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Field Reimbursement Specialist

ANI Pharmaceuticals -
Remote

Job Details

Full-time
$70,000 - $90,000 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Paid time off
Retirement plan

Qualifications

Managed care

Full Job Description

About Us

Welcome to ANI Pharmaceuticals, where we are dedicated to improving and enhancing patients' lives through the manufacturing and distribution of high-quality pharmaceutical products.

With a diverse portfolio of generic and branded pharmaceuticals, ANI is a trusted partner to healthcare providers, pharmacists, and patients alike. We understand the importance of accessibility, and our products are available across a wide range of therapeutic areas, contributing to the well-being of communities globally.

At ANI Pharmaceuticals, there are opportunities to contribute to our purpose every day. We value authenticity, knowledge, and hard work, and we strive to celebrate our employees in a positive environment. Our culture empowers everyone to be successful and apply our full potential.

About the Role

The Field Reimbursement Specialist (FRS) is a key contributor to the overall patient support program for Purified Cortrophin Gel. The Field Reimbursement Specialist serves as a resource in support of product access. This individual will work closely with their matrix team to identify health plan access pull through opportunities, resolve patient access barriers, and provide HCP education. The FRS is an extension of the overlapping reimbursement manager and assists with facilitating treatment access for patients. This work would include communicating with the case management team conducting benefit investigations, educating health care providers on the prior authorization and appeal process, and coordinating other patient services.

Responsibilities

Reports to a director on the Reimbursement team for development and mentoring

The FRS will act as a main point of contact at designated accounts providing support to HCPs on behalf of patients prescribed ANI medications

The FRS provides proactive education to health care provider on the insurance requirements for a patient’s prescription

Works with Hub case manager and in-network Specialty Pharmacies on prior authorization requirements and communication with HCP and patients

Coordinates communication and activities with Nurse Access Specialist colleagues

Facilitates patient assistance when applicable, such as copay and free goods

Partners with managed care colleagues to understand policies and highlight new trends

Collaborates with sales colleagues when appropriate and as directed by Compliance policies

Skills/Competencies

Strong collaboration with Hub partners and cross-functional colleagues

Familiarity with OIG guidance, HIPAA guidelines and FDA protocols

Possesses a sense of urgency to address critical access issues for patients

Problem-solver who navigates challenging access scenarios and identifies solutions

Takes initiative to move a patient case forward at all times

Strong interpersonal and communication skills

Qualifications/Requirements

Relevant post-secondary education or applicable certifications

2+ years of experience working with specialty medications – either in specialty pharmacy, Hub services, at a provider’s office or with an insurance payer

Demonstrated expertise with both pharmacy and medical benefits in a specialty disease market

Ability to travel up to 25% with some evening and weekend commitments

The base salary range for this position is $70,000-$90,000; the exact salary depends on various factors such as experience, skills, education, location, competencies and industry-specific knowledge.

ANI Pharmaceuticals offers a variety of benefits to eligible employees, including health insurance coverage, life and disability insurance, retirement savings plans, paid leave programs, paid holidays and paid time off. Many of these benefits are subsidized or fully paid for by the company.

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