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Field Reimbursement Manager

ExecuSearch of Chicago

New Orleans, LA

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JOB DETAILS
SKILLS
Channel Management, Channel Sales, Communication Skills, Cross-Functional, Customer Support/Service, Detail Oriented, Disease, Field Sales, Geography, HIPAA (Health Insurance Portability and Accountability Act), Interpersonal Skills, Lead Generation, Leadership, Medicare, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Organizational Skills, Pharmacy, Presentation/Verbal Skills, Privacy Regulations, Problem Solving Skills, Product/Service Launch, Reimbursement, Sales, Sales Management, State Laws and Regulations, Systems Administration/Management, Team Player, Willing to Travel, Writing Skills
LOCATION
New Orleans, LA
POSTED
30+ days ago

Overview

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.

 

Responsibilities

In this role, you’ll have the opportunity to establish collaborative relationships with Patient Support Services, Field Sales, Channel Management, and Market Access colleagues to support patient access.  

You’ll also:

  • 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

Qualifications

  • 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)
  • Product launch experience preferred, but not required

About the Company

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ExecuSearch of Chicago