About the Role:
Field Reimbursement Manager (FRM) for Purified Cortrophin Gel. Partners in product access, focusing on patient support, access, reimbursement, prior authorization, appeal, financial assistance, and related issues within the patient support division, including coordinating benefit investigations and educating healthcare providers on prior authorization/appeal processes.
Responsibilities:
- Report to a director for development and mentoring.
- Provide proactive education to healthcare providers on insurance requirements.
- Work with Hub case managers and in-network Specialty Pharmacies on prior authorization needs and communication with HCPs and patients.
- Coordinate communication and activities with Nurse Access Specialist colleagues.
- Facilitate patient assistance when applicable (e.g., copay and free goods).
- Partner with managed care colleagues on policies and emerging trends.
- Collaborate with sales colleagues as directed by Compliance policies.
Skills/Competencies:
- Strong collaboration with Hub partners and cross-functional colleagues.
- Familiarity with OIG guidance, HIPAA guidelines, and FDA protocols.
- Urgency to resolve critical access issues for patients.
- Problem-solver for challenging access scenarios.
- Initiative to move patient cases forward.
- Strong interpersonal and communication skills.
Qualifications/Requirements:
- Relevant post-secondary education or applicable certifications.
- 3β4+ yearsβ experience with specialty medications (pharma, provider office, or payer).
- Demonstrated expertise with pharmacy and medical benefits in a specialty disease market.
- Ability to travel up to 25% with some evening/weekend commitments.
Compensation/Benefits (as stated):
- Base salary range: $100,000β$175,000; eligible for short-term and long-term incentive programs.
- Health/life/disability, retirement savings, paid leave/holidays, and paid time off.