Field Reimbursement Manager (Cincinnati, OH or Pittsburgh, PA)
Overview
The Field Reimbursement Manager (FRM) will manage accounts in a specified region, focusing on Endocrinology. Responsibilities include providing access and reimbursement education to healthcare providers (HCPs) and office personnel, supporting appeals processes, and collaborating with various stakeholders.
Key Responsibilities
Partner with cross-functional parties on overall account and territory strategy to maximize internal/external customer knowledge on payor policy and processes.
Provide compliant, limited support to US healthcare providers (HCPs) and their office staff in navigating the reimbursement landscape for products of Recordati Rare Diseases Inc. (RRD).
Collaborate with HCP staff and Specialty Pharmacy to follow up with accounts that have outstanding prior authorization or appeals submissions.
Be a subject matter expert on reimbursement and regional-specific access landscape, including payor policies, prior authorization requirements, denials, appeals, peer-to-peer, and other education needed to navigate access for coverage of company therapies.
Collaborate with cross-functional parties on individual case management needs related to HCP education on reimbursement issues.
Collect field insights on payer trends, reimbursement challenges, and provider needs to inform internal stakeholders.
Leverage all available resources including internal data to develop and execute account plans/call purposes.
Comply with all laws, regulations, and policies that govern the conduct of company activities, work with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct.
Comply with annual budget allocation within respective territory.
Perform additional duties as may be assigned.
Education and Experience
Bachelor’s degree
Five to seven years of experience in the healthcare and/or pharmaceutical industry
Three years successful field reimbursement experience
Two years of experience working with buy and bill and/or specialty pharmacy networks
In-depth knowledge of the U.S. pharmaceutical market, specifically rare diseases
Reimbursement or relevant managed care experience (buy-and-bill, prior authorization, coding, and appeals processes)
Problem-solving ability to navigate challenging access scenarios and identify solutions in a timely and efficient manner
Comfortable presenting in person or virtually to healthcare practitioner office staff
Superior communication skills (written and verbal)
Skills
Strong relationship-building skills, with demonstrated ability to collaborate and operate across functions
Strong planning and organizational skills; demonstrated decision-making ability
Reliable transportation within territory
Proficiency in Microsoft Office
Demonstrated highest ethical standards
Demonstrated effective problem-solving and decision-making capabilities
Able to prioritize/multi-task effectively
Excellent verbal and written communication skills
Physical Demands
Frequent use of computer, phone, photocopier, filing cabinet, and fax machine
Occasionally lifting and moving light to moderate weight up to 25 lbs
Travel to HCP offices within a specified territory, including travel out of state over weekends and nights
Must have reliable transportation, including a valid driver's license and means of transportation