Dynamic Access and Reimbursement Manager with expertise in market access and cross-functional collaboration at Astellas Pharmaceuticals. Proven track record in executing successful product launches and enhancing patient access through strategic initiatives. Recognized for problem-solving skills and analytics, driving significant improvements in claims management and operational efficiency.
Overview
27
27
years of professional experience
Work History
Access and Reimbursement Manager
Astellas Pharmaceuticals
Greater Philadelphia, PA
06.2023 - Current
Support the successful launch of the new Buy and Bill medication indicated for the treatment of geographic atrophy.
Serves as a local market access expert on payer policy coverage, billing, coding, multi-channel acquisition pathways, and reimbursement.
Execute strategic initiatives with Retina Specialists, internal and external stakeholders, and staff to implement efficient process flow and pull-through of new Geographic Atrophy medication.
Provide comprehensive and ongoing support and education to retina offices and private equity groups, ensuring they are integrated into patient services and support programs.
Deliver quarterly contract pricing program information to retina specialists and C-suite executives.
Cross collaboration with Territory Business Managers, Medical Science Liaisons, Thought Leader Liaisons, and Regional Business Directors to execute and deliver strategic launch plans for key accounts within the Region.
Provide problem resolutions for claim and prior authorization denials through collaboration and communication with office staff, Astellas payer team members, and Izervay My Way Access Coordinators.
Member of the FIT Team responsible for enhancing patient support services and reimbursement resources.
Peak Performer Award Winner 2024
Associate Director Systems Access and Reimbursement
Novartis Pharmaceuticals
Philadelphia, PA
04.2020 - 06.2023
Collaborated as the lead member of the Institutional Strategic Executive Team to manage responsibilities across eight large health systems in the Philadelphia market.
Successfully secured formulary approval across 6 Systems of Care.
Partnered with the Alternate Infusion Center team to contract with infusion centers to acquire Leqvio.
Develop key strategies focused on ASCVD priorities, access and reimbursement processes, and population health initiatives.
Communication and collaboration with C-Suite stakeholders, Director of Pharmacy, Revenue Cycle Managers, and Billing Managers to operationalize Part B medication throughout health systems.
Led the FRM team to align with key organizational priorities within Health Systems.
Educate key external stakeholders on access, reimbursement pathways, and services available to support patient access.
As the NE ADSAR Field-Based Trainer, assisted with ongoing training for Leqvip access and reimbursement teams.
Worked directly with the Marketing team and external vendors to develop Buy and Bill training materials for field teams.
As the ISET Champion, participate in monthly meetings with leadership to provide key insights from the ADSAR team.
Executed a comprehensive LDE project in support of Site of Care initiatives and delivered a presentation to Executive Leadership.
Assisted Southeast ARL with the interview process for FRM team.
Mentored new hires.
Received 'The Essential Piece' and 'Extra Degree' awards for Q2 for National ADSAR teams, 2021.
Associate Director Access and Reimbursement
Novartis Pharmaceuticals
Philadelphia, PA
04.2019 - 04.2020
Supported the launch of Beovu, buy and bill Intravitreal Anti-VEGF medication indicated for the treatment of age-related macular degeneration.
Delivered professional presentations to office staff, retina specialists, and ophthalmologists to remove barriers to access, educate on manufacturer discounts and rebate programs, and HUB patient support services.
Communicated and collaborated among cross-functional internal and external partners to develop strategic account planning and implementation.
Coordinated workflow process within accounts and private equity partners to maximize patient access to Beovu.
Expert level reimbursement and policy (state, federal, and commercial) education to C Suite decision makers, Physicians, Practice Managers, Prior Authorization and Billing Personnel in Academic Hospital Institutions and Physician Practices.
Support accounts with claims reconciliation and clearinghouse rejections.
Contributed to the development of training materials from launch to present, working with leadership, internal training, and marketing teams as the East ADSAR Field-Based Trainer.
Field Reimbursement Manager
Regeneron Pharmaceuticals
Philadelphia, PA
01.2017 - 04.2019
Assist with the managed care approval process of biologic medications, Part D, in the cardiovascular, dermatology/allergy, respiratory, and rheumatology disease spaces.
Knowledge of commercial, Medicare, and Medicaid insurance plans, and state programs.
Cross-collaborate with six matrix teams, sales partners, effectively managing priorities to support key accounts.
Work with office staff members and health care providers to help with managed care issues, and educate staff on individual payer utilization management criteria, new plan updates or changes, and HUB services.
Schedule, organize, and conduct educational speaker programs, which focus on managed care pull-through of the product portfolio.
Navigating the approval process and communication between IDNs and local and national specialty pharmacies.
Educating and communicating weekly with Pharmacy Staff at IDN's in Hospital Systems (Penn, Jefferson, Temple, Mainline Health, Crozer, Atlantic Care, CHOP).
