Associate Director, Market Access & Reimbursement- Southeast

Overview

Why Sarepta? Why Now? The promise of genetic medicine has arrived, and Sarepta is at the forefront. We hold a leadership position in Duchenne muscular dystrophy (Duchenne) and are building a robust portfolio of programs across muscle, central nervous system, and cardiac diseases. In 2023, we launched our fourth therapy and the first ever gene therapy to treat Duchenne. We’re looking for people who see unlimited potential in themselves and who are motivated by an unwavering commitment to patients.

What Sarepta Offers At Sarepta, we care deeply about all the people in our community and believe in the importance of supporting them in all aspects of their lives. We aspire to maintain a culture that acknowledges people bring their whole selves to work, and we will strive to help everyone in our community integrate their work and personal lives while maintaining productivity.

We are committed to offering a range of benefits and work-life resources designed to support people in the following areas:

• Physical and Emotional Wellness
• Financial Wellness
• Support for Caregivers

For a full list of our comprehensive benefits, see our website:

The Associate Director of Market Access and Reimbursement (ADMAR) is responsible for serving as the primary field-based contact for education, assistance and issue resolution for healthcare providers (HCPs) and sites of care with respect to patient access and reimbursement for Sarepta’s products. This role requires a fundamental level of knowledge in the market access and reimbursement journey encompassing procurement, payer policies and coverage, benefit design, prior authorizations, appeals, exceptions, denials, coding and payer payment guidelines, site of care regulation/requirements, understanding of coding guidelines (CPT/J-Code/ICD-10), commercial and/or statutory pricing structures or mandates as reflected by Medicare/Medicaid requirements with demonstrated knowledge of the complex regulatory environment.

The ADMAR utilizes account management skills and a strong business acumen to strategically implement site readiness and site engagement activities, including phasing, onboarding and assessing site of care readiness/operational efficiency to minimize access barriers for patients and providers. The ADMAR works closely with Patient Services, Educational Support Managers, Payer Access and Trade/Distribution colleagues and serves as the subject matter expert on access and reimbursement to the internal organization.

The Opportunity to Make a Difference

Market Access and Reimbursement

• Educate HCPs and sites of care on prior authorization/reauthorization process, assist with the navigation of the denial/appeal process and with product procurement through buy-and-bill and limited distribution network; understands miscellaneous product codes and administration codes as well as the introduction of specific J-codes to assist with claims submissions
• Expand knowledge of reimbursement landscape eventually being able to identify barriers hindering patient access and educate HCPs of this process for prescribed Sarepta therapies
• Build expertise to analyze, monitor and triage situations which may adversely impact patient access to therapy and assist in resolving distribution access challenges
• Partner with Sarept Assist Case Manager to navigate the Specialty Pharmacy communication and utilize critical thinking to strategically identify/prevent access and reimbursement issues where possible
• Responsible for understanding and upholding Sarepta’s Legal and Compliance guidance at a customer and field leadership level related to access, cost and reimbursement issues
• Build relationships through consistent communication and collaboration with internal and external stakeholders while delivering valuable reimbursement support and information to help providers facilitate the patient access journey for their DMD families for approved Sarepta therapies

Site Readiness/Engagement

• Identify and profile sites of care and key stakeholders within given territory and initiate discussions with key stakeholders and evaluate operational effectiveness at each site
• Utilize unconventional thinking to validate and gain a deep understanding of site capabilities, identify gaps and develop gap resolution plans; determine the processes in place and possible actions focused on site capacity, equipment, and additional resource needs
• Engage with C-suite leadership, administration, revenue cycle management, finance, managed care team, contracting, pharmacy, PA departments and care team and deliver presentations on FDA approved label for Sarepta products, product procurement options, and pricing information to minimize barriers to patient access
• Support HCP champion through formulary inclusion/decision process and monitor Pharmacy and Therapeutic Committee timelines to confirm site readiness
• Facilitate ongoing communication with sites sharing best practices through constant dialogue from both a clinical and…