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Field Reimbursement Manager (Healthcare)

145 471 - 196 813$
Формат работы
remote (только USA)/hybrid
Тип работы
fulltime
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
Для мэтча и отклика нужен Plus

Мэтч & Сопровод

Для мэтча с этой вакансией нужен Plus

Описание вакансии

Текст:
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TL;DR
Field Reimbursement Manager (Healthcare): Supporting patient access and reimbursement for respiratory products across Washington and Oregon with an accent on payer coverage, prior authorization, appeals, and patient-level reimbursement issue resolution. Focus on educating healthcare providers, resolving insurance and claims challenges, coordinating HUB support, and managing reimbursement activities across a defined geography.

Location: Seattle, Washington, United States; territory covers Washington and Oregon. Hybrid field role with three days per week in the assigned geography for customer appointments, one to two home-office days per week, and up to 60–80% travel by automobile or plane. Candidates must live in the geography or within 10 miles of its border. Relocation is not included.

Salary: $145,470.70–$196,813.30 annual base salary.

Company

hirify.global is a biotechnology company developing and delivering medicines for serious illnesses across oncology, inflammation, general medicine, and rare disease.

What you will do

  • Manage defined healthcare accounts and execute territory strategies supporting the respiratory business unit.
  • Provide live coverage support as an extension of the HUB throughout the reimbursement journey.
  • Support prior authorizations, appeals, denials, claims resolution, benefits investigations, and alternate funding programs.
  • Review patient-specific reimbursement cases and resolve coverage challenges involving protected health information.
  • Educate healthcare providers on payer coverage, benefit design, insurance procedures, and patient access programs.
  • Coordinate reimbursement issues with HUB partners and cross-functional departments while communicating payer changes.

Requirements

  • Doctorate degree, or a qualifying combination of education and customer service or leadership experience.
  • Direct experience managing people or leading teams, projects, programs, or resource allocation.
  • At least two years of experience in public or private third-party access, managed care, clinical support, sales, or the pharmaceutical industry.
  • Strong medical reimbursement experience, including specialty pharmacy, Buy & Bill, billing, coding, appeals, and hub-related processes.
  • Experience with commercial payers, Medicare plans, and state Medicaid within a geographic region.
  • Valid driver's license with a clean driving record, strong communication and presentation skills, project management experience, and proficiency with Word, Excel, PowerPoint, and web-based meetings.

Nice to have

  • Bachelor's degree in business, healthcare, or a related field.
  • Six years of experience with specialty or biologic self-injectable products or physician-administered Buy & Bill products.
  • Advanced medical insurance knowledge and expertise in CMS policies and Medicare Part B and Part D processes.
  • Experience managing ambiguity, solving problems, and managing expenses within allocated budgets.

Culture & Benefits

  • Collaborative, innovative, science-based work environment focused on serving patients.
  • Health, dental, vision, life, disability, and flexible spending benefits.
  • Retirement and savings plan with company contributions.
  • Annual bonus or sales-based incentive plan, stock-based long-term incentives, and paid time off.
  • Professional development opportunities and flexible work models where applicable.

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