Field Reimbursement Manager - Chicago Territory

At EVERSANA, we are a global team of more than 6,000 employees committed to creating and delivering next-generation commercialization services to the life sciences industry. We serve over 650 clients, from biotech start-ups to established pharmaceutical companies, helping bring innovative therapies to market and supporting the patients who depend on them. We embrace diversity in backgrounds and experiences, believing it strengthens our ability to improve patient lives worldwide.

About the role

The Field Reimbursement Manager is a field-based role that provides in-person and virtual education to defined accounts within assigned geographies on access and reimbursement issues in support of Shionogi products. This position involves frequent travel (60-70% of the time) to interact with key stakeholders in physician practices, hospitals, and other sites of care.

Responsibilities

• Manage daily field-based activities to support appropriate patient access in key neurology centers and provider offices.
• Execute a collaborative territory plan through partnership with internal and external stakeholders, including call center services (HUB), sales, market access, and other partners.
• Serve as a subject matter expert in educating healthcare provider staff on approved patient access services.
• Collaborate with 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 to assist sites in resolving coverage challenges or issues.
• 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 a focus on payer policy and reimbursement.
• Minimum of 3 years of experience in benefit verifications and prior-authorization requirements, or equivalent experience in patient access, billing, and coding (rare disease 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.
• Strong oral, written, and presentation communication skills.
• Proficient in MS Office.
• Must be able to travel up to 60-70% domestically.
• Valid driver’s license to drive to healthcare provider sites.

Benefits

• Competitive compensation.
• Paid time off and company-paid holidays.
• Excellent training and employee development programs.
• 401K plan with employer match.
• Comprehensive medical, dental, and vision insurance.
• Additional valuable employer benefits programs.

Pay

This role is eligible for hire in select U.S. locations. Compensation will be determined based on relevant experience, qualifications, and geographic location to account for comparative cost of living. If this job posting includes a base salary range, it represents the low and high end of the salary range for this position within the U.S.