Field Reimbursement Manager

This is a fully remote position, open to applicants in Arizona, +17 more states.

📋 Description

• Act as a vital contributor to the patient support initiative for Purified Cortrophin Gel.

• Collaborate on product access, emphasizing patient support, access, reimbursement, prior authorization, appeals, financial assistance, and related patient support matters.

• Engage with case management teams to perform benefit investigations.

• Provide education to healthcare providers regarding prior authorization and appeal procedures.

• Oversee patient services coordination.

• Report to a director on the field reimbursement team for professional development and mentoring.

• Inform healthcare providers about insurance requirements for patient prescriptions.

• Work alongside Hub case managers and in-network specialty pharmacies on prior authorization criteria and communication with healthcare providers and patients.

• Coordinate communication and activities with Nurse Access Specialist colleagues.

• Facilitate patient assistance, including copay and complimentary goods support.

• Collaborate with managed care colleagues to comprehend policies and identify emerging trends.

• Partner with sales colleagues when appropriate and as directed by compliance policies.

⛳️ Requirements

• Relevant post-secondary education or applicable certifications.

• A minimum of 3–4 years of experience working with specialty medications, in pharmaceuticals, at a provider’s office, or with an insurance payer.

• Proven expertise in both pharmacy and medical benefits within a specialty disease market.

• Willingness to travel up to 25%.

• Availability for some evening and weekend commitments.

• Understanding of OIG guidance, HIPAA regulations, and FDA protocols.

• Strong collaboration skills with Hub partners and cross-functional colleagues.

• Excellent interpersonal and communication abilities.

• Capability to address critical access issues for patients.

• Problem-solving aptitude for challenging access scenarios.

• Initiative to advance patient cases effectively.

🏝️ Benefits

• Competitive short-term and long-term incentive program based on performance and company results.

• Health insurance coverage.

• Life and disability insurance.

• Retirement savings plans.

• Paid leave programs.

• Paid holidays.

• Paid time off.

• Many benefits are subsidized or fully covered by the company.