ESSENTIAL JOB RESPONSIBILITIES include but are not limited to:

• Supports and demonstrates IMA’s core values
• Values and understands the importance of diversity, equity, and inclusion among all IMA associates
• Interacts professionally and timely with internal and external clients via email, phone and in-person
• Financial Strategy
  • Leads complex technical work and strategic financial consulting regarding employee benefit plans
  • Communicates technical analysis to clients regarding cost projections, savings opportunities, and proper risk management
  • Drives local process improvements and supports innovation
• Marketing/RFPs
  • Prepares and manages RFP for all self-funded TPA and stop loss submissions to market with Client Executive direction
  • Collects, manages, and reviews proposals on self-funded TPA and stop loss marketing events
  • Updates marketing results into spreadsheet ensuring accuracy to be used internally and in client presentation
• Renewals
  • Initiates review of fully insured medical, and self-funded TPA and stop loss renewals, including plans, cost, contributions and contract terms
  • Leads recommendations to client regarding renewal analysis
  • Utilizes actuarial models to assess changes to risk and plan structure
• Partnership & Negotiation
  • Negotiates with carriers based on client’s targeted goals
  • Maintains ongoing relationships with carrier and vendor partners
• Underwriting & Analysis
  • Provides analysis for benchmarking, contribution, disruption, network, stop loss deductible and GeoAccess analysis
  • Provides and communicates underwriting cost projections for self-funded medical/Rx, dental, and vision products.
  • Develops and communicates self-funded IBNP analysis to client
  • Assesses proper risk and funding structures such as fully insured vs. self-funded analysis, and presents findings to client to align with client goals
• Reporting
  • With minimal guidance, analyzes data for inconsistencies and trends
  • Provides a written and oral summary of findings to Client Executive, and directs strategic considerations for managing cost
  • Builds and customizes reports to fit client needs
• Presentation
  • Prepares client presentations and presents in front of client with as part of team with Client Executive, Client Manager, and various subject matter experts.
• Training & Mentorship
  • Provides mentorship to analysts and performs technical review of work
  • Serves as a subject matter expert for specific financial strategy functions, and leads local process improvements
  • Serves as experienced peer reviewer, ensuring standards of practice and work quality standards are met

REQUIRED EXPERIENCE AND SKILLS include but are not limited to:

• 6+ years of similar or related experience
• Prefer college graduate, 4-year degree or equivalent experience
• Proficiency with MS Office Suites
• Attains Life and Health license & maintains through continuing education requirements
• Limited travel required (less than 25%)
• Understands concepts of underwriting and actuarial computations
• Analyzes and interprets data
• Effectively manages multiple projects while meeting timelines
• Ability to be firm and persuasive when needed, while maintaining good relationships
• Handles confidential information with tact and discretion

#LI-JS1

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X.

About This Role

Axsome Therapeutics is currently searching for a field based Long-Term Care (LTC) Specialty Account Manager (SAM) to drive LTC commercial activities for an assigned geography by executing marketing strategies to ensure a successful launch and make a meaningful difference through the execution of commercial activities.

SAMs will be responsible for product performance at a territory level and expected to be a disease state expert, product champion and an account specialist. The SAM will provide account management support and exhibit business knowledge of the local landscape to assess key stakeholders plus future trends within the marketplace.

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

• Drive product adoption in LTC facilities
• Proficient in both virtual and live customer engagements
• Effectively call on LTC Care teams, building meaningful relationships across the entire LTC ecosystem: Psychiatrists, Neurologists, nurse practitioners, Physician assistants, Nurses and LTC staff, Closed-door pharmacies, clinical pharmacists, case managers and care coordinators.
• Develop a comprehensive and effective territory business plan inclusive of account plans for targeted LTC facilities aimed at achieving and exceeding quarterly & annual goals established by commercial leadership
• Promote within our approved labeling in a comprehensive, fair, and ethical manner that is consistent with industry specific and corporate legal and regulatory guidelines
• Develop strong customer relationships by better understanding the customer’s needs
• Serve as a resource/consultant to customers and staff regarding payer policies and processes (i.e., eligibility and benefit verification, prior-authorization, and appeals/denials)
• Navigate Market Access and Reimbursement. LTC SAMs must understand: payer requirements, pharmacy fulfillment processes, patient access programs, reimbursement tools such as cover my meds
• Maximize use of marketing resources to maintain and develop customer relationships for the purpose of growing the customers’ confidence to prescribe Axsome medications for appropriate patients
• Communicate territory activity in an accurate and timely manner as directed by management
• Provide feedback to sales and commercial leadership, colleagues, marketing, and other internal departments about changing environment and results
• Successfully complete all training classes in a timely manner
• Complete administrative duties in an accurate and timely fashion
• Manage efforts within assigned promotional budget
• Effectively collaborate across all corporate functions
• Attend medical congresses and society meetings as needed
• Ensure timely access for patients through patient services and savings programs
• Overnight travel as indicated by the needs of the business
• Additional responsibilities as assigned

