Field Reimbursement Manager

This is a fully remote position, open to applicants in North Carolina, +1 more state.

📋 Description

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

• Act as a collaborator in product accessibility, concentrating on patient assistance, access, reimbursement, prior authorization, appeals, financial aid, and associated business matters.

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

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

• Organize additional patient services.

• Report to a director within the field reimbursement team for guidance and mentorship.

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

• Collaborate with Hub case managers and in-network specialty pharmacies on prior authorization prerequisites and communication with healthcare providers and patients.

• Coordinate communication and activities with Nurse Access Specialist colleagues.

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

• Work alongside managed care colleagues to comprehend policies and identify emerging trends.

• Partner with sales colleagues when appropriate and as per Compliance policies.

⛳️ Requirements

• Relevant post-secondary education or equivalent certifications.

• 3-4 years of experience with specialty medications, whether 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.

• 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 teams.

• Excellent interpersonal and communication abilities.

🏝️ Benefits

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

• Comprehensive 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.