Redemplo Reimbursement Navigator

The Redemplo Reimbursement Navigator (RRN) manages assigned healthcare provider accounts and patient cases within a defined geographic region to advance patient access and reimbursement for Redemplo. The RRN provides approved reimbursement education, facilitates patient access, resolves complex coverage/reimbursement challenges, and supports patient case pull-through. Collaborates cross-functionally with Sales, Market Access, Specialty Pharmacy, HUB partners, and other approved stakeholders while ensuring compliance with company policies, privacy requirements, and applicable regulations.

Responsibilities:
- Advance patient access and reimbursement through approved education, reimbursement support, and pull-through activities.
- Educate healthcare providers, office staff, and approved matrix partners on reimbursement processes, coverage pathways, financial assistance programs, and approved patient support services.
- Analyze complex reimbursement/access issues and develop compliant strategies to facilitate access.
- Coordinate with HUB, specialty pharmacy, and approved partners for enrollment, benefits investigations, prior authorizations, appeals, denied claims, and reimbursement-related case management.
- Serve as local reimbursement and access expert for Sales, Market Access, and regional leadership.
- Develop and execute strategic territory plans to optimize patient access and customer support.
- Build and maintain collaborative relationships across external and internal stakeholders.
- Identify reimbursement barriers and implement compliant solutions to improve patient access and customer experience.
- Document interactions and maintain accurate records in approved systems.
- Operate in full compliance with company policies, legal, regulatory, privacy, and compliance requirements.
- Manage business travel and expenses within company guidelines.

Requirements:
- Bachelor’s degree required; healthcare/life sciences/nursing or related field preferred.
- 7+ years pharmaceutical/biotech industry experience.
- 3+ years experience in one or more: field reimbursement; patient access/reimbursement; specialty medication access solutions; specialty pharmacy; advanced specialty pharmaceutical sales; patient support services.
- Demonstrated knowledge of pharmacy benefit reimbursement.
- Ability to analyze and resolve complex reimbursement/patient access challenges.
- Strong understanding of specialty pharmacy operations and patient support services.
- Must reside within assigned territory boundaries.
- Valid driver’s license; ability to travel extensively.

Preferred:
- Experience supporting rare disease, cardiometabolic, or specialty pharmaceutical products.
- Experience supporting a commercial product launch.
- Strong knowledge of payer coverage/reimbursement, specialty pharmacy, and patient support programs.
- Excellent presentation, communication, and relationship-building skills.
- Strategic account planning, case management, and territory management experience.
- Ability to collaborate cross-functionally; strong analytical/problem-solving/organizational skills.
- High emotional intelligence; accountability, ownership, adaptability, customer focus; thrive in a fast-paced environment with professionalism and compliance.

Compensation:
- California pay range: $160,000–$170,000 USD.

Application:
- Candidates must have current, valid authorization to work in the country where this role is located.