Field Reimbursement Manager
Ascendis Pharma
4 hours ago
On-site
Columbia, SC
Market Access
Field Reimbursement Manager (FRM)
Key Responsibilities:
- Act as a compliant subject matter expert (SME) in reimbursement, access, and specialty distribution for assigned geography.
- Educate HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients.
- Build and maintain productive relationships with HCPs, office staff, and health system stakeholders.
- Analyze regional/local payer coverage trends, reimbursement criteria, and payer mix.
- Provide guidance on specialty pharmacy services and help customers navigate complex distribution channels.
- Partner with the Patient Support team for accurate benefit investigations and streamlined patient onboarding.
- Collaborate with internal partners to develop local access strategies aligned with business objectives.
- Develop and execute territory-level business plans using strategic customer insights.
- Resolve reimbursement issues in the field and escalate cases as needed.
- Identify process improvements and innovations to enhance patient access and provider satisfaction.
Requirements:
- Bachelor’s degree in an allied health field (preferred) or equivalent work experience.
- 8+ years of experience in the pharmaceutical/biotech/related healthcare industry.
- Substantial reimbursement experience required, including prior authorizations and navigating the US payer landscape.
- 3–6 years supporting Specialty Pharmaceuticals/Biologics.
- Deep understanding of reimbursement, access, and specialty pharmacy operations.
- Experience supporting product launches and/or guiding patients through insurance approval processes.
- Strong understanding of specialty pharmacy distribution models and patient services programs.
- Knowledge of HIPAA and other federal/state laws governing patient confidentiality and healthcare communications.
- Bilingual skills highly desired (English/Spanish).
- Proven track record supporting complex therapies in rare or specialty conditions.
- Exceptional communication and interpersonal skills; ability to build trust.
- Comfortable navigating ambiguity, managing multiple cases, and solving problems in real time.
- Digital fluency with CRM platforms; comfort educating patients on technology-enabled support tools (including AI-based platforms).
Benefits:
- 401(k) plan with company match
- Comprehensive medical, dental, and vision plans
- Company-paid Life and AD&D insurance
- Company-paid short- and long-term disability coverage
- Voluntary Pet Insurance and Legal Insurance
- Employee Assistance Program (EAP)
- Employee Discounts and Professional Development programs
- HSA and Flexible Spending Accounts (FSA)
- Accident, Critical Illness, and Hospital Indemnity Insurance
- Paid parental leave and mental health resources
- Performance-based incentive compensation plans
- Annual base salary: $180,000–$190,000 (plus potential company car/car allowance and commissions/bonus, where applicable)
Key Responsibilities:
- Act as a compliant subject matter expert (SME) in reimbursement, access, and specialty distribution for assigned geography.
- Educate HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients.
- Build and maintain productive relationships with HCPs, office staff, and health system stakeholders.
- Analyze regional/local payer coverage trends, reimbursement criteria, and payer mix.
- Provide guidance on specialty pharmacy services and help customers navigate complex distribution channels.
- Partner with the Patient Support team for accurate benefit investigations and streamlined patient onboarding.
- Collaborate with internal partners to develop local access strategies aligned with business objectives.
- Develop and execute territory-level business plans using strategic customer insights.
- Resolve reimbursement issues in the field and escalate cases as needed.
- Identify process improvements and innovations to enhance patient access and provider satisfaction.
Requirements:
- Bachelor’s degree in an allied health field (preferred) or equivalent work experience.
- 8+ years of experience in the pharmaceutical/biotech/related healthcare industry.
- Substantial reimbursement experience required, including prior authorizations and navigating the US payer landscape.
- 3–6 years supporting Specialty Pharmaceuticals/Biologics.
- Deep understanding of reimbursement, access, and specialty pharmacy operations.
- Experience supporting product launches and/or guiding patients through insurance approval processes.
- Strong understanding of specialty pharmacy distribution models and patient services programs.
- Knowledge of HIPAA and other federal/state laws governing patient confidentiality and healthcare communications.
- Bilingual skills highly desired (English/Spanish).
- Proven track record supporting complex therapies in rare or specialty conditions.
- Exceptional communication and interpersonal skills; ability to build trust.
- Comfortable navigating ambiguity, managing multiple cases, and solving problems in real time.
- Digital fluency with CRM platforms; comfort educating patients on technology-enabled support tools (including AI-based platforms).
Benefits:
- 401(k) plan with company match
- Comprehensive medical, dental, and vision plans
- Company-paid Life and AD&D insurance
- Company-paid short- and long-term disability coverage
- Voluntary Pet Insurance and Legal Insurance
- Employee Assistance Program (EAP)
- Employee Discounts and Professional Development programs
- HSA and Flexible Spending Accounts (FSA)
- Accident, Critical Illness, and Hospital Indemnity Insurance
- Paid parental leave and mental health resources
- Performance-based incentive compensation plans
- Annual base salary: $180,000–$190,000 (plus potential company car/car allowance and commissions/bonus, where applicable)