Field Reimbursement Specialist

ANI Pharmaceuticals • Princeton, NJ

30d • $70,000 - $90,000

About The Position

The Field Reimbursement Specialist (FRS) is a key contributor to the overall patient support program for Purified Cortrophin Gel. The Field Reimbursement Specialist serves as a resource in support of product access. This individual will work closely with their matrix team to identify health plan access pull through opportunities, resolve patient access barriers, and provide HCP education. The FRS is an extension of the overlapping reimbursement manager and assists with facilitating treatment access for patients. This work would include communicating with the case management team conducting benefit investigations, educating health care providers on the prior authorization and appeal process, and coordinating other patient services.

Requirements

• Relevant post-secondary education or applicable certifications
• 2+ years of experience working with specialty medications – either in specialty pharmacy, Hub services, at 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
• Possesses a sense of urgency to address critical access issues for patients
• Problem-solver who navigates challenging access scenarios and identifies solutions
• Takes initiative to move a patient case forward at all times
• Strong interpersonal and communication skills

Responsibilities

• Reports to a director on the Reimbursement team for development and mentoring
• The FRS will act as a main point of contact at designated accounts providing support to HCPs on behalf of patients prescribed ANI medications
• The FRS provides proactive education to health care provider on the insurance requirements for a patient’s prescription
• Works with Hub case manager and in-network Specialty Pharmacies on prior authorization requirements and communication with HCP and patients
• Coordinates communication and activities with Nurse Access Specialist colleagues
• Facilitates patient assistance when applicable, such as copay and free goods
• Partners with managed care colleagues to understand policies and highlight new trends
• Collaborates with sales colleagues when appropriate and as directed by Compliance policies

Benefits

• ANI Pharmaceuticals offers a variety of benefits to eligible employees, including health insurance coverage, life and disability insurance, retirement savings plans, paid leave programs, paid holidays and paid time off. Many of these benefits are subsidized or fully paid for by the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees