1+ months

Senior Manager, Reimbursement Strategies

Parsippany, NJ 07054
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Company Info

 

Teva is a global pharmaceutical leader and the world's largest generic medicines producer, committed to improving health and increasing access to quality health solutions worldwide. Our employees are at the core of our success, with colleagues in over 80 countries delivering the world's largest medicine cabinet to 200 million people every day. We offer a uniquely diverse portfolio of products and solutions for patients and we've built a promising pipeline centered around our core therapeutic areas.  We are continually developing patient-centric solutions and significantly growing both our generic and specialty medicines business through investment in research and development, marketing, business development and innovation. This is how we improve health and enable people to live better, healthier lives. Join us on our journey of growth!

Job Description

 

The Senior Manager, Reimbursement Strategies Operations, (SMRSO), will work both proactively and reactively with field personnel to schedule, coordinate and facilitate customer discussions regarding coding, coverage and payment for Teva products.  The SMRSO acts as the subject matter expert in assisting field personnel such as Sales Managers, Sales Representatives, IDN KAMs, OKAMs, RAMs, NAMs and MOLs as they engage providers and their staff in an attempt to navigate reimbursement complexities and facilitate patient access for specific product issues.   The SMRSO is responsible for ensuring that external customer requests for information are addressed.  The SMRSO will respond to customer requests directly and/or assign required customer engagement activities to internal team members.  

 

The SMRSO will manage, track and report on top national and regional payer policies and policy updates for all assigned Teva products.   This individual will maintain ongoing reporting tools and lead monthly policy update team calls and policy reviews.  Specifically, the SMRSO will monitor and assess policy for Medicare Administrative Contractors, Medicare Advantage Plans, National and Regional Health Plans.  The SMRSO will track, monitor and coordinate key payer meeting dates (ie, open meetings, payer forums, payer meeting events for industry), and scheduled activities.  The SMRSO may be required to call on key payer stakeholders involved in coverage and reimbursement decisions.

 

The SMRSO will manage and assess claims data for Teva brands to identify problem issues with payers and within payer policy.   This individual will lead internal discussion with team members to identify issues and define strategies, tactics and activities required to address the issue.

 

The SMRSO will manage and assess payer policy monitoring tools and their implementation with the field.  (MMIT database).   The SMRSO will collaborate with the Director of Payer Marketing Operations to ensure proper field access to the database tools and help facilitate the fields understanding of how to best utilize policy analytic tools and platforms.

 

The SMRSO will work closely with the Hub services leadership to monitor and track customer volume, issue segmentation, and fulfillment rates.  The SMRSO will work with Hub leadership to identify and develop Teva approved resources for use by the Hub team members.

Qualifications

 

REQUIREMENTS:

 

Education: BS/BA required, MBA or equivalent preferred.

 

  • 5+ years of Pharmaceutical or equivalent related experience.
  • SMRSO must be a subject matter expert in the impact of National Health Policy on the reimbursement of physician administered products. 
  • Require an in-depth understanding of Regional and Local policies and trends. 
  • Expert in identifying and assessing opportunities and challenges with Accountable Care Organizations (ACOs) as well as Providers in Oncology Care Model (OCM).
  • Demonstrated success in buy and bill reimbursement expertise, including interpretation of coverage, coding and payment policies. 
  • Fluency in working with Hub services and familiarity with patient assistance programs
  • Ability to travel to work related meetings and functions and ability to travel overnight; travel up to 30% (post covid)
  • Must work collaboratively with key internal stakeholders, external field personnel and targeted customers.

Already Working @TEVA?

If you are a current Teva employee, please apply using the internal career site available on "Employee Central". By doing so, your application will be treated with priority. You will also be able to see opportunities that are open exclusively to Teva employees. Use the following link to search and apply: Internal Career Site

The internal career site is available from your home network as well. If you have trouble accessing your EC account, please contact your local HR/IT partner.

Posted: 2020-12-17 Expires: 2021-02-14

Join us at the forefront of pharmaceutical research and production. With state-of-the-art facilities, highly skilled colleagues, and a high-powered organizational culture, Teva offers you countless possibilities to make a real difference in people's lives and add value to your career.

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Senior Manager, Reimbursement Strategies

Teva Pharmaceuticals
Parsippany, NJ 07054

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