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The Field Reimbursement Manager plays a critical role in facilitating patient access to new therapies by leveraging their expertise in coverage, payer policies, and patient assistance programs.
Through education and partnership with office staff, they help navigate the access journey and identify solutions.
This role is customer facing and will provide personalized issue resolution by partnering closely with the dedicated patient support (hub) and specialty pharmacy team.
They will also collaborate closely with local/regional sales teams supporting targeted accounts, ensuring patients and providers experience minimal barriers to access.
This role will support accounts located in Texas, Missouri, Illinois, Michigan, Wisconsin, and Minnesota.
The Field Reimbursement Manager plays a critical role in facilitating patient access to new therapies by leveraging their expertise in coverage, payer policies, and patient assistance programs. Through education and partnership with office staff, they help navigate the access journey and identify solutions.
This role is customer facing and will provide personalized issue resolution by partnering closely with the dedicated patient support (hub) and specialty pharmacy team. They will also collaborate closely with local/regional sales teams supporting targeted accounts, ensuring patients and providers experience minimal barriers to access.
This role will support accounts located in Texas, Missouri, Illinois, Michigan, Wisconsin, and Minnesota. What You'll Do:
Demonstrate deep understanding of reimbursement and access and act as the subject matter expert in their assigned territory.
Demonstrate extensive knowledge of individual managed care account’s geographic presence/influence, payer mix, product coverage and reimbursement criteria policies.
Educate providers on prior authorization requirements, coverage status, payer appeals requirements, alternate funding options for the uninsured and under insured, and all associated processes and timelines.
Provide access education to HCPs and office staff as needed
Serve as a liaison between sales reps and key external customers.
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Create and maintain productive relationships with HCPs, key stakeholders within HCP offices, and health care systems.
Utilize knowledge to assist customers in navigating the complexity of specialty pharmacy distribution.
Partner daily with the specialty pharmacy case management team to ensure accurate coverage determinations, and optimized processing of enrollments for timely access of product for patients.
Partner with the sales team and patient hub/SP to identify both accounts that are experiencing reimbursement issues and specific patients that are not moving forward due to insurance delays.
Develop and implement innovative solutions for patient access with system and individual situations.
Perform strategic analyses to develop business plans that identify issues and opportunities.
Role involves significant travel (up to approximately 70% of time). The Field Reimbursement Manager will meet customers, attend appropriate conferences, and is expected to travel in the field with sales and regional colleagues to call upon key providers and influencers.
The base compensation range for this role is: $ 185 ,000 - $2 15 ,000 . Base salary offered is determined through an analytical approach utilizing a combination of factors including, but not limited to, relevant skills & experience, job location, and internal equity.
U.S. pharmaceutical division developing and commercializing treatments for people with rare diseases, especially Duchenne muscular dystrophy.
Visit company websiteJobs and hiring trendsUSD 185000-215000 yearly / year
Full-time
Senior · 8+ years experience
Onsite
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