Field Reimbursement Manager - Pacific Northwest
Harmony Biosciences · Seattle, WA · 3 wk ago
RemoteRemoteManagement$175k–$210k/yrFull-time
About the role
The Field Reimbursement Manager (FRM) is a customer-facing role responsible for supporting the reimbursement process for providers and patients within a specific geographic region after receiving a Harmony product prescription by our HUB. This role is highly visible within the organization and involves educating healthcare providers and office staff on access services and reimbursement solutions.
Responsibilities
- Execute a regional strategic plan through partnerships with internal and external stakeholders, including call center services (HUB), market access, and/or field partners.
- Provide relevant office education and awareness to HCP Offices regarding formulary coverage/utilization management criteria, insurance forms & procedures, codes, benefits investigation, prior authorization, appeals, and/or claims resolution.
- Inform offices about the requirements to obtain insurance authorization and/or reimbursement of products for appropriate patients in a compliant manner.
- Educate physician office staff on the use of Harmony’s patient support services, using approved educational materials.
- Manage daily activities that support appropriate patient access to Harmony’s products by the provider offices and act as an extension of the HUB, as appropriate, and conduct in-person customer visits.
- Conduct all activities in a compliant manner and work closely within a defined set of Rules of Engagement, and other company guidance documents.
- Participate in meetings as appropriate.
- Input call activity into CRM, as appropriate.
- Review specific patient case information, in a compliant manner.
- Perform other duties as assigned.
Qualifications
- Bachelor’s Degree in a Business or related discipline required; Master’s Degree or higher preferred.
- 5+ years pharmaceutical/biotech reimbursement or access experience in limited distribution models or relevant experience; Experience launching rare disease product(s) or complex specialty products preferred.
- Demonstrated success of cross-functional teamwork and working in a matrix environment.
- Experience in the reimbursement process, field reimbursement service, and patient support programs.
- Experience in coordinating patient and provider support services such as specialty pharmacy, HUB, and reimbursement services.
- Experience handling patient health information (PHI) in accordance with company policies and procedures.
- Candidates must live in assigned coverage area, preference given to candidates residing in or near Seattle, WA; San Francisco, CA, San Jose, CA; however, candidates living anywhere within the region will be considered.
Physical Demands and Work Environment
- Travel is estimated to be 50% of the time for this position within assigned region.
- Must have a valid US driver’s license with the ability to safely operate a motor vehicle.
- Continuous sitting for prolonged periods.
What can Harmony offer you?
- Medical, Vision, and Dental benefits the first of the month following start date.
- Generous paid time off and Company designated Holidays.
- Company-paid Disability benefits and Life Insurance coverage.
- 401(k) Retirement Savings Plan.
- Paid Parental leave.
- Employee Stock Purchase Plan (ESPP).
- Company-sponsored wellness programs.
- Professional development initiatives and continuous learning opportunities.
- A certified Great Place to Work® for eight consecutive years based on our positive, values-based company culture.
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