Field Reimbursement Manager

Field Reimbursement Manager

Reports To: Director, Field Reimbursement Managers

Location: Field-based East and South Region

Classification: Exempt

Position Summary

The Field Reimbursement Manager (FRM) helps minimize access & reimbursement barriers for patients and providers to optimize access to Coherus’ Oncology product portfolio. Within their geography, the FRM is responsible for addressing access barriers by strategically working with customers and accounts to solve the most complex patient access issues through all facets of the reimbursement cycle. The FRM proactively provides education and support on Coherus reimbursement support programs (Coherus Solutions) to practices, facilities, and their staff.

As a member of the front-line field team, they serve as the key contact responsible for reimbursement and access support-related matters. The FRM will provide education and support the integration of account implementation plans for Coherus products within practices and sites of care where applicable. Additionally, the FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for internal Coherus partners in their assigned geography. The FRM will coordinate cross-functionally across Corporate Accounts, Patient Services and Field Sales to support patient drug accessibility.

Key Responsibilities Include:

• Partner with internal and external stakeholders to identify, anticipate and address patient and practice reimbursement issues
• Collaborate with Field Sales to identify facilities and practices that need reimbursement education and support regarding Coherus products.
• Provide insights and updates regarding product and support service integration at accounts.
• Educate facility staff on policies related to product acquisition, inventory management, and all payer policies related to support full integration of product into the practice workflow.
• Provide coverage, coding, and reimbursement information to key staff members (i.e., practice administrators, reimbursement staff, and providers) in order to appropriately support patient access.
• Collaborate with field-facing “One Team” to compliantly share insights into customer needs, potential barriers, and payer issues/opportunities for access at practices.
• Communicate and explain payer policy updates or system changes that impact access.
• Proactively communicate Coherus COMPLETE so that office staff is fluent in how to use patient access programs and services.
• Address questions associated with patient coverage, access, and reimbursement from accounts in collaboration and coordination with patient services as directed by policy and procedure.
• Conduct frequent claim reviews with practices to ensure appropriate reimbursement of Coherus products.
• Maintain a deep understanding of Coherus policies and requirements and perform the role in a compliant manner consistent with company guidance.
• Keep abreast of customer and market access industry trends.

Experience:

• 5+ years of commercial experience in the pharmaceutical or biotech industry.
• 3+ years of experience in healthcare coverage, coding and/or reimbursement.
• Direct experience with Buy and Bill products, Medicare Part B and Miscellaneous J-Codes required.
• Oncology experience strongly preferred.
• Bachelor's degree from a four-year college or university.

Skills, Knowledge & Abilities:

• Previous experience working with billing and medical claims personnel in various health care settings, including physician office, hospital, HOPD and ASC.
• Shown expertise in supporting healthcare provider offices with coding, billing, and submissions in range of payer environments.
• Well versed with implementing and executing Medicare, Medicaid, and other payer initiatives.
• Familiar with CPT, HCPCS, ICD-10 revenue codes.
• Familiarity with health insurance claim forms, explanation of benefits, prior authorization forms, and EMR/Practice Management systems, to troubleshoot cases where billing, claims submission or documentation errors may occur.
• Ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies.

Travel Requirements:

• Candidate must reside within assigned territory and have the ability to travel up to 70%.

Company Culture

At Coherus, our employees are our most important asset. We have a dynamic and rewarding organizational culture that offers the opportunity to work with leading industry professionals who are dedicated to making a difference for patients. We are looking for individuals who see unlimited potential in themselves and are motivated by a continuous passion for breaking down barriers and expanding access to lifesaving therapeutics.

Benefits

Coherus offers a competitive total rewards program comprised of various elements, including competitive base pay, short- and long-term incentives in the form of performance-based cash and equity, as well as health and wellness benefits that include:

• Healthcare: Coherus pays 90% of premiums for medical, dental, and vision coverage for our employees, their eligible spouses, dependents, and domestic partners.
• Health Savings and Flexible Spending Accounts
• Group Life, Disability, and Group Accident Insurance
• 401(k) with company match, and an Employee Stock Purchase Plan (ESPP)
• Paid Time Off (PTO)

Compensation

The Base Salary Range for this position is $165,000 - $190,000. Coherus considers various factors, including professional background and work experience, when determining base pay. These considerations mean actual compensation will vary.

Work-Life Balance

In addition to providing attractive rewards packages, we encourage and support our employees to find the right balance of work and personal time. Coherus offers a variety of activities, perks, and holidays that encourage employees to have a healthy outlook, spend time outside of work with friends and family, and foster a productive and collaborative work environment. Our culture is one in which we challenge and support all our team members to do their best work.

Learn More

For more information about Coherus, please check out: Coherus About Page

Equal Employment Opportunity

Coherus provides equal employment opportunities to all employees and applicants for employment and prohibits unlawful discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We also prohibit discrimination based on the perception that anyone has any of these characteristics or is associated with a person who has or is perceived as having any of these characteristics.

Recruitment Policy

We are currently not accepting any unsolicited resumes from recruiters or employment agencies.