Field Reimbursement Manager (Atlanta)

Job summary

Manage a dedicated territory to support patient and provider access to cardiovascular products by educating healthcare providers and office staff on reimbursement, pharmacy, payer, and access processes. Coordinate with internal and external stakeholders, resolve access issues within compliance rules, maintain CRM activity, and communicate payer changes.

Job details

About Stratis Group: Stratis Group is an independent pharmaceutical consulting firm that specializes in commercialization throughout a brand’s lifecycle, our core passions include: market access, patient services, field reimbursement, and data-driven analytics. Summary: In this contracted role, the Field Reimbursement Manager (FRM) is a client-facing and client-customer-facing role that will be responsible for managing a dedicated territory to support access for provider and patients. This role will be highly visible within the organization and responsible for providing education to primary care and cardiology specific healthcare providers and office staff on access services and reimbursement solutions specific to a product and therapeutic area (Cardiovascular). The FRM will execute a region or territory strategic plan through partnership with internal and external stakeholders, which may include sales, market access, and/or other matrix field partners. Responsibilities include ensuring understanding of the reimbursement process particularly in Retail Pharmacy, field reimbursement services, and payer landscape. The FRM may also have to work on patient-level reimbursement issues without access to PHI. The FRM will abide in a compliant manner and will work closely within a defined set Rules of Engagement. In this role, the FRM will demonstrate a compliant and consultative approach to help offices obtain insurance authorization and/or reimbursement of products for appropriate patients. The FRM will have a direct impact on providing a positive experience for both the HCP Customer and Patient. Additional Responsibilities Include Manage daily activities that support appropriate patient access to our client’s products in the provider offices and work as a liaison to other patient assistance and access support services offered by our clients. Expert in providing general education on Retail and Specialty Pharmacy drug Prior Authorizations, Appeals, and Denials Provide in-person customer visits. Participate in client meetings as appropriate. Participate in regularly scheduled internal team and cross-functional meetings and calls. Input call activity into customer CRM, as appropriate. Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner. Provide office education and awareness during the entire access process which may include formulary coverage/utilization management criteria, coding, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution. Educate offices using approved educational materials provided by the client. Desired Job Requirements 3+ years of experience in one or more of the following areas: Managed Care, Field Reimbursement, Patient Services, and/or Sales (Specialty or Biologics), or healthcare provider office practice management 4-year degree in related field or equivalent experience Cardiovascular/Cardiology and Hospital Healthcare Systems experience a plus The ability to travel 3-4 days a week, with overnights (as needed), must reside within the Territory Solution oriented mindset, strong business acumen, & strong analytic capabilities Experience and understanding of Retail Pharmacies & Specialty Pharmacies Demonstrated ability to educate offices on access processes and issue resolution Experience educating HCPs and office staff on client specific Patient Service programs (i.e. copay) Experience delivering educational presentations in person and/or via technology platforms such as Zoom, Webex, and/or Teams Advanced knowledge of medical insurance terminology Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part D for Pharmacy Benefit products) Proven ability to develop and maintain trusted relationships with internal partners and effectively work well in teams Ability to manage ambiguity & problem solve Prepare and submit appropriate expense reports in a timely fashion Valid Driver’s License

What you’ll do

Manage a dedicated territory to support patient and provider access to cardiovascular products by educating healthcare providers and office staff on reimbursement, pharmacy, payer, and access processes. Coordinate with internal and external stakeholders, resolve access issues within compliance rules, maintain CRM activity, and communicate payer changes.

Requirements

Requires at least three years of experience in managed care, field reimbursement, patient services, specialty or biologics sales, or healthcare office practice management, plus a related four-year degree or equivalent experience. Candidates should understand retail and specialty pharmacies, insurance and Medicare processes, and provider education, and be able to travel 3–4 days per week; cardiovascular experience is a plus.

Listed skills

• Problem solving · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Field Reimbursement
• Market Access
• Patient Services
• Retail Pharmacy
• Specialty Pharmacy
• Prior Authorizations
• Appeals and Denials
• Payer Landscape Analysis
• Insurance Authorization
• Reimbursement Solutions
• Healthcare Provider Education
• Patient Access
• Medical Insurance Terminology
• Medicare Part D
• Relationship Management
• Problem Solving

Job areas

• Healthcare
• Customer Service & Support
• Sales
• Consulting
• Management & Leadership

More jobs from Stratis