Field Reimbursement Manager, Senior Manager – Northeast

Role Summary

Field Reimbursement Manager, Senior Manager – Northeast. Territory includes Virginia, Washington DC, Pennsylvania, New York, New Jersey, Connecticut, New Hampshire, Vermont, Massachusetts, and Maine.

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

Working Conditions

• General office demands – Remote, Work from Home
• Must be able to travel up to 50%
• Must have a valid driver's license with a clean driving record
• Possible long periods of sitting and/or keyboard work

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’s degree and 6 years; OR Bachelor’s degree and 8 years; OR Associate’s degree and 10 years; OR High school diploma/GED and 12 years in field reimbursement or related arena
• Minimum 2 years experience directly managing people and/or leadership experience

Preferred Qualifications

• Bachelor's degree in business, healthcare, or related field
• Minimum five years of experience as a manager/first-line leader or demonstrated leadership
• 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 and project management skills with ability to manage multiple projects
• Experience engaging with multiple stakeholders to deliver results for multiple priorities
• Strong computer literacy (Word, Excel, PowerPoint) and ability to conduct web-based meetings
• Experience in healthcare industry including insurance verification, claim adjudication, physician offices or clinics, pharmacies, and/or pharmaceutical manufacturers
• Strong customer service experience
• Previous experience launching new specialty pharmaceutical/biologics products or indications
• Knowledge of Managed Care, Government, Federal payer sectors, and IDN/Integrated Health Systems
• Experience defining training goals and objectives with key internal clients
• Experience with specialty products (preferably specialty injectables) via Specialty Pharmacy
• Advanced knowledge of medical insurance terminology and ability to analyze/regulate information