Field Reimbursement Manager (New Jersey Region)

Role Summary

Field Reimbursement Manager (FRM) – New Jersey Region. A field-based role focused on eliminating access barriers, educating on prior authorization processes, and addressing roadblocks for eligible patients to enhance conversion rates and treatment adherence. Responsibilities are at the territory level with knowledge of the local landscape, requiring candidates to operate within their assigned geography.

Responsibilities

• Educate customers and staff regarding payer policies and processes supporting patient access (eligibility and benefit verification, prior authorization, and appeals/denials).
• Develop strong relationships with customers by understanding their needs and delivering solutions to overcome obstacles.
• Become expert on patient support programs, payer utilization management, access issue resolution, and financial assistance.
• Collaborate with Managed Markets and Sales to address challenges and opportunities with patient access.
• Assist in educating sales colleagues on product access and patient support programs as needed.
• Develop and maintain knowledge of the local and national payer landscape.
• Engage with customers both virtually and in person.
• Communicate territory activity accurately and timely as directed by management.
• Overnight travel as indicated by business needs.
• Ensure all reimbursement activities comply with applicable laws and regulations and monitor ongoing compliance.
• Perform additional responsibilities as assigned.

Qualifications

• Required: Bachelor‚Äôs Degree; graduate degree preferred.
• Required: Minimum of 8 years of healthcare, field customer, and/or account management experience in the pharmaceutical industry with at least 2 years as an FRM or RAM working with retail medications (neurology experience preferred).
• Must reside in the territory geography.
• Required: Ability to travel up to 50-75% (including overnight travel).

Experience, Knowledge And Skills

• Current or recent CNS experience strongly preferred.
• Experience working with cross-functional teams.
• Launch experience in an entrepreneurial environment preferred.
• Pharmacy benefit knowledge; ability to educate to payer criteria for prior authorization.
• Understanding of payer segments (Commercial, Medicare Part D) required.
• Ability to manage multiple tasks under tight timelines in a dynamic environment.
• Proven track record of delivering results.
• Ability to work independently, manage travel schedules, and schedule territory visits.
• Proficient in both virtual and in-person engagements.

Education

• Bachelor‚Äôs Degree required; graduate degree preferred.