Redemplo Reimbursement Navigator

Reposted 3 Days Ago
Be an Early Applicant
Hiring Remotely in USA
Remote
160K-170K Annually
Senior level
Pharmaceutical
The Role
Manage provider accounts and patient cases to advance access and reimbursement for Redemplo. Provide reimbursement education, resolve complex coverage issues, coordinate with HUB/specialty pharmacy, support enrollment/appeals/prior authorizations, develop territory plans, document interactions, and ensure compliance with company policies and regulations.
Summary Generated by Built In

Arrowhead Pharmaceuticals, Inc. (Nasdaq ARWR) is a commercial stage biopharmaceutical company that develops medicines that treat intractable diseases by silencing the genes that cause them. Using a broad portfolio of RNA chemistries and efficient modes of delivery, Arrowhead therapies trigger the RNA interference mechanism to induce rapid, deep, and durable knockdown of target genes. RNA interference, or RNAi, is a mechanism present in living cells that inhibits the expression of a specific gene, thereby affecting the production of a specific protein. Arrowhead’s RNAi-based therapeutics leverage this natural pathway of gene silencing.

Arrowhead is focused on developing innovative drugs for diseases with a genetic basis, typically characterized by the overproduction of one or more proteins that are involved with disease. The depth and versatility of our RNAi technologies enables us to potentially address conditions in virtually any therapeutic area and pursue disease targets that are not otherwise addressable by small molecules and biologics. Arrowhead is leading the field in bringing the promise of RNAi to address diseases outside of the liver, and our clinical pipeline includes disease targets in the liver and lung with a promising pipeline of preclinical candidates.

Arrowhead’s corporate headquarters is in Pasadena, CA with research and development teams in Madison, WI & San Diego, CA, and a state of the art manufacturing facility in Verona, WI.  Our employees are nimble, science-driven innovators who are collaborating to bring new therapies to patients in need. 

The Position

The Redemplo Reimbursement Navigator (RRN) is responsible for managing assigned healthcare provider accounts and patient cases, within a defined geographic region, to advance patient access and reimbursement for Redemplo®. The RRN serves as a strategic reimbursement resource to healthcare providers, office staff, and internal stakeholders by delivering approved reimbursement education, facilitating patient access, resolving complex coverage and reimbursement challenges, and supporting patient case pull-through. The RRN collaborates cross-functionally with Sales, Market Access, Specialty Pharmacy, HUB partners, and other approved stakeholders to execute territory strategies while ensuring compliance with all company policies, privacy requirements, and applicable regulations.

Responsibilities

  • Advance patient access and reimbursement through approved education, reimbursement support, and pull-through activities.
  • Educate healthcare providers, office staff, and approved matrix partners on reimbursement processes, coverage pathways, financial assistance programs, and approved patient support services.
  • Analyze complex reimbursement and access issues and develop appropriate strategies to facilitate patient access within approved policies and compliance guidelines.
  • Coordinate with the HUB, specialty pharmacy, and approved partners to support patient enrollment, benefits investigations, prior authorizations, appeals, denied claims, and reimbursement-related case management.
  • Serve as the local reimbursement and access expert for Sales, Market Access, and regional leadership.
  • Develop and execute strategic territory plans in partnership with internal and external stakeholders to optimize patient access and customer support.
  • Build and maintain collaborative relationships with healthcare providers, office staff, specialty pharmacies, patient support partners, and internal cross-functional teams.
  • Proactively identify reimbursement barriers and implement compliant solutions that improve patient access and customer experience.
  • Document customer interactions and maintain accurate records within approved company systems.
  • Operate in full compliance with all company policies, legal, regulatory, privacy, and compliance requirements.
  • Manage business travel and expenses within established company guidelines.

Requirements

  • Bachelor's degree required; healthcare, life sciences, nursing, or a related field preferred.
  • Minimum of seven (7) years of pharmaceutical and/or biotechnology industry experience.
  • Minimum of three (3) years of experience in one or more of the following:
    • Field reimbursement
    • Patient access and reimbursement
    • Specialty medication access solutions
    • Specialty pharmacy
    • Advanced specialty pharmaceutical sales
    • Patient support services
  • Demonstrated knowledge of pharmacy benefit reimbursement.
  • Demonstrated ability to analyze and resolve complex reimbursement and patient access challenges.
  • Strong understanding of specialty pharmacy operations and patient support services.
  • Must reside within the assigned territory or territory boundaries.
  • Valid driver's license with the ability to travel extensively throughout the assigned territory.

