Field Reimbursement Manager - South Atlantic

Harmony Biosciences LLC • Hilton Head Island, TN

1d • Remote

About The Position

Harmony Biosciences is recruiting for a customer-facing Field Reimbursement Manager covering its South Atlantic territory, which includes Newport News, Raleigh, Winston-Salem, Knoxville, Charlotte, and Charleston. The role supports reimbursement processes for providers and patients after the company’s HUB receives a Harmony product prescription. It provides education to healthcare providers and office staff about access services and reimbursement solutions, and manages activities that support appropriate patient access to Harmony products. Travel within the assigned region is estimated at 50%.

Requirements

• Bachelor’s degree in business or a related discipline.
• At least 5 years of pharmaceutical or biotech reimbursement or access experience in limited distribution models, or relevant experience.
• Demonstrated success in cross-functional teamwork and working in a matrix environment.
• Experience with the reimbursement process, field reimbursement services, and patient support programs.
• Experience coordinating patient and provider support services such as specialty pharmacy, HUB, and reimbursement services.
• Experience handling patient health information (PHI) in accordance with company policies and procedures.
• Must live in the assigned coverage area.
• Strong executive communication, stakeholder management, problem-solving, and vendor management skills.
• Valid U.S. driver’s license and ability to safely operate a motor vehicle.

Nice To Haves

• Master’s degree or higher.
• Experience launching rare disease products or complex specialty products.

Responsibilities

• Execute a regional strategic plan in partnership with internal and external stakeholders, which may include HUB call center services, market access, and field partners.
• After a prescription is submitted, provide relevant education to healthcare provider offices about topics such as formulary coverage and utilization management criteria, insurance forms and procedures, codes, benefits investigation, prior authorization, appeals, and claims resolution.
• Educate offices on requirements for insurance authorization and product reimbursement for appropriate patients, in a compliant manner.
• Educate physician office staff on Harmony patient support services using approved educational materials.
• Manage daily activities that support appropriate patient access to Harmony products through provider offices; act as an extension of the HUB as appropriate and conduct in-person customer visits.
• Conduct all activities in compliance with Rules of Engagement and other company guidance documents.
• Participate in meetings as appropriate.
• Enter call activity into the CRM as appropriate.
• Review specific patient case information in a compliant manner.
• Perform other duties as assigned.

Benefits

• Medical, vision, and dental benefits beginning the first of the month following the start date.
• Generous paid time off and company-designated holidays.
• Company-paid disability benefits and life insurance coverage.
• 401(k) Retirement Savings Plan.
• Paid parental leave.
• Employee Stock Purchase Plan (ESPP).
• Company-sponsored wellness programs.
• Professional development initiatives and continuous learning opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level