Field Reimbursement Manager - Portland Territory

Eversana•San Francisco, CA

4d•Onsite

About The Position

Territory includes N. California, Washington, Oregon, Idaho, Montana, and Wyoming. The EVERSANA/Tanabe Pharma America (TPA) Field Reimbursement Manager is a field-based role that provides in person education to defined accounts within their assigned geographies on a range of access and reimbursement issues in support TPA products. EVERSANA Deployment Solutions offers our employees competitive compensation, paid time off, company paid holidays, excellent training, employee development programs, 401K plan with an employer match, and an incredible list of comprehensive employer benefits that includes medical, dental, and vision insurance along with a whole host of other valuable programs.

Requirements

Bachelor's degree required
Minimum of 5 years of pharmaceutical industry with experience in payer policy and reimbursement
Minimum of 3 years of benefit verifications and prior-authorization requirements experience or equivalent experience in patient access, billing and coding in rare disease
Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with experience in Medicare Part D
Self-direction coupled with strong organizational skills
Outstanding interpersonal skills, consultative approach, and customer orientation; proven ability to build and maintain strong working relationships with internal and external customers
Strong communication skills: oral, written, training/presentation
Proficient in MS Office
Must be able to travel up to 60-70% domestically
Valid driver's license to drive to healthcare provider sites

Responsibilities

Manage daily field-based activities to support appropriate patient access in key neurology centers and provider offices
Execute collaborative territory plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other partners
Interacts frequently in the field (60-70% of the time) with key stakeholders in multiple sites of care including, physician practices, hospitals, and other sites of care.
Serve as a subject matter expert in educating healthcare provider staff on approved patient access services
Collaborate with various internal field teams to ensure appropriate education in assigned geography
Review and educate offices on payer policy, such as prior authorization requirements to ensure patient access
Reviews patient-specific information in cases where the site has specifically requested assistance in resolving issues or coverage challenges.
Provides feedback to internal teams on local payer trends and access issues
Performs other duties as required