Virtual Regional Reimbursement Manager Syneos - Commercial - ProdVirtual Regional Reimbursement ManagerPhiladelphia, PAWe also encourage you to join our Talent Network to stay connected to additional career opportunities. The Regional Reimbursement Manager will be responsible for leading the team towards the achievement of established client goals, meet regional metrics/service level requirements, and ensuring all goals are met compliantly and in a fiscally responsible manner.
Virtual Reimbursement Manager Syneos - Commercial - ProdVirtual Reimbursement ManagerPhiladelphia, PAJoin our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world. We also encourage you to join our Talent Network to stay connected to additional career opportunities.
Field Reimbursement Manager Immunology Rheumatology - Philadelphia PA AbbVie IncField Reimbursement Manager Immunology Rheumatology - Philadelphia PAPhiladelphia, PAp>US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more: https://www.abbvie.com/join-us/reasonable-accommodations.html. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position.
Virtual Regional Reimbursement Manager Syneos Health IncVirtual Regional Reimbursement ManagerPhiladelphia, PATogether we share insights, use the latest technologies and apply advanced business practices to speed our customers' delivery of important therapies to patients. Selecting us as an employer secures a career in which you're guaranteed to: Collaborate with passionate problem solvers Partner with the most diverse team of experts in the industry.
Virtual Reimbursement Manager Syneos Health IncVirtual Reimbursement ManagerWilmington, DETogether we share insights, use the latest technologies and apply advanced business practices to speed our customers' delivery of important therapies to patients. Selecting us as an employer secures a career in which you're guaranteed to: Collaborate with passionate problem solvers Partner with the most diverse team of experts in the industry.
Director, Enterprise Access and Reimbursement Manager (ARM) Team - Mid-Atlantic Region Bristol-Myers Squibb CoDirector, Enterprise Access and Reimbursement Manager (ARM) Team - Mid-Atlantic RegionPhiladelphia, PA$195,700–$237,137 / yearBased on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day. The successful candidate is responsible for supporting the development and management of our broad patient access support services and reimbursement strategies with focus on BMS Hematology, Oncology, Cardiovascular and Rheumatology Franchises, with execution responsibility across the Region.
Field Reimbursement Manager - Kidney (Tri-State - NY, PA, NJ) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (Tri-State - NY, PA, NJ)PA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Field Reimbursement Manager - Kidney (OH-PA) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (OH-PA)PA$136,000–$204,000 / yearp>Key Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Field Reimbursement Manager - East Coast Vericel CorpField Reimbursement Manager - East CoastPhiladelphia, PARemote$100,000–$120,000 / yearThis field-based role partners closely with healthcare facilities, internal commercial teams, and external service providers to ensure appropriate reimbursement pathways, accurate coding, and timely payment for Vericel products. Our commitment to innovation, patient-centered focus, and scientific excellence drives us to develop groundbreaking treatments including MACI (knee cartilage repair), Epicel and Nexobrid (burn care).
Senior Field Reimbursement Manager - North East Danaher CorpSenior Field Reimbursement Manager - North EastPhiladelphia, PARemote$114,700–$180,000 / yearThe Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. In this role, you will have the opportunity to: Provide education to healthcare providers, lab professionals, office staff and financial decision makers on Cepheid diagnostics coverage, coding and reimbursement landscape.
Health Payment Reimbursement Manager Accenture PlcHealth Payment Reimbursement ManagerPhiladelphia, PAStrategy & Consulting: We work with C-suite executives, leaders and boards of the world's leading organizations, helping them reinvent every part of their enterprise to drive greater growth, enhance competitiveness, implement operational improvements, reduce cost, deliver sustainable 360° stakeholder value, and set a new performance frontier for themselves and the industry in which they operate. Accenture is a leading global professional services company that helps the world's leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services-creating tangible value at speed and scale.
