Jobs · Finance

Field Reimbursement Manager, Southeast

Pharmacosmos Therapeutics Inc. · Jacksonville, FL · 1 mo ago
RemoteRemoteFinanceFull-time
We need to output only HTML fragment with sections: About Us? Actually we need to use headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. The posting includes "About Us includes "About Us" which is about company; we could treat as "About the role"? The instruction: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we should map content accordingly. The posting includes "About Us" (company description). Could be considered "About the role"? Not exactly. But we can include a section "About the role" maybe summarizing purpose? However we must not invent content. We have "Job Purpose" section. That could be used as "About the role". So we can put Job Purpose under heading

About the role

with paragraph. Responsibilities: we have "Job Responsibilities" list. Use
  • . Requirements: we have "Requirements For Position" list. Use heading

    Requirements

    . Qualifications: maybe combine with Requirements? The posting includes "Required 4-year bachelor’s degree; MBA preferred." etc. That's qualifications. Could put under

    Qualifications

    . But we already have Requirements; maybe we treat Requirements as qualifications. However we need to avoid duplicate thin sections. Could combine Requirements and Qualifications into one section "Requirements". But the instruction says we can have sections only when posting has real specific content. We have both "Requirements For Position" and also "Competencies" etc. Could treat "Competencies" as Skills. So we can have sections: About the role (Job Purpose), Responsibilities, Requirements (including education, experience), Skills (Competencies), Benefits? There's no explicit benefits. There's "Additional Information" includes budgetary responsibilities, traveling, hybrid work schedule. That could be considered Benefits? Not exactly. There's no explicit Pay or Schedule. There's mention of hybrid work schedule and traveling 50%. That's schedule info. Could create Schedule section with that. Benefits maybe not present. Pay not present. So we omit Pay and Benefits. We must not include boilerplate like EEO etc. Remove that. We need to preserve all substantive info. Let's extract: About Us: company description (global family-owned, passion for innovation, carbohydrate chemistry, cell cycle biology, treatments for iron metabolism, blood-related disorders, 700+ employees across UK, Ireland, Nordics, Germany, USA, values, etc). This is substantive. Should we include as a section? Could be "About the company" but not in allowed headings. However we could put under "About the role"? No. Maybe we can include as a paragraph before headings? The instruction says use headings for sections; we can still have paragraphs outside headings? It says use

    for section headings (e.g. About the role, Responsibilities...). It doesn't forbid other paragraphs. But likely they expect sections only. However we could include "About Us" as a section with heading

    About the company

    but that's not in the list. The instruction says use

    for section headings (e.g. About the role, Responsibilities...). It gives examples but not exclusive list. So we can use other headings as long as they are

    . Safer to stick to given examples. But we need to preserve About Us content. Could we incorporate it into "About the role"? Not accurate. Maybe we can treat "About Us" as part of "About the role" by adding a paragraph describing company before role purpose. That would preserve info. The instruction: "Do NOT repeat the job title as a heading (the page already shows it) and do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

    or drop it." It doesn't forbid having a paragraph before headings. So we can have a

    containing About Us description, then headings. Thus output:

    About Us ...

    then

    About the role

    Job Purpose ...

    then

    Responsibilities

      ...
    then

    Requirements

      ...
    then

    Skills

      ... competencies list
    then

    Schedule

    Hybrid work schedule ... minimum 50% travel ...

