6 часов назад
Field Reimbursement Manager (FRM) - Mid Atlantic (Rare Disease)
134 615 - 201 250$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
Field Reimbursement Manager (FRM) - Mid Atlantic (Rare Disease): Supporting healthcare providers and patients with reimbursement, coverage, and access for nephrology and rare disease products with an accent on payer policies, prior authorization, benefit verification, and coding. Focus on educating healthcare offices, coordinating patient support cases, resolving coverage challenges, and analyzing local payer trends across a field-based territory.
Location: Remote within the United States; field-based activities and up to 60–70% domestic travel required
Salary: $134,615–$201,250 annually, plus incentive opportunity
Company
Pharmaceutical Companies develops and provides pharmaceutical products, with this role primarily supporting nephrology and rare disease therapies.
What you will do
- Educate healthcare providers and office staff on product access, coverage, reimbursement, claims submission, and coding requirements.
- Analyze payer criteria and explain reimbursement policies, including prior authorization requirements.
- Coordinate with patient support hubs on individual cases, enrollment, and support services.
- Collaborate with field sales, specialty pharmacy accounts, and other internal and external partners.
- Execute territory plans, provide feedback on local payer trends, and help resolve patient-specific coverage challenges.
Requirements
- Bachelor’s degree.
- At least 5 years of pharmaceutical industry experience focused on payer policy and reimbursement.
- At least 3 years of experience with benefit verification, prior authorization, patient access, billing, or coding in rare disease.
- Strong communication, consultative, organizational, presentation, and relationship-building skills.
- Nephrology experience and knowledge of the U.S. healthcare payer and billing system are required or strongly relevant to the role.
- Valid driver’s license and availability for up to 60–70% domestic travel.
Nice to have
- Knowledge of CMS policies and processes, especially Medicare Part D.
- Experience in a Buy and Bill reimbursement environment.
- Proficiency with Microsoft Office.
Culture & Benefits
- Comprehensive medical, dental, vision, and prescription drug coverage.
- Company-provided life, accidental death and dismemberment, and short- and long-term disability insurance.
- Tuition reimbursement and student loan assistance.
- Generous 401(k) match, flexible time off, paid holidays, and paid leave programs.
- Collaborative work with healthcare providers, patients, internal teams, and external stakeholders.
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