Field Reimbursement Manager - Chicago Territory

About the role

This field-based role provides in-person and virtual education to defined accounts within assigned geographies on access and reimbursement issues in support of Shionogi products.

Responsibilities

• Manage daily field-based activities to support appropriate patient access in key neurology centers and provider offices
• Execute collaborative territory plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other partners
• Interact frequently in the field (60–70% of the time) with key stakeholders in multiple sites of care including physician practices, hospitals, and other sites of care
• Serve as a subject matter expert in educating healthcare provider staff on approved patient access services
• Collaborate with various internal field teams to ensure appropriate education in assigned geography
• Review and educate offices on payer policies such as prior authorization requirements to ensure patient access
• Review patient-specific information in cases where the site has specifically requested assistance in resolving issues or coverage challenges
• Provide feedback to internal teams on local payer trends and access issues
• Perform other duties as required

Requirements

• Bachelor’s degree required
• Minimum of 5 years of pharmaceutical industry experience with payer policy and reimbursement
• Minimum of 3 years benefit verification and prior-authorization requirement experience or equivalent experience in patient access, billing and coding; rare disease experience preferred
• Knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes with experience in Medicare Part D
• Self-direction coupled with strong organizational skills
• Outstanding interpersonal skills, consultative approach, and customer orientation; proven ability to build and maintain strong working relationships with internal and external customers
• Strong communication skills: oral, written, training/presentation
• Proficient in MS Office
• Must be able to travel up to 60–70% domestically
• Valid driver’s license to drive to healthcare provider sites