Role summary
associate director, market access & reimbursement – northern california.
primary field-based contact for education, assistance, and issue resolution for healthcare providers and sites of care regarding patient access and reimbursement for sarepta's products.
territory includes northern california and oregon.
requires knowledge of market access and reimbursement processes, site readiness, and collaboration with internal teams to minimize access barriers for patients and providers.
responsibilities
educate hcps and sites of care on prior authorization/reauthorization, assist with denial/appeal processes, and product procurement through buy-and-bill and limited distribution networks; understand codes and j-codes for claims submissions.
expand knowledge of the reimbursement landscape and identify barriers hindering patient access; educate hcps on these processes.
analyze, monitor, and triage situations impacting patient access and resolve distribution access challenges.
partner with sareptassist case manager to navigate specialty pharmacy communications and proactively identify/prevent access and reimbursement issues.
uphold sarepta's legal and compliance guidance related to access, cost, and reimbursement.
build relationships with internal and external stakeholders to deliver reimbursement support and information to facilitate patient access for sarepta therapies.
site readiness/engagement
identify and profile sites of care and key stakeholders; initiate discussions and evaluate site operational effectiveness.
assess site capabilities, identify gaps, and develop gap resolution plans focusing on capacity, equipment, and resource needs.
engage with executive leadership and care teams; deliver presentations on fda-approved labels, procurement options, and pricing to minimize access barriers.
support formulary inclusion/decision processes and monitor timelines to confirm site readiness.
maintain ongoing communication with sites, share best practices, and address retraining needs and challenges.
make informed decisions to ensure timely access to sarepta products for identified patients.
qualifications
bachelor's degree required; mba preferred.
10 years of relevant experience; 5–8 years field experience in biotech; reimbursement experience preferred.
key account management or launch experience in neuromuscular, pediatric neurology, oncology, or related biotech fields; rare disease launch experience preferred.
knowledge of hipaa and oig guidance in rare disease space; hospital finance, claims processing, and/or billing/coding experience preferred.
ability to navigate payer landscape and understand payer policies for sarepta therapies.
understanding of pa process, denial management, buy-and-bill, iv infusion coding, and reimbursement across multiple sites of care.
understanding of buy-and-bill and specialty pharmacy networks, managed care, and government payer impacts on access.
knowledge of infused-biologic therapies for chronic, rare diseases.
self-driven, with strong time management and organizational skills; adaptable to changing business needs; comfortable with virtual work when travel is restricted.
strong cross-functional communication and collaboration; ability to influence others.
valid driver's license; ability to travel up to ~60% within the assigned region.
skills
market access and reimbursement expertise
account management and stakeholder engagement
strategic site readiness and engagement planning
regulatory and compliance awareness
complex problem solving and critical thinking
effective communication across clinical and commercial teams
education
bachelor's degree; mba preferred
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