Preferred

  • Experience supporting rare disease, cardiometabolic, or specialty pharmaceutical products.
  • Experience supporting a commercial pharmaceutical product launch.
  • Strong knowledge of payer coverage, reimbursement, specialty pharmacy, and patient support programs.
  • Excellent presentation, communication, and relationship-building skills.
  • Demonstrated strategic account planning, case management, and territory management capabilities.
  • Ability to effectively collaborate across cross-functional teams.
  • Strong analytical, problem-solving, and organizational skills.
  • High emotional intelligence with the ability to build trusted relationships with customers and internal partners.
  • Demonstrated accountability, ownership, adaptability, and customer focus.
  • Ability to thrive in a dynamic, fast-paced environment while maintaining a high level of professionalism and compliance.
California pay range
$160,000$170,000 USD

Arrowhead provides competitive salaries and an excellent benefit package.   

Candidates must have current, valid authorization to work in the country where this role is located.

California Applicant Privacy Policy

Skills Required

  • Bachelor's degree
  • Minimum seven (7) years pharmaceutical and/or biotechnology industry experience
  • Minimum three (3) years experience in field reimbursement, patient access, specialty medication access, specialty pharmacy, advanced specialty pharmaceutical sales, or patient support services
  • Demonstrated knowledge of pharmacy benefit reimbursement
  • Ability to analyze and resolve complex reimbursement and patient access challenges
  • Strong understanding of specialty pharmacy operations and patient support services
  • Must reside within the assigned territory or territory boundaries
  • Valid driver's license and ability to travel extensively throughout the assigned territory
  • Authorization to work in the country where the role is located (must have current, valid work authorization)
  • Experience supporting rare disease, cardiometabolic, or specialty pharmaceutical products
  • Experience supporting a commercial pharmaceutical product launch
  • Excellent presentation, communication, and relationship-building skills
  • Demonstrated strategic account planning, case management, and territory management capabilities
  • Strong analytical, problem-solving, and organizational skills
  • Ability to effectively collaborate across cross-functional teams
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The Company
HQ: Pasadena, CA
352 Employees
Year Founded: 2004

What We Do

Arrowhead Pharmaceuticals is a clinical stage, Nasdaq listed (ticker ARWR) company developing medicines that treat intractable diseases by silencing the genes that cause them. Using a broad portfolio of RNA chemistries and efficient modes of delivery, our therapies trigger the RNA interference mechanism to induce rapid, deep and durable knockdown of target genes. RNA interference, or RNAi, is a mechanism present in living cells that inhibits the expression of a specific gene, thereby affecting the production of a specific protein. Our RNAi-based therapeutics are at the leading edge of genetic-based therapy with the potential to bring life changing treatments for patients. Our Targeted RNAi Molecule (TRiMTM) platform utilizes ligand-mediated delivery and is designed to enable tissue-specific targeting while being structurally simple. The TRiM platform builds on more than a decade of work on actively targeted drug delivery and offers several advantages including simplified manufacturing and reduced costs; multiple routes of administration; and potential for improved safety. Our employees are nimble, science-driven, and innovative professionals. A career at Arrowhead offers the opportunity to collaborate with top notch scientists to rapidly discover and develop RNAi-based therapeutics to add to our growing pipeline. Research and development activities are located in Madison, WI. Our R&D group includes fully-integrated capabilities for chemistry, biology, and toxicology. Madison is an exciting and sophisticated city that includes state government, the flagship campus of the University of Wisconsin, and major research organizations. Our HQ, clinical and regulatory operations are located in Pasadena, CA. Just north of Los Angeles and resting in the foothills of the San Gabriel Mountains, Pasadena is known for its natural scenic beauty, vibrant cultural and academic environment and rich architectural setting.

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