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Field Reimbursement Manager (Seattle, Denver or Salt Lake City)

Recordati Rare Diseases North America · Seattle, WA · 2 wk ago
RemoteRemoteHealthcareFull-time

Reporting Structure

The Field Reimbursement Manager (FRM) reports to the Associate Director, Field Reimbursement and has no direct reports. Areas managed include Field Reimbursement.

Field Reimbursement Overview

The 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 HCP staff and Specialty Pharmacy.

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)
  • Follow up with accounts that have outstanding prior authorization or appeals submissions
  • Collaborate with cross-functional parties on individual case management needs related to HCP education on reimbursement issues
  • Develop and execute account plans/call purposes
  • Leverage all available resources including internal data to inform internal stakeholders
  • Comply with all laws, regulations, and policies governing the conduct of company activities
  • Perform additional duties as may be assigned

Education and Experience

  • Bachelor’s degree
  • Minimum of five to seven years of experience in the healthcare and/or pharmaceutical industry
  • Minimum of three years successful field reimbursement experience
  • Minimum of 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
  • Strong planning and organizational skills
  • Decision-making ability
  • Reliable transportation within territory
  • Proficiency in Microsoft Office
  • Demonstrated highest ethical standards
  • Effective problem-solving and decision-making capabilities
  • Prioritizing and multi-tasking effectively
  • Excellent verbal and written communication skills

Physical Demands

This is largely a sedentary role; however, the employee frequently is required to travel outside the office and also stand; walk; use hands to finger, handle or feel; and reach with hands and arms; talk and hear. Occasionally is required to lift and/or move light to moderate weight up to 25 lbs.

Work Environment

This job operates in a professional remote environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Location/Travel

This position is a remote position with proximity to a major airport. This position requires approximately 30-40% travel (need based).

FLSA Classification

This position is classified as non-exempt under the Fair Labor Standards Act (FLSA).

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