Mary Holmes

Experience

1. Field Reimbursement Manager

   Sandoz

   Jan 2009 — Present

   Primary Role: Assisting provider offices in resolving complex coverage and reimbursement issues that may create barriers to access for patients. Providing healthcare offices within my designated territory, knowledge of coverage, patient assistance, and health policy to educate office staff and break through access issues to ultimately help patients. Territory: Currently responsible for overseeing the state of NJ,NY, PA and DE Responsibilities include: Providing face-to-face, personalized issue resolution. Educating provider offices on local and regional payer issues, coding changes, buy and bill processes, appropriate submission processes, prior authorization and appeal(s) guidance utilizing plan guidelines. Liaising with reimbursement account managers at internal hub regarding alternative funding/financial assistance programs/appeals/patient outreach/nursing/compliance. Assisting with determining coverage and access options available for Omnitrope (biologic), reSET and reSET-O (digital therapeutics targeting physiatrists and substance use disorder out-patient clinics) and Ziextenzo and Zarzio (Biosimilars in the Oncology space for treatment of Neutropenia - utilizing a buy and bill methodology). CVS/Caremark Rx Specialty Account Executive NJ, MD, DE, DC Primary Role: Promoting clinical services to Pediatric Endocrinologist, Pulmonologist s, Dermatologists and Pediatricians.(Targeting: Growth Hormone, Psoriasis, Synagis and Xolair) Territory: Responsible for overseeing the state of NJ, MD, DE, DC