Field Reimbursement Manager, CAR-T

This is a fully remote position, open to applicants in Connecticut, +7 more states.

📋 Description

• Act as the primary on-site lead for education, support, and resolution of issues related to CAR-T reimbursement.

• Allocate up to 75% of your time potentially working directly with customers to assess educational needs and enhance stakeholder collaboration.

• Provide training to office personnel on access and payer approval processes, access challenges, and actions that facilitate therapy availability.

• Oversee, evaluate, and manage situations that could negatively affect patient access to therapy.

• Collaborate with Market Access, sales, medical, and other internal teams to identify and address patient-access challenges.

• Serve as a subject matter expert on Medicare treatment guidelines, Medicaid Managed Care, commercial plans, policy updates, formulary status, and the effects of healthcare reforms on coverage.

• Maintain and disseminate information regarding account contacts, prior authorization requirements, trends, and competitive insights to the Market Access Department.

• Train Customer Care Area colleagues on Market Access, reimbursement, medical coverage policies, and medical benefit design.

• Conduct business in accordance with ethical, legal, and compliance standards and complete necessary training.

⛳️ Requirements

• A Bachelor’s degree is mandatory.

• A minimum of five years of pertinent experience, including three years in specialty disease states.

• Candidates must reside within the designated geographic area; those from other states may be considered.

• In-depth technical knowledge of payer policies and reimbursement processes, including coding, coverage, and payment.

• Extensive experience in revenue cycle management, buy-and-bill, formulary, prior authorization, coding, and appeals processes.

• Proximity to a major airport is required.

• A valid Driver's License issued in the United States is necessary.

• An advanced degree or clinical license is preferred.

• Two years of reimbursement or relevant managed care experience is preferred.

• Experience in multiple myeloma or related oncology areas is preferred.

• Familiarity with payer approval processes and strong business acumen is essential.

• Excellent organizational, problem-solving, and project management abilities are required.

• Understanding of national and state legislation, Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement.

• Proficiency in Salesforce.com CRM, native iOS applications, Microsoft Word, and Excel is required.

• Exceptional written and verbal communication skills with a strong emphasis on follow-through.

• Preferred experience in field-based reimbursement and oncology.

• Capability to develop and implement educational plans.

• Proven ability to conduct field-based reimbursement and access support, education, and consultation.

• Dedication to learning and utilizing emerging technologies, such as AI.

• Ability to secure and maintain access to a national airport.

🏝️ Benefits

• Consolidated retirement plan (pension).

• Savings plan (401(k)).

• Vacation – 120 hours per calendar year.

• Sick time – 40 hours per calendar year.

• Holiday pay, including Floating Holidays – 13 days per calendar year.

• Work, Personal, and Family Time – up to 40 hours per calendar year.

• Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child.

• Bereavement Leave – 240 hours for an immediate family member; 40 hours for an extended family member per calendar year.

• Caregiver Leave – 80 hours in a 52-week rolling period.

• 10 days Volunteer Leave – 32 hours per calendar year.

• Military Spouse Time-Off – 80 hours per calendar year.

• Inclusive interview process and support for applicants with disabilities.