Director of Specialty Pharmacy Operations - Remote

Market Access Waltham, Massachusetts


Description

Ardelyx was founded with a mission to discover, develop and commercialize innovative, first-in-class medicines that meet significant unmet medical needs. Ardelyx has two commercial products approved in the United States, IBSRELA®(tenapanor) and XPHOZAH® (tenapanor), as well as early-stage pipeline candidates. 

This position will report to the Sr. Director, Specialty & Corporate Accounts. 

Description

  • Participate in the strategy and network development of specialty pharmacies for both XPHOZAH and IBSRELA brands
  • Build strong relationships with specialty pharmacies and serve as the voice of the network.
  • Manage day-to-day operations and work closely with SP Liaisons, Ardelyx partners and internal stakeholders to investigate, assess and resolve issues as they arise.  Escalate as necessary.
  • Establish SP network scorecards and KPIs
  • Monitor trends in KPIs and lead the business review and analysis of performance for specialty pharmacies
  • Assist Director of Trade Relations with the RFP, onboarding, and contracting process for specialty pharmacies
  • Lead the development of training materials and on-going quality oversight.
  • Periodically assist in the review, maintenance, and compliance with all standard operating procedures (SOP) and business rules related to the specialty pharmacy network.
  • Develop and execute strategies to support the collaboration and process flow optimization with the ArdelyxAssist patient support program.
  • Work with the Director of Healthcare Operations and System Solutions along with Commercial Analytics to ensure accurate and timely data reporting.
  • Provide subject matter expertise on all specialty pharmacy related topics by serving as a resource to all stakeholders (i.e. field sales team, prescribers, patients, marketing, etc.). Escalate any concerns to the appropriate parties where applicable.
  • Work with pertinent internal and external stakeholders to develop, implement, and maintain outreach programs to assist with adherence and improve patient engagement.
  • Support the annual brand planning process with data driven reimbursement insights by demonstrating accountability and leadership to effectively and efficiently manage external partners and vendors performance.

Key Responsibilities

  • Strong functional knowledge of health insurance and benefits (i.e. Medicare Part D, commercial and Medicaid) with a solid understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and bridge programs.
  • Extensive knowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations. Direct experience with nephrology or gastroenterology products or providers preferred.
  • Understanding of the legal and regulatory environment impacting specialty pharmacy along with demonstrated integrity on the job.
  • In-depth knowledge of pharmaceutical manufacturer compliance requirements and patient confidentiality (HIPAA regulations).
  • Outstanding customer relationship, interpersonal, and communication skills with the established ability to effectively work with diverse audiences and influence cross functionally.
  • Strong project management skills and abilities; comfortable managing multiple projects and delivering strong results.
  • Strong interpersonal skills including ability to communicate effectively with people individually and groups; ability to communicate with technical and non-technical colleagues; experience establishing and maintaining effective relationships across departments.
  • Demonstrated ability to translate strategy into action in order to resolve issues and mitigate risks.
  • Demonstrated being able to work well under pressure and handle multiple projects at one time.
  • Self-motivated, high degree of initiative, high achievement, and superb attention to detail.
  • Strong verbal communications skills and demonstrated ability to write clearly and persuasively.
  • Strong analytical skills with the proven ability to effectively analyze data to determine trends and inform strategy.
  • High interest in working in the “roll up the sleeves” environment of a small biotechnology company, without the resources of larger companies.
  • Must be authorized to work in the U.S. for any employer without the need for sponsorship.

Qualifications

The successful candidate will have the following leadership and personal competencies:

  •  A minimum of a B.A/B.S. required; Advanced degree within business or healthcare strongly preferred (PharmD, ARNP, PA, RN or MBA)
  • 5+ years of experience working within Market Access, Specialty Pharmacy, or Patient Support Services (healthcare operations and/or reimbursement services). Other backgrounds with related experience in reimbursement support, market access, or healthcare will be considered. Pharmaceutical industry experience strongly preferred.

Location

  • Remote-based position with regular travel to conference meetings.
The anticipated annualized base pay range for this full-time position is $192,000 - $260,832.  Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers.  Actual base pay will be determined based on a variety of factors, including years of relevant experience, training, qualifications, and internal equity.  The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements.     
Ardelyx also offers a robust benefits package to employees, including a 401(k) plan with generous employer match, 12 weeks of paid parental leave, up to 12 weeks living organ and bone marrow leave, equity incentive plans, health plans (medical, prescription drug, dental, and vision), life insurance and disability, flexible time off, annual Winter Holiday shut down, and at least 11 paid holidays. 
  
Ardelyx is an equal opportunity employer.