Field Reimbursement Manager

This is a fully remote position, open to applicants in Connecticut, +8 more states.

📋 Description

• Contribute to the patient support initiative for Purified Cortrophin Gel.

• Act as a product-access partner dedicated to patient support, access, reimbursement, prior authorization, appeals, financial assistance, and related business matters.

• Engage with the case management team to conduct benefit investigations.

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

• Oversee the coordination of patient services.

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

• Inform healthcare providers about insurance requirements for patient prescriptions.

• Collaborate with Hub case managers and in-network specialty pharmacies regarding prior authorization requirements and facilitate communication with healthcare providers and patients.

• Coordinate communication and activities with Nurse Access Specialist colleagues.

• Facilitate patient assistance, including copay and free goods support when applicable.

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

• Work collaboratively with sales colleagues when appropriate and as directed by Compliance policies.

⛳️ Requirements

• Relevant post-secondary education or equivalent certifications.

• A minimum of 3–4 years of experience 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% of the time.

• Some evening and weekend availability may be required.

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

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

• Excellent interpersonal and communication abilities.

• Problem-solving skills for complex access scenarios.

• Capacity to work proactively and take initiative to advance patient cases.

🏝️ Benefits

• Competitive short-term and long-term incentive programs based on performance and company outcomes.

• Comprehensive health insurance coverage.

• Life and disability insurance.

• Retirement savings plans.

• Paid leave programs.

• Paid holidays.

• Paid time off.

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

• Flexible remote work arrangements.