Launched both dermatology, respiratory, and rheumatology products: Dupixent and Kevzara.
Assisted with the mentoring and training of new hires.
Won National Contest Q4 2018 for overall increased throughput.
Specialty Pharmaceutical Sales Representative
Endo Pharmaceuticals
Voorhees, NJ
01.2016 - 01.2017
Launched a new pain medication calling on anesthesiologists, pain management specialists, neurologists, and primary care physicians.
Drive sales and grow market share of all products through marketing-approved presentations and utilization of educational resources for the office and staff.
Manage territory effectively through data analysis and organized call plan execution.
Ranked in the top 10% of the Philadelphia District and the top 20% of the nation for Q2, Q3, and Q4.
Developed and presented educational pieces at the District Meeting to assist team members with clinical information on disease states.
Clinical Nurse Sales Specialist
Inventiv Health (Johnson & Johnson)
Philadelphia, PA
08.2012 - 01.2016
Promote the sales and education of consumer products through daily product discussions and meetings with health care providers, pediatricians, and allergists.
Responsible for educating health care providers, staff, and customers on product information, safety, concentration changes, and new marketing materials.
Proven market share growth versus competitors over all quarters.
Received Outstanding Full Time Sales Representative for the Northeast Region 2013.
Mentored New Hires.
Member of the Advisory Committee to provide feedback from the field to upper-level management, and participate in developing sales and marketing strategies to promote product growth in revenue.
Appointed to the VEEVA Migration Committee to provide feedback and input on the new computer/database system and design.
Designated Field Ambassador role for iRep for the Northeast District.
Led new hire training classes throughout the year.
Completed the Management Course in 2015, set forth by Inventiv Health.
Interim Manager for the Clinical Specialist Team from 2015 to 2016.
Pharmaceutical Sales Representative
Publicis Touchpoint (AstraZeneca)
Vineland, NJ
02.2012 - 08.2012
Drive the sales of Vimovo and be responsible for launching Dutoprol, a new product for the treatment of hypertension.
Delivered ongoing clinical education presentations of Dutoprol to primary care physicians, and cardiologists.
Ranked 4th in the nation for Dutoprol new scripts for top ten targets.
Ranked in the top tenth percentile in the nation for new scripts for Dutoprol.
Continuously build on marketing and sales strategies to increase overall product growth and market share.
Specialty Pharmaceuticals Representative
King/Pfizer Pharmaceuticals
Blackwood, NJ
01.2011 - 09.2011
Successfully steer Celebrex, Lyrica, and Flector Patch sales to generate high volume growth and revenue.
Increased Flector growth over 100%, above District average of 98%.
Delivered clinical presentations to pain specialists, orthopedic surgeons, anesthesiologists, neurologists, and primary care physicians, providing information on prescribing information and clinical trials.
Conduct out-of-office educational programs for HCPs and staff.
Sales Associate
Berkshire Hathaway
Margate, NJ
06.2006 - 01.2011
Skillfully planned, developed, and implemented sales campaigns and marketing promotions to expand sales.
Facilitated a client-focused, service-oriented environment vital to maximizing customer satisfaction and retention.
Effectively collaborated with the sales team in generating over $9M in real estate sales in 2007.
As a team, we achieved sales awards from the Board of Realtors for sales totaling over $12 million annually from 2008 through 2010.
Critical Care Registered Nurse
Lankenau Hospital
Wynnewood, PA
09.1998 - 06.2006
Performed extensive nursing duties, working with critical care patients in the Pulmonary ICU and Cardiac Care Units.
Demonstrated leadership skills as a charge nurse.
Communicated with physicians, surgeons, and residents on the patient care plan and treatments.
Worked on the Angioplasty Unit, which required additional education and training.
Interim Floor Nurse Manager for six months.
Managed floor nursing responsibilities, scheduling, and led the nursing team to meet patients' and families' needs, aligned with Health System objectives and procedures.
Education
Bachelor of Science - Exercise Kinesiology
University of Delaware
Associate of Science - Nursing, R/N.
Atlantic Community College
Skills
Cross Functional Partner Collaboration and Engagement
Product Launch
Cross- Functional Collaboration
Market access expertise
Billing and coding
Business Planning
Hub Operations and Navigation
Team leadership
Specialty Pharmacy
Buy and Bill
Claims management
Analytics skills
Personal Information
Title: Access and Reimbursement Manager
Certifications Affiliations
Six Sigma Green Belt Emory Certification, 2022
LAMP Certification, 2021
Timeline
Access and Reimbursement Manager
Astellas Pharmaceuticals
06.2023 - Current
Associate Director Systems Access and Reimbursement
Associate Director, Enterprise Infrastructure at Astellas Pharmaceuticals, Inc. / OSI PharmaceuticalsAssociate Director, Enterprise Infrastructure at Astellas Pharmaceuticals, Inc. / OSI Pharmaceuticals