Field Reimbursement Manager - Kidney (NJ-MD-DE) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (NJ-MD-DE)PA$136,000–$204,000 / yearp>Key Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Field Reimbursement Manager - Mid-Atlantic Heartflow IncField Reimbursement Manager - Mid-AtlanticPARemote$90,000–$120,000 / yearli>Exceptional Communication: Outstanding presentation and communication skills, with the ability to translate complex reimbursement information into clear, actionable guidance for both internal teams and external customers. Cross-Functional Alignment: Proven ability to successfully collaborate and align with a direct sales force, serving as a respected consultative partner rather than a purely service-oriented resource.
Manager, Patient Access & Pre-Access Ensemble Health PartnersManager, Patient Access & Pre-AccessPhiladelphia, PA$63,100–$78,875 / yearAdditionally, managing Financial Service Representatives and ensuring that proper accounting processes are followed, cash drawer is balanced, money is deposited timely and posted accurately to patient accounts, and proper logs are completed and submitted as requested by Financial oversight departments. Admitting staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and providing excellent customer service.
NewSenior Manager, Commercial Training, Commercial Operations and Analytics Agios PharmaceuticalsSenior Manager, Commercial Training, Commercial Operations and AnalyticsPhiladelphia, PA$131,035–$196,553 / yearli>Design, develop, deliver, and maintain training programs and assets – including learning materials, facilitator guides, eLearning modules, workshops, job aids, onboarding resources, and learner communications – for Market Access and Commercial Sales teams, with a primary focus on Patient Support Managers, Clinical Nurse Educators, Field Reimbursement Managers, and Payer teams. Own end-to-end execution of major training moments – new hire classes, National Sales Meetings, POA meetings, workshops, and training events – including planning, vendor coordination, logistics, materials, attendee communications, and on-site delivery across multiple stakeholders and time zones.
Reimbursement Specialist Penn MedicineReimbursement SpecialistPhiladelphia, PALicenses, Registrations, and Certifications HFMA Certified Healthcare Finance Professional (CHFP) is preferred Required Skills and Abilities ANALYTICS: Strong quantitative and analytical abilities COMMUNICATION: Ability to communicate with internal and external constituents COMMUNICATION: Able to translate complex information into simple explanations PROJECT/CHANGE MANAGEMENT: Ability to manage concurrent projects while meeting project deadlines OPERATIONS: Familiarity with Graduate Medical Education training programs FINANCE: Clear and demonstrated understanding of health care financing REGULATORY: Understanding of Federal Regulatory process impacting Medicare We believe that the best care for our patients starts with the best care for our employees. • Assist department leadership and GME office with Resident billing analysis, including the VAMC and CHOP • Assist residency coordinator with resident financial issues when needed Monthly Financial Statement Support • Prepare timely Medicare cash analysis • Support department leadership with analysis for month-end and year-end close Staff Development: Mutually develop and implement learning and development plans for teaching regulatory changes to the analysts and others in the department.
Director - Reimbursement - Acute University Health Services IncDirector - Reimbursement - AcuteKING OF PRUSSIA, PAAssist with drafting of FAH public comment and provide estimated UHS financial impact, as directed by VP-Reimbursement Participates in the oversight, development and maintenance of Medicaid supplemental payment (SDP and UPL) and state Medicaid DSH programs for assigned facilities Oversee the completion of Medicare DSH packages for assigned acute care division hospitals and handles all related audit activity in coordination with the hospital's designated Reimbursement Manager, as applicable Oversee the completion of all Medicare DSH SSI ratio Cost Report Year End versus Federal Fiscal Year determinations and related activity, as applicable Oversee the completion of the Medicare cost report S-10 worksheet data elements using external software and handles related Medicare and/or Medicaid audit activity. Independently handles complex reimbursement projects and assignments Oversee, coordinate and develop the reimbursement aspects of all UHS acute care hospital Medicare alternate payment methodology activity with a focus on Bundled Payments., as applicable Oversee, coordinate and develops the reimbursement aspects of all UHS acute care hospital Medicare quality based payment methodology activity including but not limited to Value-Based Purchasing, Hospital Acquired Conditions, Excess Readmissions, etc., as applicable Participate in UHS acute care hospital SEC "Sources of Revenue" disclosure (10-k and 10-Q) activity related to the Medicare program (and Medicaid programs, as needed); as applicable Provide applicable Medicare and Medicaid contractual models, related reimbursement factors and other necessary data.
