Virtual Field Reimbursement Manager

Inizio Engage•Yardley, PA

2d•$98,000 - $182,000

About The Position

Inizio Engage is hiring a Virtual Field Access Manager to represent Genentech and provide access education to healthcare providers and their staff for insured patients enrolled in vendor programs and/or prescribed a client brand. The role communicates information about patient benefit coverage, prior authorization processes, payer policy criteria, and affordability programs that support treatment initiation. The manager is expected to understand local, regional, and national payer landscapes and bring strong customer and patient engagement, attention to detail, and comprehensive problem-solving skills. This position reports to a National Director. The manager engages HCPs and office staff virtually, provides factual process information using patient health information only with appropriate consent, supports access and reimbursement issue resolution within an assigned geography, and serves as a reimbursement resource for patient support services. The role also educates field partners, reviews payer policies, shares policy insights with stakeholders and client leadership, documents interactions accurately, uses a CRM platform, and follows program, client, company, legal, and confidentiality requirements. The position requires a bachelor's degree and relevant healthcare experience, including experience with reimbursement and patient access, market access, specialty pharmacy, or physician/system account management. The posted base pay range is $98,000–$182,000 per year; final compensation depends on experience, skills, internal equity, and business needs.

Requirements

Bachelor of Science or Bachelor of Arts degree.
Proven success working in a virtual environment.
At least 3 years of relevant experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management, and at least 5 years of total healthcare industry experience.
Experience engaging HCP staff in a support role to educate them on access pathways and product requirements.
Experience navigating payer reimbursement processes, including commercial insurance and Medicare Part D pharmacy benefit design and coverage policy.
Patient-centric, service-oriented mindset with emotional intelligence and empathy.
Strong interpersonal and listening skills.
Strong written and verbal communication and presentation skills.
Strong business acumen.
Enthusiasm and demonstrated ability to achieve shared goals collaboratively with therapeutic specialists, sales leadership, market access, and patient support services colleagues.
Strong organization, attention to detail, and ability to multitask while engaging patients and providers.
High proficiency in Microsoft Office, including Word, Excel, PowerPoint, and Outlook, and Google Suite products.
English language proficiency is required.

Nice To Haves

Ophthalmology experience.
Self-injectable experience.
Spanish language proficiency.

Responsibilities

Engage healthcare providers and appropriate office staff to educate them on access to prescribed treatments through the specialty pharmacy channel, including initial access, insurance approval, and reauthorizations.
Educate HCP office staff about prior authorization and appeals processes, related forms, submission procedures, and reauthorization requirements.
Develop and implement an educational framework to help field partners, including Clinical Specialists and District Managers, navigate simple to moderately complex access challenges.
Identify and resolve patient access and reimbursement issues compliantly within the assigned geography.
Provide factual process information to HCP offices using patient health information when appropriate patient consent has been obtained.
Serve as a reimbursement expert for patient support services in the assigned geography and for applicable plans.
Use approved resources, call guides, and FAQs to provide education and answer questions.
Conduct ongoing payer policy reviews and share local, regional, and national policy insights with stakeholders and client leadership.
Virtually manage assigned accounts and coordinate with key stakeholders on ongoing support needs.
Document call details accurately to maintain data integrity and comply with program policies and business rules.
Use the CRM platform in daily interactions and learn internal team processes.
Maintain confidentiality of patient health information and comply with applicable laws, regulations, and company policies.
Triage appropriate escalations to the manufacturer leadership team in accordance with program design and business rules.
Complete and attend required training and adhere to Inizio and client policies, procedures, business rules, and call guides, as well as applicable laws.

Benefits

Medical, dental, and vision coverage.
Accrued paid time off.
401(k) with company match.
Disability insurance.
Life insurance.
Paid maternity and paternity leave.
Company-paid holidays.
Recognition programs, contests, and awards.
Learning and leadership development opportunities and career advancement support.
Collaborative culture where employee ideas are valued.