Field Reimbursement Manager

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

📋 Description

• Act as the main resource for reimbursement and patient access for healthcare providers and staff in the designated area.

• Establish trustworthy relationships through both in-person and virtual interactions.

• Provide education to customers regarding patient access, reimbursement, coverage policies, prior authorizations, claims, appeals, billing and coding, specialty pharmacy processes, and patient support resources.

• Create tailored access strategies for accounts and assist providers in overcoming reimbursement obstacles.

• Handle intricate reimbursement issues and manage escalations effectively.

• Convey customer insights and payer trends to shape business strategies.

• Collaborate with Patient Services, Case Management, Market Head, Business Leader, Market Access, Distribution, Regional Account Directors, and other relevant stakeholders.

• Engage in case reviews and manage escalations.

• Develop and implement plans for the territory.

• Leverage CRM tools, data analytics, and reporting to document activities, identify opportunities, monitor performance, and manage territory priorities and travel.

• Tackle patient access challenges and navigate complex account relationships.

• Perform duties in accordance with relevant laws, regulations, company policies, and the values of argenx.

⛳️ Requirements

• Candidate must reside in the Ann Arbor, MI area.

• Bachelor's degree or equivalent experience is required.

• Over 5 years of experience in reimbursement, patient access, market access, specialty pharmacy, or related healthcare fields.

• Proficient in supporting therapies reimbursed through both medical and pharmacy benefits.

• Strong understanding of Medicare, Medicaid, commercial insurance, prior authorizations, claims, appeals, and patient access pathways.

• Capability to cultivate productive relationships with healthcare providers and office staff.

• Excellent communication, presentation, organizational, problem-solving, and customer engagement abilities.

• Skilled in working independently as well as collaborating with cross-functional teams.

• Background in neurology, immunology, rare diseases, specialty biologics, or other complex specialty therapeutic areas is preferred.

• Familiarity with buy-and-bill and specialty pharmacy distribution models, infusion reimbursement, site-of-care optimization, and payer management strategies.

• Experience with CRM systems, data analytics, and customer insights is essential.

• Willingness and ability to travel extensively within the assigned region.

🏝️ Benefits

• A competitive salary package complemented by benefits.

• Short-term and long-term incentive programs available.

• Comprehensive benefits package, including retirement savings plans and health benefits.

• An inclusive work environment that values diversity.

• Equal consideration for employment without discrimination.