Job Description

Our Oncology team is dedicated to delivering breakthrough innovations that extend and improve the lives of cancer patients worldwide. Our team of forward-thinking individuals achieve this through an unwavering commitment to support accessibility to medicine, providing new therapeutic solutions, and collaborating with governments and payers to ensure that people who need medicines have access to them. Our focus is on innovation and launch execution excellence; we translate breakthrough science into innovative medicines that help people with cancer across the globe.

This role covers the Central Territory; all of Michigan, Illinois, Missouri, Iowa and Nebraska.

Account Manager responsible for obtaining MAC access to Part B infused drugs in Oncology and other areas. therapeutic areas through work with MAC personnel, CAC members and Oncology State Societies.

Responsible for managing relationship with multiple Oncology State Societies, CAC members, and 3-4 MAC jurisdictions covering various states across the general/approx. Central US area and representing approximately 25% of FFS Medicare jurisdictions.
Responsible for gaining and ensuring FFS Medicare access for all Food and Drug Administration approved indications for brand named products and other relevant approved infused part B medicines.
Monitor and manage policies, processes within MAC jurisdictions that impact access such as LCDs, Edits, Markup Elimination's, Testing, coding articles, etc.
Develop Reimbursement Key Opinion Leader 's who can provide support when access issues arise.
Educate and support sales and surround sound teams regarding policy and coverage issues.
Monitor claims database to ensure prompt payment and identify any potential payer/reimbursement issues.
Think strategically and inform ongoing role evolution needs in order to appropriately anticipate and meet ever evolving marketplace dynamics and relevant stakeholder/customer segments

Education Minimum Requirements

Bachelor's degree
MBA preferred

Required Experience and Skills

10-15 years pharmaceutical experience, at least 5 years of large account management, minimum 5 years buy and bill reimbursement experience (not rep experience with a buy and bill drug responsibility but actual reimbursement experience).
Minimum 2 years of experience informing/ensuring adoption of appropriate medical policy consistent with label within MACs and/or regional payers for buy and bill drugs as well as addressing payer policy issues.
Strong clinical expertise particularly in area of immuno-oncology.
Strong clinical oncology knowledge and ability to communicate clinical information on over 20+ indications to medical directors
Understanding of impact of medical policy on access and reimbursement processes.
Superb presentation skills with experience presenting to boards of directors and medical directors.
Experience appropriately collaborating with oncology state societies and managing projects in manner consistent with company policies and compliance requirements.
Track record of achieving positive coverage and access for buy and bill medications through successful management of payer and reimbursement KOL relationships.
Ability to successfully collaborate within and across multiple cross functional teams (HQ and Field based) and to effectively align, coordinate and routinely communicate with large number (150+) of team members.
Ability to identify and develop reimbursement KOLs across multiple state geographies.
Strong understanding of regulatory environment and compliance policies.
Demonstrated judgement and ability to effectively deliver results despite ambiguous or fluid circumstances

Preferred Experience and Skills

Existing relationships with MAC personnel, CAC members and state society executive directors
Understanding of policy impact on reimbursement processes and protocols
Excellent Group and Individual Presentation Skills
Effective Collaborator and Team player
Working and Leading Cross-Functional Teams
Ability to navigate through complex situations involving various stakeholders
Judgement/Compliance/Regulatory understanding
Strong I/O Clinical Oncology knowledge
Understanding of testing, MolDx policies
Executive Presence
Launch experience especially with buy and bill drug with miscellaneous code
Data analysis
Advocate development
Project management
Ability to change behavior
Networking
Organizational Skills
Deep understanding of buy and bill, HCPCS codes, International Classification of Diseases -10 codes, CPT codes, medical policy, revenue cycle, ASP, MUEs, Claim Submission, CMS and MAC processes, Medicare Part A, B, C and D. OCM, NOC drugs, edits, LCD process,
Excellent skills with Office 365 and programs such as PowerPoint, Word, Excel, OneNote, etc
Travel: 50-75%, potential for some weekends in spring and fall.

Our Human Health Division maintains a “patient first, profits later” ideology. The organization is comprised of sales, marketing, market access, digital analytics and commercial professionals who are passionate about their role in bringing our medicines to our customers worldwide.

Who we are …

We are known as Merck & Co., Inc., Kenilworth, New Jersey, USA in the United States and Canada and MSD everywhere else. For more than a century, we have been inventing for life, bringing forward medicines and vaccines for many of the world's most challenging diseases. Today, our company continues to be at the forefront of research to deliver innovative health solutions and advance the prevention and treatment of diseases that threaten people and animals around the world.

What we look for …

In a world of rapid innovation, we seek brave Inventors who want to make an Impact in all aspects of our business, enabling breakthroughs that will affect generations to come. We encourage you to bring your disruptive thinking, collaborative spirit and diverse perspective to our organization. Together we will continue Inventing For Life, Impacting Lives while Inspiring Your Career Growth.

INVENT.

IMPACT.

INSPIRE.

NOTICE FOR INTERNAL APPLICANTS

In accordance with Managers' Policy - Job Posting and Employee Placement, all employees subject to this policy are required to have a minimum of twelve (12) months of service in current position prior to applying for open positions.

If you have been offered a separation benefits package, but have not yet reached your separation date and are offered a position within the salary and geographical parameters as set forth in the Summary Plan Description (SPD) of your separation package, then you are no longer eligible for your separation benefits package. To discuss in more detail, please contact your HRBP or Talent Acquisition Advisor.

US and Puerto Rico Residents Only:

If you need an accommodation for the application process please email us at staffingaadar@msd.com
For more information about personal rights under Equal Employment Opportunity, visit:

EEOC Poster

EEOC GINA Supplement

OFCCP EEO Supplement

OFCCP Pay Transparency Rule

We are an equal opportunity employer, Minority/Female/Disability/Veteran – proudly embracing diversity in all of its manifestations.

Search Firm Representatives Please Read Carefully
Merck & Co., Inc., Kenilworth, NJ, USA, also known as Merck Sharp & Dohme Corp., Kenilworth, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.

Employee Status:

Regular

Relocation:

No relocation

VISA Sponsorship:

No

Travel Requirements:

75%

Flexible Work Arrangements:

Not Specified

Shift:

Not Indicated

Valid Driving License:

Yes

Hazardous Material(s):

N/A

Number of Openings:

1

Requisition ID:R94459

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