Field Reimbursement Manager

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

📋 Description

• Act as the main resource for reimbursement and patient access for healthcare providers and staff within 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.

• Formulate account-specific access strategies and assist providers in navigating reimbursement obstacles.

• Oversee intricate reimbursement matters and handle escalations.

• Convey customer insights and payer trends to guide business strategy and enhance the experience for both providers and patients.

• Collaborate with Patient Services, Case Management, Market Head, Business Leader, Market Access, and other key stakeholders.

• Engage in case reviews, manage escalations, and foster ongoing collaboration.

• Create and implement territory plans that align with customer requirements, business goals, and access objectives.

• Employ CRM tools, data analytics, and reporting to document activities, identify opportunities, track performance, and manage territory priorities and travel logistics.

• Tackle patient access challenges with a proactive, solutions-focused mindset.

• Navigate complex account dynamics and resolve conflicts constructively.

• Conduct all activities in accordance with relevant laws, regulations, company policies, and argenx values.

⛳️ Requirements

• Bachelor's degree or equivalent experience is required.

• A minimum of 5 years of experience in reimbursement, patient access, market access, specialty pharmacy, or a related healthcare field.

• Proficiency in supporting therapies that are reimbursed under both medical and pharmacy benefits.

• In-depth knowledge of Medicare, Medicaid, commercial insurance, prior authorizations, claims, appeals, and patient access pathways.

• Capability to foster productive relationships with healthcare providers and office personnel.

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

• Capacity to work independently and collaborate with cross-functional teams.

• Experience in neurology, immunology, rare diseases, specialty biologics, or other intricate specialty therapeutic areas.

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

• Proficient in using CRM systems, data analytics, and customer insights.

• Willingness and capability to travel extensively within the assigned geography.

• Candidates must reside in the New England region.

🏝️ Benefits

• A competitive salary package complemented by benefits.

• Short-term and long-term incentive programs.

• Comprehensive retirement savings plans.

• Health benefits.

• Additional benefits subject to applicable plans and program guidelines.

• An inclusive work environment.

• Equal opportunity employment.