Reimbursement - RAM - Texas

US-MD-Columbia
Job ID
2017-1220
# Openings
1
Category
Reimbursement

Primary Purpose of Position

The Regional Account Manager (RAM) partners with customers to ensure Osiris product coverage by insurers, providing patients access to needed medical therapies. RAMs are responsible for coverage and access within an assigned region. Duties include the implementation and execution of all corporate Market Access business objectives in the assigned region. This position reports to the Director, Regional Market Access and must reside in Texas.

 

Responsibilities and duties include, but are not limited to, the following:

 

Essential Functions

  • Implement and develop payer coverage and reimbursement strategies designed to secure appropriate access, coverage, and reimbursement for the Osiris products portfolio in an assigned region.
  • Develop and maintain multiple relationships within “Managed Care Organizations” who have responsibility for influencing and product selection and access decisions.
  • Attend to primary customers, which include: Regional and national payor professionals focused on evidenced based outcomes, including Medical Directors, Quality Directors, Executive decision-makers within Managed Care Organizations, Accountable Care Organizations, and various Organized Customer Models operating within the assigned region.
  • Serve as an expert consultant to both the internal and external stakeholders.
  • Develop strategies in collaboration with National and Government Access Directors, where applicable, that will help maximize relationships.

 

Product/Value Presentation

  • Demonstrate product value to key regional accounts to secure Osiris product preference and maintain/grow access to drive sustained value of the portfolio by positioning products based on clinical outcomes and value.
  • Maintain customer profiles, communicate organizational changes, and monitor/manage the competitive environment in assigned region, maintaining strategic relationships with relevant commercial and medical partners. This information will be maintained in the company customer relationship system.


 Analytics/Business Case Development, Coverage and Pull Through

•       Monitor and analyze account information for Osiris products relative to competitors and develop tactics to enhance sales.

o   This includes the creation of coverage business cases, the negotiation of the actual contracts, and the creation of subsequent contract pull through opportunities.

•       Use analytic tools, and relevant models to identify issues and opportunities associated with product performance (in assigned accounts) and create plans to address.

•       Track performance of existing initiatives and make sound business decisions to maximize ROI.

•       Be actively involved and collaborate with National and Government Access Directors, Strategy and operations and Market Access leadership on coverage decisions and ongoing payer performance.

 

Principal Responsibilities

Responsibilities and duties include, but are not limited to, the following:

 

Essential Functions

  • Implement and develop payer coverage and reimbursement strategies designed to secure appropriate access, coverage, and reimbursement for the Osiris products portfolio in an assigned region.
  • Develop and maintain multiple relationships within “Managed Care Organizations” who have responsibility for influencing and product selection and access decisions.
  • Attend to primary customers, which include: Regional and national payor professionals focused on evidenced based outcomes, including Medical Directors, Quality Directors, Executive decision-makers within Managed Care Organizations, Accountable Care Organizations, and various Organized Customer Models operating within the assigned region.
  • Serve as an expert consultant to both the internal and external stakeholders.
  • Develop strategies in collaboration with National and Government Access Directors, where applicable, that will help maximize relationships.

 

Product/Value Presentation

  • Demonstrate product value to key regional accounts to secure Osiris product preference and maintain/grow access to drive sustained value of the portfolio by positioning products based on clinical outcomes and value.
  • Maintain customer profiles, communicate organizational changes, and monitor/manage the competitive environment in assigned region, maintaining strategic relationships with relevant commercial and medical partners. This information will be maintained in the company customer relationship system.


 Analytics/Business Case Development, Coverage and Pull Through

•       Monitor and analyze account information for Osiris products relative to competitors and develop tactics to enhance sales.

o   This includes the creation of coverage business cases, the negotiation of the actual contracts, and the creation of subsequent contract pull through opportunities.

•       Use analytic tools, and relevant models to identify issues and opportunities associated with product performance (in assigned accounts) and create plans to address.

•       Track performance of existing initiatives and make sound business decisions to maximize ROI.

•       Be actively involved and collaborate with National and Government Access Directors, Strategy and operations and Market Access leadership on coverage decisions and ongoing payer performance.

Qualifications

Required

•       Bachelor's degree from an accredited university or college in business, management, healthcare administration or related field.

•       Minimum of 5 years of related experience in healthcare sales, account management, managed markets or reimbursement.

•       Demonstrated responsiveness and sense of urgency when pursuing goals and completing tasks.

•       Outstanding interpersonal skills, including developing relationships at all levels in an organization and directly influencing business objectives.

•       Proven track record of working with providers and payers to provide reimbursement support and resolve reimbursement issues.

•       Understanding of medical device, biologic, or pharmaceutical industry reimbursement environment.

•       Ability to understand and explain complex disease state information, clinical outcomes data, and scientific product information.

•       Demonstrated ability to set and manage priorities as well as manage multiple projects.

•       Ability to work with ambiguity and continuously adapt in a rapidly changing atmosphere.

•       Understanding of hospital financial systems and management practices.

•       Working knowledge of CMS' codes, rules, regulations, pronouncements, and applicable Medicare Administrative Contractor (MAC) polices (e.g. Local Coverage Determinations), Medicaid, and commercial policies.

•       Ability to travel up to 65%. This is a remote position.

 

Preferred

•       Experience working with new medical technologies in the medical device, biologic, or pharmaceutical arena.

•       Experience calling on managed care organizations.


Osiris Therapeutics, Inc. is an Equal Opportunity Employer with a commitment to diversity. Applicants are considered on the basis of individual merit without regard to race, color, national or ethnic origin, gender, gender identity, sexual orientation, marital status, veteran status, pregnancy, age, religion, disability, genetic information, or any other characteristic protected by law.

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