Field Reimbursement Specialist

This is a fully remote position, open to applicants in California, +3 more states.

📋 Description

• Act as a knowledgeable authority on reimbursement, access, and coverage matters.

• Provide education to healthcare providers and their teams regarding intricate insurance and reimbursement systems.

• Address access challenges for patients seeking specialty medications.

• Serve as a link among providers, manufacturers, pharmacies, and payers.

• Offer insights into reimbursement and access factors specific to specialty medications.

• Execute field-based reimbursement and access assistance, education, and consultation for key account customers and cross-functional teams.

• Conduct engaging educational sessions at various provider locations.

• Investigate to comprehend office workflows and tackle access or reimbursement challenges.

⛳️ Requirements

• A High School Diploma/GED is mandatory.

• A Bachelor's degree or relevant experience in practice management is desirable.

• Prior experience as a Field Reimbursement Manager/Specialist is preferred.

• Previous involvement in healthcare with a focus on resolving pharmacy benefit access issues is advantageous.

• A solid understanding of pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is required.

• Candidates must be willing to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment.

🏝️ Benefits

• Health insurance

• Dental coverage

• Vision coverage

• Backup dependent care

• Adoption assistance

• Infertility coverage

• Family building support

• Behavioral health solutions

• Paid parental leave

• Paid caregiver leave

• Professional development resources

• Training programs

• Mentorship programs

• Employee resource groups

• Volunteer activities