Field Reimbursement Manager - Northeast
About The Position
The Field Reimbursement Manager (FRM) is a key contributor to the patient support program for Purified Cortrophin Gel. The FRM partners on product access, focusing on patient support, access, reimbursement, prior authorization, appeals, financial assistance, and other business-related issues within the patient support division. The role includes communicating with the case management team conducting benefit investigations, educating health care providers on prior authorization and appeals, and coordinating other patient services. The position is remote in the Northeast U.S., covering NY, NJ, PA, CT, ME, VT, NH, MA, and RI. It reports to a director on the field reimbursement team for development and mentoring. Travel of up to 25% is required, with some evening and weekend commitments.
Requirements
- Relevant post-secondary education or applicable certifications.
- At least 3–4 years of experience working with specialty medications in pharma, 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.
- A sense of urgency in addressing critical patient access issues.
- Problem-solving ability to navigate challenging access scenarios and identify solutions.
- Initiative to move patient cases forward.
- Strong interpersonal and communication skills.
Responsibilities
- Provide proactive education to health care providers about insurance requirements for patients’ prescriptions.
- Work with Hub case managers and in-network Specialty Pharmacies on prior authorization requirements and communication with health care providers and patients.
- Coordinate communication and activities with Nurse Access Specialist colleagues.
- Facilitate patient assistance when applicable, such as copay assistance and free goods.
- Partner with managed care colleagues to understand policies and highlight new trends.
- Collaborate with sales colleagues when appropriate and as directed by Compliance policies.
Benefits
- Health insurance coverage
- Life and disability insurance
- Retirement savings plans
- Paid leave programs
- Paid holidays
- Paid time off
- Competitive short-term and long-term incentive program based on performance and company results
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
