Job Description

The individual in this role will need to demonstrate a deep passion for patients and caregivers with an emphasis on enhancing and optimizing the patient and prescriber experience with our support program offerings. Moreover, since this is a foundational role, this individual will need to quickly establish compliant relationships with healthcare providers, helping to ensure successful access to the prescribed treatment. The Tzield reimbursement environment is highly challenging for Health Care Providers (HCPs) and Patients. Payer medical and pharmacy Utilization Management (UM) criteria create process delays for patients such as required Benefits Investigations (BI), Prior Authorizations (PA), Denials, Appeals, detailed Clinical Documentation, and Peer to Peer reviews. Assisting HCPs and their patients to gain access to prescribed treatments requires dedicated and knowledgeable customer facing support. This support is provided by our FRM team. The FRM is a critical field-facing member of the Sanofi Patient Support Services organization and an integral part of the Tzield matrix team. This is a regionally aligned, field-based position that provides reimbursement education and support for customers that utilize TZIELD (and other future products). The FRM will act at the subject matter expert on access, reimbursement, billing & coding processes and providing support through (1) product-specific provider reimbursement support, (2) coordination of HUB/Patients Services reimbursement services, and (3) managing payer/coverage pull-through initiatives. FRMs support the company and divisional reimbursement strategy. This position also requires the ability to successfully navigate working across multiple internal and external stakeholder teams, as well as program vendors, to deliver an exceptional experience. We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, rare diseases and blood disorders, cancers, and neurological disorders. From R&D to sales, our talented teams work together, revolutionizing treatment, continually improving products, understanding unmet needs, and connecting communities. We chase the miracles of science every single day, pursuing progress to make a real impact on millions of patients around the world. Main Responsibilities: Will be subject matter expert on Sanofi patient support programs; payer policy, benefits and claim adjudication processes; billing & coding education; access issue resolution; financial assistance and alternative funding options provided by our patient support program. Plan and implement geographic business plans to support appropriate access for Sanofi products. Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products Monitor commercial, Medicare, and Medicaid communications on coverage, utilization management requirements, and coding & billing Partner with internal matrix colleagues (sales, case management/navigators, medical, therapeutic education managers, market access, regional/national account directors) to collaborate, create a culture of respect, prioritization and customer focus Work with specialty pharmacies and specialty distributors, as needed Coordinate with different sites of care, including infusion centers Assist HCPs with transition process from infusion site to home infusion, as appropriate Establish relationships and serve as primary point of contact for healthcare provider offices within assigned region to work closely with and support HCPs/staff in resolving payer coverage issues that may be barriers to Sanofi product access in a manner that complies with all company policies and standard operating procedures. Educate office personnel on appropriate billing guidelines including approved codes for approved uses, medical & pharmacy benefits, patient support program offerings. Compliantly support HCPs/staff with the program enrollment process. Communicate effectively with all internal/external partners & HCP customers Ensure training is completed and demonstrate appropriate clinical knowledge of the respective product(s) Record & report Adverse Events Effectively triage product replacement requests Backup colleagues and collaborate across patient services team(s) Complete all company required compliance (and other) training in a timely manner Complete all administrative duties in a timely and well-executed manner (expense reports, data entry into CRM system Attend regional and national industry conferences, as allowed

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