Field Reimbursement Manager (Tennessee Region)

Role Summary

Field Reimbursement Manager (Tennessee Region) responsible for eliminating access barriers, educating on prior authorization processes, and addressing roadblocks for eligible patients while enhancing conversion rates and treatment adherence within the 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
• Be the 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 keep updated knowledge of the local and national payer landscape
• Proficient in both virtual and live customer engagements
• Communicate territory activity in an accurate and timely manner as directed by management
• Overnight travel as indicated by the needs of the business
• All reimbursement activities must be conducted and managed within all appropriate legal and regulatory guidelines and require continuous monitoring of compliance with such guidelines and laws
• Additional responsibilities as assigned

Qualifications

• Bachelor’s Degree required; graduate degree preferred
• Minimum of 8 years of healthcare, field customer, and/or account management experience in the pharmaceutical industry with a minimum of 2 years as an FRM or RAM working specifically with retail medications (preferably with neurology experience)
• Must live in the territory’s geography
• Ability to travel up to 50-75% required, which may include overnight travel

Experience, Knowledge And Skills

• Current or recent CNS experience strongly preferred
• Experience and expertise working with multiple cross-functional teams
• Previous experience working in an entrepreneurial environment with launch experience is preferred
• Pharmacy benefit knowledge required, identifying, and educating to payer criteria for prior authorization
• Knowledge and understanding of payer segments (e.g., Commercial, Medicare Part D) required
• Ability to successfully manage multiple tasks concurrently under aggressive timelines in a dynamic environment
• Demonstrated experience delivering outstanding results
• Ability to work independently, manage travel schedules, and schedule visits (territory management)
• Proficient in both virtual and live customer engagements

Education

• Not specified

Additional Requirements

• Overnight travel as indicated by the needs of the business (travel expectations listed under Qualifications)