Field Reimbursement Manager - South
Harmony Biosciences · Hurlburt Field, FL · 3 days ago
Finance$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 receipt of a Harmony product prescription by our HUB. This role is highly visible within the organization and involves providing education to 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.
- Educate offices on 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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