Field Reimbursement Manager, South

Recordati•Bridgewater, NJ

2d•Remote

About The Position

This position is with Recordati Rare Diseases, Inc. (RRD), North America, an affiliate of Recordati. Recordati Rare Diseases, Inc. (RRD) develops high-impact therapies for rare diseases, focusing on providing treatments to underserved communities in the U.S. Our mission is to mitigate the impact of rare diseases through increased awareness, better diagnoses, and improved treatment access in endocrinology, metabolic, hematology and oncology franchises. RRD is dedicated to fostering a dynamic work environment that promotes professional growth and a significant impact on patients' lives. The Field Reimbursement Manager (FRM) will be responsible for managing accounts in a specified region focusing on but not limited to Endocrinology. The FRM is responsible for providing access and reimbursement education to healthcare providers (HCPs) and office personnel, including information regarding medical policies, prior authorization requirements, coding and billing, product access via buy-bill or specialty pharmacy with the goal of minimizing barriers to therapy. The FRM also supports by providing general education and case-specific next steps for appeals process in response to prior authorization denials. This role involves investing time on-site with HCPs, assessing their access and reimbursement needs education needs and facilitating collaboration with various stakeholders.

Requirements

Bachelor’s degree
Experience in working in field-based role working with provider offices and/or with patient support HUB services
Minimum of five to seven years of experience in the healthcare and/or pharmaceutical industry
Minimum of three years successful field reimbursement experience
Minimum of two years of experience working with buy and bill and/or specialty pharmacy networks
Ability to analyze and interpret regulations and legislation regarding coding, coverage and reimbursements
In-depth knowledge of the U.S. pharmaceutical market, specifically rare diseases.
Reimbursement or relevant managed care experience (buy-and-bill, prior authorization, coding, and appeals processes)
Problem-solving ability to navigate challenging access scenarios and identifies solutions in a timely and efficient manner
Comfortable presenting in person or virtual to Healthcare practitioner office staff
Superior communication skills (written and verbal) and efficient follow-through
Strong relationship-building skills, with demonstrated ability to collaborate and operate across functions
Strong planning and organizational skills; demonstrated decision-making ability
Reliable transportation within territory
Proficiency in Microsoft Office
Demonstrated highest ethical standards
Demonstrated effective problem-solving and decision-making capabilities
Ability to prioritize/multi-task effectively
Excellent verbal and written communication skills

Responsibilities

Partnering with cross-functional parties on overall account and territory strategy to maximize internal/external customer knowledge on payor policy and processes
Serve as subject matter experts on issues of coverage, access and reimbursement by providing compliant, limited support to US health care providers (HCPs) and their office staff in navigating the reimbursement landscape for products of Recordati Rare Diseases Inc. (RRD) after the HCP made an independent decision to prescribe
Collaborate with HCP staff and Specialty Pharmacy to follow up with accounts that have outstanding prior authorization or appeals submissions
Being a subject matter expert on reimbursement and regional-specific access landscape. This includes payor policies, prior authorization requirements, denials, appeals, peer to peer and other education required to navigate access for coverage of company therapies
Collaborating with cross-functional parties on individual case management needs related to HCP education on reimbursement issues
Collect field insights on payer trends, reimbursement challenges and provider needs to inform internal stakeholders
Leveraging all available resources including internal data to develop and execute account plans/call purpose
Complying with all laws, regulations and policies that govern the conduct of company activities, work with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct
Complying with annual budget allocation within respective territory to Perform additional duties as may be assigned.