational efficiencies in processes and procedures required
- 4 or More Years Strong interpersonal skills; excellent oral and written communication skills required
- 4 or More Years Extensive knowledge of patient assistance programs and patient support needs and related compliance rules required
- 4 or More Years Experience working with programs that support all insurance coverage situations (medical and pharmacy benefit designs) required
- 4 or More Years Knowledge of CRM platforms and online communication resources (e.g. provider portals, digital enrollment) required
- 4 or More Years Strong organizational and project management skills with proven ability to multi-task and collaborate cross-functionally and influence without authority required
- 4 or More Years Experience independently leading projects with comfort presenting project deliverables to groups of cross-functional partners required required
- 4 or More Years Experience with data analysis and evaluation. required
- 4 or More Years Experience working with infused and oral oncology patient support programs preferred
- 4 or More Years Experience working with specialty product launches preferred
- 4 or More Years Experience in Rare Disease and/or Oncology preferred
- 4 or More Years Experience working with specialty pharmacies preferred
- 4 or More Years General familiarity with buy and bill reimbursement work flows preferred


Travel

Ability to travel up to 20% Occasional overnight travel required


Daiichi Sankyo, Inc. is an equal opportunity/affirmative action employer. Qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.