Field Reimbursement Manager

ExecuSearch • New Orleans, LA

1d

About The Position

We’re looking for a Field Reimbursement Manager to help our client expand what’s possible for patients with serious diseases. In this role, you will have a unique opportunity to support patient access to prescribed treatment and deliver upon an industry leading patient experience for patients battling serious and rare diseases.

Requirements

• Bachelor’s Degree
• 5+ years’ hands-on experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management.
• Experience navigating payer reimbursement process, preferably Medicare Part D (pharmacy benefit design and coverage policy)
• Experience with specialty products acquired through specialty pharmacy networks and experience working with HCP offices
• Proven record of success through cross functional collaboration and execution
• Patient-centric and service-oriented mindset, with a high degree of emotional intelligence and empathy
• Exemplary interpersonal and listening skills
• Strong communication (written and verbal), and presentation skills
• Understanding of patient privacy laws including HIPAA and similar state laws
• High enthusiasm with a drive to success within a team – demonstrated ability to reach common goals in collaboration with multiple therapeutic specialists, sales leadership, market access, and patient support services colleagues
• Highly organized with a strong attention to detail
• Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)

Nice To Haves

• Product launch experience preferred, but not required

Responsibilities

• Assist in resolution of patient-specific access barriers to the Company's products as prescribed by HCP
• Educate HCP office staff about prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements. This may require travel to identified HCP offices to address patient specific issues
• Work compliantly and proactively to identify and resolve patient access and reimbursement issues, within assigned geography
• Provide appropriate factual process information to HCP office utilizing Personal Health Information (PHI), with appropriate patient consent
• Serve as reimbursement expert for patient support services team for assigned geography/plans
• Monitor patient start trends in assigned geographies/plans, and collaborate with Market Access team to proactively address emerging patient access challenge
• Maintain up-to-date repository of plan-specific reimbursement criteria, forms, and submission procedures
• Comply with the Company’s reimbursement support policy and rules of engagement
• Establish collaborative relationships with Patient Support Services, Field Sales, Channel Management, and Market Access colleagues to support patient access.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 1-10 employees