Field Reimbursement Manager

This is a fully remote position, open to applicants in New Jersey, +2 more states.

📋 Description

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

• Act as a partner in product access, concentrating on patient support, access, reimbursement, prior authorization, appeals, financial assistance, and related business matters.

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

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

• Coordinate additional patient services.

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

• Deliver proactive education to healthcare providers about insurance requirements for patient prescriptions.

• Collaborate with Hub case managers and in-network specialty pharmacies concerning prior authorization requirements and 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 understand policies and identify new trends.

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

⛳️ Requirements

• Bachelor's Degree.

• Relevant post-secondary education or applicable certifications.

• Minimum of 3-4 years of experience with specialty medications, in pharmaceutical settings, healthcare provider offices, or insurance payers.

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

• Willingness to travel up to 25%.

• Flexibility for some evening and weekend commitments.

• Familiarity with 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 patient access issues with a sense of urgency.

• Problem-solving skills in challenging access situations.

• Initiative to advance patient cases effectively.

🏝️ Benefits

• Competitive short-term and long-term incentive programs 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 paid for by the company.