Associate Director - Field Reimbursement - Oncology - Philadelphia Bayer AGAssociate Director - Field Reimbursement - Oncology - PhiladelphiaPhiladelphia, PA$143,280–$214,920 / yearwith HCPs, Key Practice Staff and Bayer external and internal team members; Exceptional knowledge of Healthcare Management; Pharmaceutical Manufacturer federal, state, and local compliance requirements; Area Reimbursement Managers will cover multiple regions, thus significant overnight. issues/challenges with Payer/PBM therapy approvals; New Product / Indications launch experience; Must have a valid driver''s license with a safe driving record/ MVR; Specialty Pharmacy Experience; Experience educating and/or supporting pharmacies.
Solution Sales Director, Integrated Patient Support, US (remote) IQVIA Holdings IncSolution Sales Director, Integrated Patient Support, US (remote)Wayne, PARemote$111,200–$309,800 / yearThis role requires the ability to identify existing and new client business challenges and strategically align IQVIA PSS solutions to address the access, affordability, adherence, and awareness barriers they face. An understanding of patient services, such as Copay (Affordability), HUB (Access), in-home clinical solutions and nurse educators (Adherence), Field Reimbursement Managers (FRM) and Health Information Tech.
NewDirector Patient Experience, Specialty GSK plcDirector Patient Experience, SpecialtyPhiladelphia, PA$180,000–$300,000 / yearli>Collaborate effectively with specialty pharmacies, Field Access and Reimbursement Managers (ARMs), Legal, Compliance, Finance, PX Communications, Access and Affordability, and other matrixed GSK stakeholders to develop collateral supporting hub operations. Partner with the technology team to build and maintain compliant dashboards and reports that track key patient journey milestones, including prescription fulfilment status, pending prior authorizations, and referrals for commercial copay assistance, while ensuring hub data integrity.
OneSource Support Specialist (EST) Alexion Pharmaceuticals IncOneSource Support Specialist (EST)Wilmington, DERemote$86,663–$129,950 / yearp>You will be responsible for:• Providing exceptional initial onboarding experience and long term adherence support• Share materials on the disease, diagnosis, community resources and treatment support • Maintain and communicate up-to-date knowledge of the resources available as needed, including approved external resources• Place the required welcome calls to patients to introduce the OneSource program and confirm required/requested support• Communicate Benefit Investigation (BI) results with patients and HCP and help interpret them, as needed• Inform patient of financial support eligibility based on available programs• Enroll patient in Alexion financial assistance programs as eligible or refer to external support programs as appropriate• Proactively conduct routine and/or year-end reverification of coverage outreach by working with patients and caregivers, healthcare providers, insurance companies, and Alexion colleagues• Connect patients to the Alexion patient community and inform them about available advocacy groups for their disease• Assist patients in receiving required vaccinations either through Alexion or other vaccination locations• Efficiently navigate CRM documentation and other required record keeping during all patient interactions as to maintain high visibility into patient case status • Properly and immediately report Adverse Events during any customer interactions in the PV Event Reporting Tool• Act as the primary coordinator of all HCP needs across onboarding from case creation to product delivery and ongoing support through lifetime of product use• Coordinate with other appropriate HCP facing roles and cross functional partners to respond to questions from physicians and office staff and address any issues • Communicate with HCPs to confirm required/requested support or obtain missing information• Proactively and effectively consult with and engage the appropriate internal cross functional partners to resolve barriers quickly • Maintain working understanding of the reimbursement process, and leverage knowledge to communicate with internal and external stakeholders while insurance approval is being obtained and work with appropriate field specialists for denial/appeal support• Trigger initiation of adherence program on conclusion of onboarding and connect with patients through defined channels for the determined touchpoints based on product-specific programs• Educate prescribed patients and their caregivers regarding how to prepare for and what to