Field Reimbursement Manager, Senior Manager – Northeast

Role Summary

Field Reimbursement Manager, Senior Manager – Northeast

Responsibilities

• Lead and manage a team of Field Reimbursement Managers to meet goals and objectives through compliant behavior
• Develop and implement regional and national strategies to support product access within targeted accounts
• Conduct regular evaluations, coaching, and direction of local business plans and presentations
• Hire, motivate, and retain high-performing individuals
• Collaborate with leadership to define and establish appropriate behaviors and actions for high levels of client satisfaction
• Provide mentoring and consultative services to FRM, including technical expertise, quarterly business reviews, and managing strategic and tactical projects
• Ensure FRM compliance with established business rules through field visits and virtual meetings
• Develop and document workflows and procedures and ensure FRM are informed of all process developments and issue resolutions
• Coordinate and assist with training
• Gather feedback from trainees and trainers to continually improve the training program
• Support the FRM Trainer as secondary point of contact

Qualifications

• Basic Qualifications:
  • Doctorate degree and 2 years of public or private third-party access arena or pharmaceutical industry in field reimbursement, managed care, clinical support, or sales
  • OR Master‚Äôs degree and 6 years of public or private third-party access arena or pharmaceutical industry in field reimbursement, managed care, clinical support, or sales
  • OR Bachelor‚Äôs degree and 8 years of public or private third-party access arena or pharmaceutical industry in field reimbursement, managed care, clinical support, or sales
  • OR Associate‚Äôs degree and 10 years of public or private third-party access arena or pharmaceutical industry in field reimbursement, managed care, clinical support, or sales
  • OR High school diploma / GED and 12 years of public or private third-party access arena or pharmaceutical industry in field reimbursement, managed care, clinical support, or sales
  • Minimum of 2 years experience directly managing people and/or leadership experience leading teams, projects, programs, or directing the allocation or resources
• Preferred Qualifications:
  • Bachelor's degree in business, healthcare, or a related field
  • Minimum five years of experience as a manager/first-line leader or demonstrated leadership and ability to motivate, coach, lead, and execute strategy
  • Minimum two years of experience in public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support with Buy and Bill products
  • Strong understanding and experience in the Access & Reimbursement environment
  • Proven strategic planning and analytical experience
  • Strong written and oral communication skills
  • Proven presentation and facilitation skills
  • Organizational skills and project management experience, including the ability to manage multiple projects
  • Experience engaging with multiple stakeholders to deliver results for multiple priorities
  • Strong computer literacy, including Word, Excel, and PowerPoint, and the ability to conduct web-based meetings
  • Experience in the healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or pharmaceutical manufacturers
  • Strong customer service experience
  • Previous experience in launching new specialty pharmaceutical/biologics products or indications
  • Knowledge of Managed Care, Government, Federal payer sectors, and Integrated Delivery Network/Integrated Health Systems
  • Experience defining training goals and objectives with key internal clients
  • Experience with specialty products (preferably specialty injectables) acquired through Specialty Pharmacy
  • Advanced knowledge of medical insurance terminology and the ability to analyze and interpret regulations and legislation

Skills

• Strategic planning
• Analytical thinking
• Communication and presentation
• Training and development
• Stakeholder engagement
• Project and People management
• Computer literacy (Word, Excel, PowerPoint)

Education

• As specified in Basic Qualifications and Preferred Qualifications