Field Reimbursement Manager (Bone Health)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Location: Seattle, Washington; territory covers Alaska, Washington, Oregon, Idaho, and Montana. Hybrid field role with two days per week in the geography for customer appointments, one to two home-office days per week, and up to 40% travel by automobile or plane. Candidates must live in the geography or within 10 miles of its border. Relocation is not included.
Annual salary: $145,471–$196,813, plus eligible benefits, bonus or sales incentive, and stock-based long-term incentives.
Company
is a biotechnology company developing, manufacturing, and delivering medicines across oncology, inflammation, general medicine, and rare disease.
What you will do
- Manage defined accounts and execute the territory strategy for patient access and reimbursement.
- Provide live coverage support from physician order through benefits investigation, prior authorization, appeals, and claims resolution.
- Review patient-specific information and resolve coverage challenges involving protected health information.
- Educate healthcare providers on commercial, Medicare, and Medicaid coverage, formulary requirements, insurance procedures, and financial assistance programs.
- Act as a payer expert for the assigned geography and communicate payer changes to stakeholders.
- Coordinate reimbursement issues with HUBs and cross-functional partners.
Requirements
- Doctorate; or a master's degree plus 3 years of customer service or leadership experience; or a bachelor's degree plus 5 years; or an associate degree plus 10 years; or a high school diploma/GED plus 12 years.
- Experience directly managing people or leading teams, projects, programs, or resource allocation.
- At least 2 years of experience in public or private third-party access or the pharmaceutical industry.
- Strong medical reimbursement, specialty pharmacy, and Buy & Bill knowledge.
- Experience with insurance verification, claims adjudication, physician offices or clinics, pharmacies, pharmaceutical manufacturers, HUBs, billing, coding, and appeals.
- Must live in the assigned geography or within 10 miles of its border; valid driver's license and clean driving record required.
Nice to have
- Bachelor's degree in business, healthcare, or a related field.
- Six years of experience with specialty or biologic self-injectable or physician-administered products.
- Advanced knowledge of medical insurance terminology and CMS policies, including Medicare Part B and Part D.
Culture & Benefits
- Collaborative, innovative, science-based work environment.
- Health, dental, vision, life, disability, and flexible spending benefits.
- Retirement and savings plan with company contributions.
- Annual bonus or field sales incentive plan, stock-based incentives, and paid time off.
- Flexible work models, including remote and hybrid arrangements where possible.
Hiring process
- Applications are accepted until a sufficient number of candidates are received or a candidate is selected.
- Visa sponsorship is not guaranteed.
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