17 часов назад
Field Reimbursement Manager (FRM) - Greater NY
134 615 - 201 250$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
Field Reimbursement Manager (FRM) - Greater NY (US Healthcare Reimbursement and Patient Access): Supporting healthcare providers and patients by addressing reimbursement, payer coverage, prior authorization, claims, and coding for nephrology and rare disease products with an accent on payer policy expertise, benefit verification, and patient access coordination. Focus on analyzing payer criteria, resolving patient-specific coverage challenges, and managing field-based stakeholder engagement across care sites.
Location: Remote, supporting the Greater New York territory and requiring domestic travel of up to 60–70%.
Salary: $134,615–$201,250 annually, plus incentive opportunity.
Company
Pharmaceutical Companies develops and commercializes pharmaceutical products, including treatments for nephrology and rare disease.
What you will do
- Educate healthcare providers and office staff on access, coverage, reimbursement processes, claims submissions, coding, and prior authorization requirements.
- Analyze payer criteria and provide product access expertise to healthcare offices.
- Coordinate individual patient cases with Hubs, including patient support services and enrollment.
- Collaborate with Field Sales, Specialty Pharmacy Accounts, and other internal and external stakeholders.
- Execute territory plans, share local payer trends, and help resolve patient-specific coverage challenges.
- Manage daily field-based activities across various care sites while traveling domestically as required.
Requirements
- Bachelor’s degree.
- 5+ years of pharmaceutical industry experience focused on payer policy and reimbursement.
- 3+ years of experience with benefit verifications, prior authorization requirements, patient access, billing, or coding in rare disease.
- Excellent communication, interpersonal, consultative, organizational, training, and presentation skills.
- Valid driver’s license and ability to travel domestically up to 60–70%.
- Ability to build and maintain relationships with internal and external customers.
Nice to have
- Knowledge of CMS policies and processes, especially Medicare Part D.
- Experience in a Buy and Bill reimbursement environment.
- Nephrology experience.
- Understanding of US healthcare payer billing practices.
- Proficiency in Microsoft Office.
Culture & Benefits
- Remote work with extensive field engagement across the assigned territory.
- Medical, dental, vision, and prescription drug coverage.
- Basic life, accidental death and dismemberment, short-term disability, and long-term disability insurance.
- Tuition reimbursement and student loan assistance.
- Generous 401(k) match, flexible time off, paid holidays, and paid leave programs.
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