Field Reimbursement Manager (FRM) Southeast - Job ID: 1892
Ascendis Pharma
4 months ago
On-site
Florida, United States
$180,000 - $190,000 USD yearly
Market Access
Position Summary:
- Field Reimbursement Manager (FRM): Minimize reimbursement and access barriers for patients and providers. Educate HCP offices on coverage, access, and reimbursement criteria, and integrate products into provider workflows. Partner with Market Access, Sales, and Patient Support to address access challenges and support patient access.
Key Responsibilities:
- Act as a compliant SME in reimbursement, access, and specialty distribution for assigned geography.
- Educate HCP offices on coverage status, prior authorization, appeals, and alternate funding options for uninsured/underinsured patients.
- Build and maintain relationships with HCPs, office staff, and health system stakeholders.
- Analyze payer coverage trends, reimbursement criteria, and payer mix.
- Guide customers on specialty pharmacy services and complex distribution channels.
- Partner with Patient Support for accurate benefit investigations and streamlined patient onboarding.
- Collaborate with internal teams to develop local access strategies aligned with business objectives.
- Develop and execute territory-level business plans using customer insights.
- Resolve reimbursement issues in the field and escalate cases as needed.
- Identify process improvements to enhance patient access and provider satisfaction.
Requirements:
- Bachelor’s degree in an allied health field (preferred) or equivalent work experience.
- 8+ years in pharmaceutical/biotech/related healthcare.
- Prior reimbursement experience required: 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 or insurance approval processes.
- Strong knowledge of specialty pharmacy distribution models and patient services programs.
- Knowledge of HIPAA and other federal/state laws on confidentiality and healthcare communications.
- Bilingual (English/Spanish) highly desired.
- Proven track record with complex therapies in rare/specialty conditions.
- Exceptional communication/interpersonal skills; ability to build trust.
- Comfort with ambiguity and managing multiple cases.
- Digital fluency with CRM platforms; comfort educating on technology-enabled tools (including AI).
Benefits:
- 401(k) with company match; medical/dental/vision; life/AD&D; short- and long-term disability; pet and legal insurance; employee assistance; discounts; professional development; HSA; flexible spending accounts; incentive compensation plans; accident/critical illness/hospital indemnity; mental health resources; paid leave for new parents.
- Field Reimbursement Manager (FRM): Minimize reimbursement and access barriers for patients and providers. Educate HCP offices on coverage, access, and reimbursement criteria, and integrate products into provider workflows. Partner with Market Access, Sales, and Patient Support to address access challenges and support patient access.
Key Responsibilities:
- Act as a compliant SME in reimbursement, access, and specialty distribution for assigned geography.
- Educate HCP offices on coverage status, prior authorization, appeals, and alternate funding options for uninsured/underinsured patients.
- Build and maintain relationships with HCPs, office staff, and health system stakeholders.
- Analyze payer coverage trends, reimbursement criteria, and payer mix.
- Guide customers on specialty pharmacy services and complex distribution channels.
- Partner with Patient Support for accurate benefit investigations and streamlined patient onboarding.
- Collaborate with internal teams to develop local access strategies aligned with business objectives.
- Develop and execute territory-level business plans using customer insights.
- Resolve reimbursement issues in the field and escalate cases as needed.
- Identify process improvements to enhance patient access and provider satisfaction.
Requirements:
- Bachelor’s degree in an allied health field (preferred) or equivalent work experience.
- 8+ years in pharmaceutical/biotech/related healthcare.
- Prior reimbursement experience required: 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 or insurance approval processes.
- Strong knowledge of specialty pharmacy distribution models and patient services programs.
- Knowledge of HIPAA and other federal/state laws on confidentiality and healthcare communications.
- Bilingual (English/Spanish) highly desired.
- Proven track record with complex therapies in rare/specialty conditions.
- Exceptional communication/interpersonal skills; ability to build trust.
- Comfort with ambiguity and managing multiple cases.
- Digital fluency with CRM platforms; comfort educating on technology-enabled tools (including AI).
Benefits:
- 401(k) with company match; medical/dental/vision; life/AD&D; short- and long-term disability; pet and legal insurance; employee assistance; discounts; professional development; HSA; flexible spending accounts; incentive compensation plans; accident/critical illness/hospital indemnity; mental health resources; paid leave for new parents.