Sr. Access & Reimbursement Manager Los Angeles South, CA; field based

Sr. Access & Reimbursement Manager (Los Angeles South, CA – Field Based)

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is our human health care (hhc) mission. We’re a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer’s disease.

As we continue to expand, we are seeking highly‑motivated individuals who want to work in a fast‑paced environment and make a difference. If this is your profile, we want to hear from you.

The Access and Reimbursement Manager (ARM) will provide appropriate support for patient access to prescribed Eisai products, including communication with healthcare professionals about insurance coverage and reimbursement for Eisai products and Eisai’s patient support programs. In the event of an access or reimbursement issue, this role will quickly identify and triage, as needed, the situation to appropriate internal or external Eisai partners and manage the communication until appropriate resolution.

This role will have a keen understanding of payer coverage at the customer and regional level and strong communication skills to appropriately educate on payer policies. The ARM supports the Neurology business unit, providing compliant access and reimbursement education to support an Eisai Alzheimer’s product that will necessitate an understanding of buy‑and‑bill, miscellaneous J Code billing and specialty distribution procurement.

The ARM is a field‑based individual contributor reporting into the Eisai Access and Reimbursement team under Patient Services/Market Access, and working closely with the Associate Director, Access and Reimbursement.

Key external stakeholders include Health Care Professionals and stakeholders responsible for physician reimbursement and patient coverage and access issues:
Practice Managers, Financial Counselors, Pharmacy Managers/Directors, Business Administrators, State Societies, C and D Suite Health System personnel, and revenue cycle/integrity stakeholders.

• Act as the point of contact for assigned customers with patient access and reimbursement needs/challenges to provide relevant education and support.
• Identify, triage, and elevate customer issues to relevant internal/vendor teams as required, and drive resolution.
• Develop strategies to address access and reimbursement needs across the assigned customer group/region.
• Create and deliver high‑level training programs to the sales force (e.g., general information on patient access issues, Eisai patient support programs, separation between sales and access/reimbursement).
• Proactively track payer trends; develop, coordinate, and execute plans to create and maintain treatment access for patients based on analyses of trends and information.
• Communicate current and pertinent field access/reimbursement information (e.g., customer feedback, payer coverage – medical/pharmacy benefit, access to product procurement, payer updates) to relevant internal/external stakeholders.
• Educate external stakeholders (e.g., physicians, office administrators, case managers, financial counselors, medical directors, billing personnel, pharmacists) on matters related to patient access to Eisai products.

• Bachelor’s degree in a related field (Master’s preferred) with 8+ years of relevant experience in the pharma/biotech industry.
• Previous patient access or reimbursement experience strongly preferred.
• Experience related to distribution, patient support programs, financial assistance, and patient assistance programs.
• Market Access payer and/or patient access support programs experience.
• Experience with the U.S. healthcare system across one or more major payer segments (Medicare, Medicaid, Federal, and Commercial).
• Experience working with medical and pharmacy benefits, coverage policies, and reimbursement.
• Proven performance in an earlier role.

As a condition of employment and an essential function of this…