Field Reimbursement Manager (Remote)

Job Description Summary

Job Description

Sandoz continues to go through an exciting and transformative period as a global leader and pioneering provider of sustainable Biosimilar and Generic medicines. As we continue down this new and ambitious path, unique opportunities will present themselves, both professionally and personally.

Join us, the future is ours to shape!

Position Location:

This position is Remote Field Based (Non-Sales) covering South Central / Southeast, USA (FL; TX; OK; LA; MO; AR; MS; AL). The Sandoz FRM is a Field Based role that requires minimum 50% travel.

Major accountabilities / Your Key Responsibilities: 

• Demonstrate deep knowledge in reimbursement and access across Sandoz Products including Sandoz Patient Support Programs (HUB) offerings and how they support the patient journey for both Medical Benefit and Pharmacy Benefit products.

• Link with sales representatives (if applicable), patient support programs, and national/regional payer account managers to call out and resolve local payer issues.

• Ability to condense sophisticated and ambiguous issues into simple solutions by working with peers and internal collaborators to improve patient experience.

• Educate providers and office staff on prior authorization requirements, product coverage status, and payer appeals requirements, processes and timelines for both Medical Benefit and Pharmacy Benefit Sandoz biosimilar products.

• Serve on internal advisory teams to provide patient insights that will lead to solutions approved by Sandoz review committee.

• Provide live one-on-one support training on patient support programs to providers & staff, offices, IDNs, hospitals, and infusion centers for the Sandoz Biosimilars business unit portfolio.

• Responsible for developing the Sandoz relationship with Medical Directors; Directors of Policy; Operational Staff and Medical Affairs staff at each Medicare Administrative Contractor (MAC) within assigned geography.

• Understands the respective MAC(s) processes and systems for adding product Q Codes; pricing information; and Local Coverage Determinations for new Sandoz biosimilars.

What you’ll bring to the role:

Required Qualifications:

Education (minimum requirements):

• BS/BA required

Experience:

• 5 years proven experience in public and private third-party Access & Reimbursement arena or pharmaceutical industry in managed care, clinical support, patient services or sales.

• 5 years demonstrated ability with coding & billing and in office support programs for medical benefit products.  Understanding of the Specialty Pharmacy patient journey for Rx products.

• Establishing relationships within a practice by working closely with them to help remove Reimbursement barriers to specialty products for their patients.

• Ability to collaborate with matrix partners including multiple sales representatives: sales leadership: Key Account Managers; Payer Account Managers: and internal colleagues to reach common goals.

• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in both Medicare Part B (Medical Benefit) & Medicare Part D (Pharmacy Benefit design and coverage policy).  Experience working with Medicare Administrative Contractors (MACs).

• Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems, and Infusion Centers. Exhibits a Strategic Account Management mindset.
   

Desirable Requirements:

• Excellent presentation skills and good driving record

•  Ability to handle expenses within allocated budgets and understanding of patient privacy laws including HIPAA and similar state laws

You’ll Receive:

Sandoz offers a generous employee benefits package that includes a competitive salary, health insurance coverage for medical, prescription drugs, dental and vision, a generous company match for retirement savings accounts, and generous paid time off. We also follow a hybrid work policy that combines a mix of in-person and remote work to allow our employees flexibility.

The pay range for this position at commencement of employment is expected to be between [From Job Profile: $138,600 – $257,400 USD/year; however, while salary ranges are effective from 1/1/25 through 12/31/25, fluctuations in the job market may necessitate adjustments to pay ranges during this period. Further, final pay determinations will depend on various factors, including,

but not limited to geographical location, experience level, knowledge, skills and abilities. The total compensation package for this position may also include other elements, including a sign-on bonus, restricted stock units, and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

On September 30, 2021, Sandoz entered into a 5-year Corporate Integrity Agreement. Certain positions will have responsibilities to support the execution and adherence to CIA obligations, CIA-related deliverables, and any relevant audit, monitoring or Independent Review Organization (IRO) remediation.

Sandoz - Notice at Collection to Employees Applicants 4.15.24[16].pdf

Why Sandoz?

Generic and Biosimilar medicines are the backbone of the global medicines industry. Sandoz, a leader in this sector, provided more than 900 million patient treatments across 100+ countries in 2024 and while we are proud of this achievement, we have an ambition to do more!

With investments in new development capabilities, production sites, new acquisitions, and partnerships, we have the opportunity to shape the future of Sandoz and help more patients gain access to low-cost, high-quality medicines, sustainably.

Our momentum is powered by an open, collaborative culture driven by our talented and ambitious colleagues, who, in return for applying their skills experience an agile and collegiate environment with impactful, flexible-hybrid careers, where diversity is welcomed and where personal growth is supported!

Join us!

#Sandoz

EEO Statement:

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Accessibility and reasonable accommodations

Sandoz, Inc. is committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please send an email to [email protected] or call 1-609-422-4098 and let us know the nature of your request and your contact information. Please include the job requisition number in your message.

Salary Range

Skills Desired