Qualifications / Requirements 

• Bachelor’s degree from an accredited college or university 
• Minimum of 5 years of pharmaceutical/biotech sales experience, including 2+ years in LTC or account-based selling environments
• Demonstrated experience delivering outstanding results, including Top 10% or Elite/President’s Club performance
• Launch experience strongly preferred 
• Must live within the geography of the assigned territory
• Experience collaborating with cross-functional teams, utilizing differential resources to achieve business goals 
• Proven ability to successfully manage multiple tasks concurrently under accelerated timelines in a dynamic environment 
• Ability to thrive with ambiguity and business environments with high expectations
• Patient support services experience a plus 
• Strong digital marketing aptitude 
• Strong interpersonal, presentation, and communication skills 
• Frequent driving, including extended periods of time behind the wheel
• Prolonged sitting and standing as part of daily job functions
• Ability to lift and carry up to 30lbs regularly
• Overhead reaching required to close and secure liftgates or similar equipment

Salary & Benefits

The anticipated salary range for this role is $100,000 - $150,000. We encourage candidates of all levels to apply as there may be flexibility on final job title and responsibilities. The salary offer will be based on a variety of factors, including experience, qualifications, internal equity and location. Axsome offers a competitive employment package that includes an annual bonus, significant equity and a generous benefits package.

Axsome is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, sexual orientation, gender identity, ancestry, citizenship, marital status, physical or mental disability, medical condition, veteran status, genetic information, or any other characteristic protected by federal, state, or local law.

Axsome Therapeutics does not accept unsolicited resumes from recruiters or third-party recruitment agencies and will not pay placement fees for unsolicited candidates that are sent to hiring managers, the HR team or other Axsome team members. Only approved vendors who have been explicitly asked to support a specific search will receive access to our Applicant Tracking System to submit candidates for consideration.

This is a high-impact, visible role where your expertise directly translates into patient access.  You'll be instrumental in shaping our market presence and ensuring the successful adoption of a technology that is changing the standard of cardiovascular care.  Join us and make a difference! 

This role serves as the primary, expert consultant on all matters of coding, billing, and access for HeartFlow FFRct Analysis and other services. You will leverage your deep reimbursement experience to ensure our hospital and clinic partners succeed financially, while strategically aligning with our internal Sales Team.

This position will be a remote position with up to 30% travel throughout the US required. #LI-IB1

Responsibilities You Will Own:

Strategic Field Alignment & Consultation

• Act as the expert reimbursement partner embedded within the field team structure. Attend strategic sales calls to address complex coding and billing concerns, positioning Heartflow as a true consultative resource for customers.
• Collaborate with the Field Sales Team to proactively identify facilities and practices needing reimbursement education and support regarding Heartflow products.
• Educate the Sales Team on key coding updates, billing concerns, and reimbursement trends, ensuring the entire commercial team is strategically aligned and informed.
• Collaborate with the field facing "One Team" to compliantly share insights into customer needs, potential barriers, and payer issues/opportunities for patient access.

Customer Access & Billing Optimization

• Serve as the primary consultant for customer billing and administrative staff. Conduct calls or travel onsite to educate customers on the appropriate use of Category III codes, billing scenarios, and payment components.
• Provide comprehensive support throughout the full reimbursement cycle, from pre-service authorization to post-service collection.
• Support customers in optimizing their prior authorization workflow and claims appeals processes to maximize reimbursement success and minimize administrative burden.
• Conduct frequent claim reviews with practices to ensure appropriate reimbursement.
• Address and resolve patient coverage, access, and reimbursement questions from accounts, coordinating with patient services as directed by policy and procedure.

Content Strategy & Compliance

• Partner with Marketing to develop strategic educational materials (e.g., guides, presentations, FAQs) on coding, billing, and compliance for both customer and internal field team use.
• Identify, anticipate, and address patient and practice reimbursement issues by partnering with internal and external stakeholders.
• Maintain a deep understanding of Heartflow policies and industry trends to perform the role in a compliant manner consistent with company guidance.

Skills Needed:

• Deep Understanding of the Revenue Cycle: Expert knowledge of medical coding (CPT, ICD-10), payer policies, prior authorization workflows, and claims appeals processes.
• Policy Interpretation: Proven ability to interpret policies and medical necessity language to accurately identify appropriate documentation (e.g., ICD-10 codes, medical records) required for successful claim submission.
• Data Proficiency: Proficient in using the Microsoft Office Suite (Excel, Word, and PowerPoint), with advanced spreadsheet development skills for analysis and reporting.
• Cross-Functional Alignment: Proven ability to successfully collaborate and align with a direct sales force, serving as a respected consultative partner rather than a purely service-oriented resource. This requires a strategic mindset focused on enabling commercial success through access.
• Exceptional Communication: Outstanding presentation and communication skills, with the ability to translate complex reimbursement information into clear, actionable guidance for both internal teams and external customers.
• Ethical Practice: Unwavering commitment to ethical business practices and maintaining the highest level of compliance in all professional activities.

Educational Requirements & Work Experience:

• Greater than 5 years of demonstrated work experience in coding and billing managing both governmental and commercial claims reimbursement processes.
• Demonstrated medical service coding and reimbursement experience.
• Associates Degree in related field of study required.
• CPC preferred, COC preferred, cardiology experience a plus.
• Bachelor’s degree preferred.

This position is remote, however, you must be located in one of the following states as listed or be able to relocate. Please note, at this time, we are not able to sponsor re-location.

A reasonable estimate of the base salary compensation range is $90,000 to $120,000 per year and bonus.