Dermatology Access & Reimbursement Manager

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

📋 Description

• Collaborate with healthcare providers, practice leaders, billing teams, and various stakeholders to facilitate patient access to prescribed therapies and related resources.

• Provide education and support regarding access, reimbursement, coverage, and patient assistance programs.

• Assist in incorporating access and reimbursement resources into office workflows and procedures.

• Act as a resource for product acquisition, ordering, payment processing, inventory management, and product return and replacement processes.

• Address reimbursement, claims, prior authorizations, denials, appeals, and coverage-related challenges with customer accounts.

• Keep track of and communicate changes in payer policies, reimbursement trends, and the evolving landscape of healthcare.

• Aid in the implementation of patient assistance and co-pay programs.

• Collaborate with Patient Support Services and cross-functional teams to resolve access and reimbursement issues, monitor cases, and educate customers.

• Develop and implement account-specific access and reimbursement strategies, including buy-and-bill processes, acquisition pathways, and site-of-care considerations.

• Establish relationships with revenue cycle leaders, financial counselors, pharmacists, office administrators, and decision-makers within health systems.

• Share insights from customers, market trends, and access barriers with internal teams.

• Ensure adherence to relevant policies, regulations, and adverse event reporting requirements.

• Function as a field-based partner supporting key accounts within a designated geography.

• Work collaboratively with customers, field teams, home-office teams, and cross-functional partners.

⛳️ Requirements

• A Bachelor’s degree is required from an accredited four-year college or university.

• A minimum of 3 years of experience in reimbursement, market access, managed care, clinical support, pharmaceutical sales, or a related healthcare field.

• Experience in supporting specialty pharmacy products through specialty pharmacy networks, distributors, or other specialty access channels.

• Proficiency in coding, billing, claims, reimbursement processes, and office-based patient support programs.

• Experience collaborating with specialty pharmacies and navigating access and reimbursement considerations throughout the patient journey.

• Understanding of buy-and-bill reimbursement pathways, including product acquisition, coverage, and payment processes.

• Experience with injection networks or provider-administered therapies in physician offices, clinics, or health system environments.

• Candidates must reside within the designated territory or within a reasonable daily commuting distance of 50 miles from the territory border.

• Willingness to travel 60-80% across a broad geography, with the ability to drive and/or fly within the territory.

• A valid, unrestricted driver’s license is required.

• Must adhere to customers’ credentialing guidelines, which may include vaccination requirements.

• Successful completion of initial training is required, including home study not exceeding eight (8) hours per day and forty (40) hours per week.

• The company will not sponsor visas for this position.

🏝️ Benefits

• Performance-based cash incentives.

• Eligibility for annual equity awards, depending on the role level.

• Comprehensive health benefits.

• Life insurance benefits.

• Disability insurance benefits.

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

• Paid vacation.

• Personal days off.

• Paid holidays.

• Other types of leave.

• Reasonable accommodations for individuals with disabilities.