Overview:
We’re looking for a Field Reimbursement Manager to help our client expand what’s possible for patients with serious diseases. In this role, you will have a unique opportunity to support patient access to prescribed treatment and deliver upon an industry leading patient experience for patients battling serious and rare diseases.
Responsibilities:
In this role, you’ll have the opportunity to establish collaborative relationships with Patient Support Services, Field Sales, Channel Management, and Market Access colleagues to support patient access.
You’ll also:
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Assist in resolution of patient-specific access barriers to the Company's products as prescribed by HCP
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Educate HCP office staff about prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements. This may require travel to identified HCP offices to address patient specific issues
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Work compliantly and proactively to identify and resolve patient access and reimbursement issues, within assigned geography
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Provide appropriate factual process information to HCP office utilizing Personal Health Information (PHI), with appropriate patient consent
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Serve as reimbursement expert for patient support services team for assigned geography/plans
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Monitor patient start trends in assigned geographies/plans, and collaborate with Market Access team to proactively address emerging patient access challenge
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Maintain up-to-date repository of plan-specific reimbursement criteria, forms, and submission procedures
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Comply with the Company’s reimbursement support policy and rules of engagement
Qualifications:
- Bachelor’s Degree
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5+ years’ hands-on experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management.
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Experience navigating payer reimbursement process, preferably Medicare Part D (pharmacy benefit design and coverage policy)
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Experience with specialty products acquired through specialty pharmacy networks and experience working with HCP offices
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Proven record of success through cross functional collaboration and execution
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Patient-centric and service-oriented mindset, with a high degree of emotional intelligence and empathy
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Exemplary interpersonal and listening skills
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Strong communication (written and verbal), and presentation skills
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Understanding of patient privacy laws including HIPAA and similar state laws
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High enthusiasm with a drive to success within a team – demonstrated ability to reach common goals in collaboration with multiple therapeutic specialists, sales leadership, market access, and patient support services colleagues
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Highly organized with a strong attention to detail
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Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)
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Product launch experience preferred, but not required
