Field Reimbursement Manager

This is a fully remote position, open to applicants in District of Columbia, +2 more states.

📋 Description

• Proactively identify and address barriers to patient access by collaborating with customers and accounts to resolve intricate reimbursement challenges, such as prior authorizations, appeals, and denials.

• Provide education to private practices, multi-specialty groups, facilities, and their personnel regarding reimbursement support programs, coverage options, coding practices, and payer policies.

• Ensure that access barriers are minimized for eligible patients to receive Invivyd products through healthcare professional (HCP) education.

• Demonstrate a strong understanding of payer policies and effectively navigate the coverage landscape.

• Deliver actionable insights to practice managers, billing personnel, nurses, and reimbursement teams concerning payer policies and processes.

• Assess practices' use of reimbursement support services and suggest enhancements to the program based on customer requirements.

• Report trends observed in payer approvals for products to Patient Services and Market Access account management teams.

• Navigate coverage pathways for both medical and pharmacy benefit products.

• Offer expertise on the national and regional payer landscape while educating providers on reimbursement processes and payer trends.

• Conduct training for healthcare professionals on drug reimbursement procedures, coding, and billing practices.

• Manage access and reimbursement challenges by engaging relevant Invivyd stakeholders.

• Monitor business trends, the competitive landscape, regulatory changes, and developments in healthcare policy.

• Utilize market insights to anticipate customer needs and formulate competitive strategies.

• Present valuable insights and trends to commercial and executive leadership.

• Ensure that all activities adhere to pharmaceutical regulations, industry standards, and ethical guidelines.

⛳️ Requirements

• Bachelor's Degree.

• Over 8 years of experience in the pharmaceutical or biotechnology sector, particularly in Market Access, Payer Account Management, and/or Access and Reimbursement.

• Ability to create strategic account plans and manage contract performance to ensure sustained business health.

• A proven record of success, consistently meeting or surpassing business KPIs.

• Familiarity with the formulary inclusion process and experience with relevant sub-committees.

• An analytical mindset capable of interpreting sales data, market trends, and customer insights.

• Experience with CRM systems and sales analytics tools.

• Willingness to travel as necessary, approximately 60% of the time, to meet with customers and participate in industry events.

🏝️ Benefits

• Annual short-term incentive (e.g., bonus or sales incentive).

• Annual long-term incentive (e.g., equity).