Field Reimbursement Manager, Tennessee, Georgia, or Alabama
About Us
ANI Pharmaceuticals is dedicated to improving and enhancing patients' lives through the manufacturing and distribution of high-quality pharmaceutical products. With a diverse portfolio of generic and branded pharmaceuticals, ANI is a trusted partner to healthcare providers, pharmacists, and patients. Our products span a wide range of therapeutic areas, contributing to the well-being of communities globally. We value authenticity, knowledge, and hard work, fostering a positive environment that empowers employees to apply their full potential.
About the Role
The Field Reimbursement Manager (FRM) is a key contributor to the overall patient support program for Purified Cortrophin Gel. The FRM serves as a partner in product access, focusing on patient support, reimbursement, prior authorization, appeals, financial assistance, and other business-related issues within the patient support division. This role involves communicating with the case management team, conducting benefit investigations, educating healthcare providers on prior authorization and appeal processes, and coordinating other patient services.
Responsibilities
- Reports to a director on the field reimbursement team for development and mentoring.
- Provides proactive education to healthcare providers on insurance requirements for a patient’s prescription.
- Works with Hub case managers and in-network Specialty Pharmacies on prior authorization requirements and communication with healthcare providers and patients.
- Coordinates communication and activities with Nurse Access Specialist colleagues.
- Facilitates patient assistance when applicable, such as copay and free goods.
- Partners with managed care colleagues to understand policies and highlight new trends.
- Collaborates with sales colleagues when appropriate and as directed by Compliance policies.
Skills
- Strong collaboration with Hub partners and cross-functional colleagues.
- Familiarity with OIG guidance, HIPAA guidelines, and FDA protocols.
- Possesses a sense of urgency to address critical access issues for patients.
- Problem-solver who navigates challenging access scenarios and identifies solutions.
- Takes initiative to move a patient case forward at all times.
- Strong interpersonal and communication skills.
Requirements
- Relevant post-secondary education or applicable certifications.
- Minimum 3-4 years of experience working with specialty medications—either in pharma, at a provider’s office, or with an insurance payer.
- Demonstrated expertise with both pharmacy and medical benefits in a specialty disease market.
- Ability to travel up to 25% with some evening and weekend commitments.
Pay
The base salary range for this position is $100,000–$175,000, depending on factors such as experience, skills, education, location, competencies, and industry-specific knowledge. This position is also eligible for participation in a competitive short-term and long-term incentive program based on performance and company results.
Benefits
- Health insurance coverage.
- Life and disability insurance.
- Retirement savings plans.
- Paid leave programs, paid holidays, and paid time off.
Many of these benefits are subsidized or fully paid for by the company.