Top 24 Reimbursement specialist Jobs in Virginia Beach Va

Field Reimbursement Manager - Richmond, VA
Ardelyx —Virginia Beach, VA
- $145,000 - $190,000 a year
- Full-time
- Bachelor of Science
- 3 years
- Senior level
- Paid parental leave
- Paid holidays
Field Reimbursement Manager - Kidney (Northern California - San Francisco, San Jose, Sacramento)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance

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Field Reimbursement Manager - Richmond, VA
Ardelyx —Virginia Beach, VA
3 - 5 years of experience as a field reimbursement manager within public or private field reimbursement or access services, healthcare operations, and/or…
$145,000 - $190,000 a year
RN Field Case Manager
Sedgwick —Virginia
Valid driver’s license required. RN licensure preferred; or bachelor’s degree in health or human services field required with one of the following…

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Reimbursement Specialist
Management & Network Services —Hilliard, OH
Post all cash, co-pays, deductibles, co-insurance, and interest payments. The Reimbursement Specialist is responsible for the reconciliation of skilled nursing…
From $19 an hour
Quick Apply
2d
Homecare Reimbursement Specialist- Homecare Finance
Nationwide Children's Hospital —Columbus, OH
Coordinates patient accounts from prior authorization to point of bill payment or referral to collection, including processing billing for home health agencies…

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Field Reimbursement Manager - Richmond, VA

Ardelyx -
Virginia Beach, VA

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Job Details

Full-time
$145,000 - $190,000 a year

Benefits

Paid parental leave
Paid holidays
Health insurance
Dental insurance
Parental leave
Vision insurance
401(k) matching
Life insurance

Qualifications

Health insurance authorizations
Appeals
Customer communication
Managed care
Case appeal in utilization management
Pharmaceutical company experience
Data-driven problem-solving
Healthcare reimbursement methods

Full Job Description

Ardelyx is a commercial-stage biopharmaceutical company focused on redefining treatment approaches for patients with significant unmet medical needs. By combining scientific innovation with a collaborative, purpose-driven culture, we strive to create meaningful impact for patients.

Team Ardelyx is united by a shared mission and guided by our core values: Passionate, Fearless, Dedicated, and Inclusive.

We foster an inclusive environment where employees are respected, supported, and empowered to make an impact — both within our company and in the lives of patients we serve.

Position Summary:

The Field Reimbursement Manager (FRM) is responsible for supporting the patient access process for our gastroenterology business. The FRM will leverage his/her account management, data analytics, and reimbursement expertise and demonstrated experience to support and facilitate timely access to Ardelyx’s products! This role involves supporting products by executing the collaborative territory strategic plan, understanding the patient access process, and navigating patient support programs. The FRMs will collaborate with key team members such as Field Sales and other internal stakeholders to serve as access and reimbursement experts for assigned geographies. If you’d like to help establish Ardelyx as a leading company in the biopharma industry, one that advances patient care with novel therapies that meet important clinical needs, come join us!

Responsibilities:

Establish and maintain collaborative working relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access
Aid HCPs with supporting the patient journey by providing education on prior authorization, appeals, and/or denials
Review patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges when appropriate
Partner with internal and external stakeholders to identify, anticipate and address patient and HCP access barriers; Implement updates/changes based on solutions generated to address barriers
Utilize HUB and specialty pharmacy partners to ensure patient access barriers are removed
Monitor patients start trends in assigned geographies/plans, and collaborate with Field Sales and Patient Services partners to proactively address and mitigate challenges
Maintain knowledge of national, regional, local, and account market dynamics for payors and prescribers; maintain knowledge of HUB and specialty distribution channels to support patient needs
Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial)
Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff

Qualifications:

B.A/B.S. degree with 6 - 9 years of experience in field reimbursement, patient services, market access, or related functions within the pharmaceutical/biotech industry or equivalent experience
3 - 5 years of experience as a field reimbursement manager within public or private field reimbursement or access services, healthcare operations, and/or equivalent experience
Extensive knowledge of medication access channels preferred
Strong functional knowledge of specialty pharmacy and health insurance and benefits (i.e. Medicare Part D, commercial and Medicaid) with a demonstrated expert understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programs
Knowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations. Direct experience with GI products or providers preferred
Outstanding customer relationship, interpersonal, and communication skills with the established ability to effectively work with diverse audiences and influence cross-functionally
Ability to evaluate data and identify trends, barriers, and translate into actionable steps

Work Environment:

This position reports to an Associate Director/Director, Field Access and Reimbursement
Travel will vary by territory and business need
Up to 75% of time spent in the field required

The anticipated annualized base pay range for this full-time position is $145,000-$190,000. Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers. Actual base pay will be determined based on a variety of factors, including years of relevant experience, training, qualifications, and internal equity. The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements.

Ardelyx also offers a robust benefits package to employees, including a 401(k) plan with generous employer match, 12 weeks of paid parental leave, up to 12 weeks living organ and bone marrow leave, equity incentive plans, health plans (medical, prescription drug, dental, and vision), life insurance and disability, flexible time off, annual Winter Holiday shut down, and at least 11 paid holidays.

Ardelyx is an equal opportunity employer.

We do not accept unsolicited resumes from search firms, or recruiters or similar vendors. Any such unsolicited resume submitted to any employee or through Company's career site without a valid, signed search agreement signed by Company's authorized representative will be deemed the property of the company, and no fees will be paid in the event of a hire. Company will have the right to hire any such candidate at its discretion without any financial obligation or fee owed to the vendor. Any verbal or written communication with a Company employee outside of this process will not be considered a binding agreement.

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reimbursement specialist jobs in virginia beach va

Field Reimbursement Manager - Richmond, VA

Field Reimbursement Manager - Kidney (Northern California - San Francisco, San Jose, Sacramento)

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