Field Reimbursement Manager, Southwest
Invivyd
5 days ago
On-site
El Paso Metropolitan Area
$152,000 - $202,000 USD yearly
Market Access
Position Summary:
The Field Reimbursement Manager (FRM) is a field-based expert in market access and reimbursement, providing education and guidance to healthcare providers and stakeholders across the access journey. Deep expertise includes claims submissions, prior authorization, coverage criteria, and payer-specific requirements across commercial, Medicare, and Medicaid plans.
Responsibilities:
- Resolve complex reimbursement issues to remove patient access barriers (prior authorizations, appeals, denials).
- Educate private practices, multi-specialty groups, facilities, and staff on reimbursement support programs, coverage, coding, and payer policies.
- Minimize access barriers so appropriate patients can obtain Invivyd products through HCP education.
- Provide clear guidance to practice managers, billing staff, nurses, and reimbursement teams on payer policies and processes.
- Conduct regular practice reviews; recommend reimbursement support enhancements based on customer needs.
- Report payor trends related to approved products to Patient Services and Market Access teams.
- Advise on coverage pathways for medical and pharmacy benefit products; provide expertise in the Medicare reimbursement landscape.
- Educate providers on navigating reimbursement and payer trends; provide training on drug reimbursement, coding, and billing practices.
- Manage access/reimbursement concerns by coordinating with appropriate stakeholders; stay current on business, competitive, regulatory, and policy changes.
- Deliver executive-level presentations on insights and trends.
- Ensure activities adhere to pharmaceutical regulations, industry standards, and ethical guidelines.
Requirements:
- Bachelor’s degree strongly preferred (or significant relevant industry experience).
- 8+ years in pharmaceutical/biotech with Market Access, Payer Account Management, and/or Access & Reimbursement.
- Ability to develop strategic account plans and oversee contract performance.
- Proven track record meeting/exceeding business KPIs.
- Working knowledge of formulary inclusion and sub-committees.
- Analytical mindset; interpret sales data, market trends, and customer insights.
- Experience using CRM systems and sales analytics tools.
- Ability to travel ~60% of the time.
Pay Range:
- $152,000 - $202,000 base salary; eligible for annual short-term incentive and annual long-term incentive.
Application:
- Learn more about total rewards at https://www.invivyd.com/careers/.
The Field Reimbursement Manager (FRM) is a field-based expert in market access and reimbursement, providing education and guidance to healthcare providers and stakeholders across the access journey. Deep expertise includes claims submissions, prior authorization, coverage criteria, and payer-specific requirements across commercial, Medicare, and Medicaid plans.
Responsibilities:
- Resolve complex reimbursement issues to remove patient access barriers (prior authorizations, appeals, denials).
- Educate private practices, multi-specialty groups, facilities, and staff on reimbursement support programs, coverage, coding, and payer policies.
- Minimize access barriers so appropriate patients can obtain Invivyd products through HCP education.
- Provide clear guidance to practice managers, billing staff, nurses, and reimbursement teams on payer policies and processes.
- Conduct regular practice reviews; recommend reimbursement support enhancements based on customer needs.
- Report payor trends related to approved products to Patient Services and Market Access teams.
- Advise on coverage pathways for medical and pharmacy benefit products; provide expertise in the Medicare reimbursement landscape.
- Educate providers on navigating reimbursement and payer trends; provide training on drug reimbursement, coding, and billing practices.
- Manage access/reimbursement concerns by coordinating with appropriate stakeholders; stay current on business, competitive, regulatory, and policy changes.
- Deliver executive-level presentations on insights and trends.
- Ensure activities adhere to pharmaceutical regulations, industry standards, and ethical guidelines.
Requirements:
- Bachelor’s degree strongly preferred (or significant relevant industry experience).
- 8+ years in pharmaceutical/biotech with Market Access, Payer Account Management, and/or Access & Reimbursement.
- Ability to develop strategic account plans and oversee contract performance.
- Proven track record meeting/exceeding business KPIs.
- Working knowledge of formulary inclusion and sub-committees.
- Analytical mindset; interpret sales data, market trends, and customer insights.
- Experience using CRM systems and sales analytics tools.
- Ability to travel ~60% of the time.
Pay Range:
- $152,000 - $202,000 base salary; eligible for annual short-term incentive and annual long-term incentive.
Application:
- Learn more about total rewards at https://www.invivyd.com/careers/.