expect during the long-term adherence of the Alexion product or switching from one Alexion product to another• Provide emotional support for patients and caregivers on continued administration of Alexion products. Will also be crucial to:• Develop compliant and collaborative professional relationships with all relevant internal and external customers including but not limited to Patient Education Managers, Field Reimbursement Managers, Regional Account Managers, Customer Operations Representatives, Medical Accounts, Access Specialists, Specialty Pharmacies, Site of Care staff, and office coordinators• Effectively escalate access issues by informing the right stakeholders of actions to be taken to resolve any pending items in a timely manner• Collaboratively work with and share responsibilities with other Alexion members and external partners members for pull through of the target patient and HCP experience• Participate in any role appropriate cross functional collaboration work (e.g.
NewOneSource Support Specialist (CST) Alexion Pharmaceuticals IncOneSource Support Specialist (CST)Wilmington, DERemote$82,000–$124,000 / yearp>You will be responsible for:• Providing exceptional initial onboarding experience and long term adherence support• Share materials on the disease, diagnosis, community resources and treatment support • Maintain and communicate up-to-date knowledge of the resources available as needed, including approved external resources• Place the required welcome calls to patients to introduce the OneSource program and confirm required/requested support• Communicate Benefit Investigation (BI) results with patients and HCP and help interpret them, as needed• Inform patient of financial support eligibility based on available programs• Enroll patient in Alexion financial assistance programs as eligible or refer to external support programs as appropriate• Proactively conduct routine and/or year-end reverification of coverage outreach by working with patients and caregivers, healthcare providers, insurance companies, and Alexion colleagues• Connect patients to the Alexion patient community and inform them about available advocacy groups for their disease• Assist patients in receiving required vaccinations either through Alexion or other vaccination locations• Efficiently navigate CRM documentation and other required record keeping during all patient interactions as to maintain high visibility into patient case status • Properly and immediately report Adverse Events during any customer interactions in the PV Event Reporting Tool• Act as the primary coordinator of all HCP needs across onboarding from case creation to product delivery and ongoing support through lifetime of product use• Coordinate with other appropriate HCP facing roles and cross functional partners to respond to questions from physicians and office staff and address any issues • Communicate with HCPs to confirm required/requested support or obtain missing information• Proactively and effectively consult with and engage the appropriate internal cross functional partners to resolve barriers quickly • Maintain working understanding of the reimbursement process, and leverage knowledge to communicate with internal and external stakeholders while insurance approval is being obtained and work with appropriate field specialists for denial/appeal support• Trigger initiation of adherence program on conclusion of onboarding and connect with patients through defined channels for the determined touchpoints based on product-specific programs• Educate prescribed patients and their caregivers regarding how to prepare for and what to expect during the long-term adherence of the Alexion product or switching from one Alexion product to another• Provide emotional support for patients and caregivers on continued administration of Alexion products. Will also be crucial to:• Develop compliant and collaborative professional relationships with all relevant internal and external customers including but not limited to Patient Education Managers, Field Reimbursement Managers, Regional Account Managers, Customer Operations Representatives, Medical Accounts, Access Specialists, Specialty Pharmacies, Site of Care staff, and office coordinators• Effectively escalate access issues by informing the right stakeholders of actions to be taken to resolve any pending items in a timely manner• Collaboratively work with and share responsibilities with other Alexion members and external partners members for pull through of the target patient and HCP experience• Participate in any role appropriate cross functional collaboration work (e.g.