    We must not include Benefits or Pay. Now extract details precisely. About Us paragraph: "We are a global, family-owned company driven by a passion for innovation. Building on our foundational expertise in carbohydrate chemistry and cell cycle biology, we develop innovative treatments for unmet patient needs, with a focus on iron metabolism and blood-related disorders. With 700+ employees across the UK, Ireland, the Nordics, Germany, and the USA, we are committed to scientific excellence, patient care, and collaborative partnerships with the medical community. Our Core Values Define Who We Are People-Driven – We are a family-held company built on passionate, knowledgeable people. We value integrity, open-mindedness and respect and are guided by these values in all our endeavors. We respect each individual who becomes a part of our journey, from our employees and partners to our end-users. And we recognize that the strength in all our collaborations is trust.Committed to Quality – Quality is our source of inspiration. Quality drives our results. It represents our aspiration for excellence and our focus on driving continual improvements. For our partners and end-users, quality must always be tangible in our products, processes and people. This way, quality is the promise we keep every day.Innovating for Better Lives – Innovation is essential in our quest to improve the lives of humans. We seek to address unmet needs through our expertise in iron and carbohydrate-based pharmaceuticals. We believe in a holistic and collaborative approach to research and innovation, so we work together with the scientific and medical communities to set new standards. We have continued our growth trajectory since we launched our first product in the US, Monoferric® (ferric derisomaltose), through acquisitions, partnerships, and pipeline. Our R&D investments continue to leverage our core competencies, alongside our recent advancements in oncology supportive care. Join us in shaping the future of patient care through innovation and collaboration." We need to preserve all that. Might be long but okay. Job Purpose paragraph: "Purpose is to establish, maintain, and grow business relationships within designated hematology oncology practices, regional hospitals, integrated delivery networks (IDNs) and other emerging key accounts in the assigned geography to enhance reimbursement and patient access to Pharmacosmos products. This individual will work in a highly collaborative environment that includes field sales, market access, and regulatory. This is a field-based position. Candidates will work remotely from a home office and spend considerable time in the field. The ideal candidate will live in the Orlando, Jacksonville, or Tampa metro area." Responsibilities list: many bullet points. Need to capture each as
  • . Let's extract them: - Pro-actively educate provider offices on Patient Services at the regional level in targeted accounts (oncology clinic/practice, hospital, IDN, emerging customers) by strategically prioritizing high utilization accounts - Develop a strong understanding of each account’s revenue cycle management workflow to build cross-functional relationships that support patient access to Pharmacosmos ’ products. - Assist customers in the Patient Services enrollment process using approved user guides, appropriate marketing collateral based on customer’s workflow. - Partner with targeted hematology/oncology practices and regional health systems to track status of customer co-pay claims to ensure timely payment and a claim adjudication rate of 100%. - Act as the subject matter expert on payer access and reimbursement by educating customers on Regional and National Payer coverage issues, coding changes and appropriate claims submission processes. - Proactively engage with customers on appropriate resources that could help overcome access barriers. - Integrate state step therapy exception request forms into the revenue cycle process for relevant accounts, where applicable. - Assist with determining coverage and access options available for Pharmacosmos products. - Work with hub and provider office to address payor reimbursement challenges by providing approved Letter of Medical Necessity template and information on each regional and National Payer’s appeals process. - Collaborate with hub, internal Sales and Market Access teams to triage reimbursement challenges from customers. - Collaborate with National Account, Field Reimbursement Managers to understand the needs of aggregate accounts, adhering to the strategic guidance established by the National Account, Field Reimbursement Manager and aggregate direction. - Utilize FRM platforms to identify at risk accounts and work cross-functionally on solutions and best positioning for value in partnering with Pharmacosmos. - Manage time effectively to maximize every opportunity, including but not limited to healthcare conferences, off-site customer engagement programs, customer meetings, to build and strengthen business relationships and provide solutions to key accounts, - Participate in strategic planning and evaluation sessions with Pharmacosmos senior leadership, sales, marketing, contracting and legal. - Manage internal and external customer relationships to ensure that key account needs are identified and addressed. Know what additional resources and stakeholders are needed and how to execute that process within accounts. - Understand and identify the short and long-term strategic vision and objectives within each assigned key account. Actively maintain understanding of the drivers and trends within the healthcare industry that affect accounts and shape their overall business and buying decisions. - Maintain a high level of payer and related Managed Markets benefit structures, reimbursement mechanisms, legal and regulatory influences, health management programs, and product distribution knowledge necessary to accomplish goals. - Maintain accurate records of all account activity and provide management with regular reporting on reimbursement issues at the customer level. - Special projects as assigned by the Associate Director, Field Reimbursement Managers - Understand and utilize all relevant data analytics platforms to assist in identifying and overcoming reimbursement challenges and any access barriers - Other Duties as assigned. We need to keep them as is. Requirements list: extract: - Required 4-year bachelor’s degree; MBA preferred. - Minimum 2 years working with payor reimbursement and patient access pull through - Minimum 2 years working with patient services programs - Ability to establish and maintain professional relationships in health systems and oncology clinics/practices. - A strategic outlook and critical thinking are essential along with strong clinical, financial, and analytical skills. - Solid understanding of the current environment and reimbursement trends in community oncology practices, including alternative payment models. - Superior communication, teamwork, and ability to work in a high matrix environment. - At minimum 50% travel - Highly Preferred Experience with buy and bill pharmaceutical products - Account management experience within oncology clinics and hospital systems - Preferred Oncology and Hematology therapeutic experience Also maybe "Competencies" list later. Skills (Competencies) list: extract each bullet: - Teamwork/Collaboration – Works toward common goals by supporting, encouraging, and sharing information with colleagues, both internal and external. - Communication — Speaks, writes, listens and presents information in a logical and articulate manner appropriate for the audience. Skilled in developing and delivering presentations and leading meetings. - Leadership Operate with high integrity in all matters with a proven ability to motivate teams and individuals; ability to build consensus and lead cross-functionally without authority. - Negotiation Confer with others to reach resolution; explore alternatives and positions to reach outcomes that gain support and acceptance of all parties. - Drive Produce consistent, high quality and quantity outputs and meaningful results that contribute to the agency mission and strategic goal on time. - Problem Solving Determine what is wrong in complex situations by identifying root causes and working with others to permanently fix problems with win/win solutions. - Attitude And Demeanor Proud Pharmacosmos ambassadorStrong personal leadershipInspire cross-functional transparency and collaborationCustomer-centric ‘can-do’ attitude and goal focusedAmbitious, independent, analytical, collaborative, loyal, organized - Flexibility Our roles can evolve over time. Reasonable flexibility is, therefore, a key part of any job at Pharmacosmos. Significant variations in duties and responsibilities should be discussed between the employee and manager. Also "Additional

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