Access & Reimbursement Manager – Allergy

This is a fully remote position, open to applicants in Kentucky.

📋 Description

• Engage with designated accounts to facilitate patient access within therapeutic area products.

• Deliver proactive in-person education on product-specific programs to healthcare providers and their staff.

• Evaluate reimbursement issues and propose effective solutions.

• Assist with inquiries regarding payer policies, drug acquisition, inventory management, and reimbursement for patients and practices.

• Assess account reimbursement challenges and identify opportunities.

• Recognize trends at local, regional, and national levels and collaborate internally and externally to enhance patient access.

• Coordinate with the Patient Support Center for patient case management, case tracking, issue resolution, reimbursement assistance, and staff education.

• Review patient-specific information as needed by sites to address coverage issues.

• Work alongside cross-functional associates to share insights regarding customer needs and barriers to access and reimbursement.

• Maintain knowledge of company policies and execute responsibilities in alignment with company Values and Behaviors.

• Manage Patient Identifiable Information with care to ensure compliance with privacy laws and company standards.

⛳️ Requirements

• A Bachelor’s Degree is mandatory.

• At least three to five years of experience in public or private third-party reimbursement or in the pharmaceutical sector, focusing on managed care, clinical support, or sales.

• Familiarity with specialty pharmacy products obtained via specialty pharmacy networks or specialty distributors (buy and bill).

• Knowledge of coding, billing, and office support systems.

• Previous account management experience or experience dealing with complex accounts.

• Understanding of Managed Care, Government, and Federal payer sectors.

• Knowledge of Integrated Delivery Networks/Integrated Health Systems.

• Capability to collaborate with various sales representatives, sales leadership, and internal team members.

• Must reside within the designated territory or within a reasonable daily commuting distance of 60 miles from the territory boundary.

• Willingness to travel 60–80% across a broad geographical area.

• Ability to drive and/or fly within the territory.

• Must possess a valid, unrestricted driver’s license.

• Knowledge of HIPAA and other relevant privacy laws and regulations.

• Experience in Buy and Bill environments, including reimbursement and access support for provider-administered therapies is preferred.

🏝️ Benefits

• Performance-based cash incentive.

• Eligibility for consideration for annual equity awards, subject to the role level.

• Health benefits.

• Life insurance benefits.

• Disability benefits.

• 401(k) plan with company contributions and matching.

• Vacation time.

• Personal days.

• Holiday time off.

• Other leave options.

• Reasonable accommodations available for individuals with disabilities.

• Comprehensive initial training, including home study.