Field Reimbursement Manager- Texas

ANI Pharmaceuticals•Princeton, NJ

3d•Remote

About The Position

The Field Reimbursement Manager (FRM) is a key contributor to the overall patient support program for Purified Cortrophin Gel. The FRM serves as the partner in product access, with a focus on patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business-related issues within the patient support division. This includes 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.

Requirements

Relevant post-secondary education or applicable certifications
3-4 years of experience working with specialty medications – either in pharma, 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
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

Responsibilities

Reports to a director on the field reimbursement team for development and mentoring
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
Collaborate with sales colleagues when appropriate and as directed by Compliance policies