Field Reimbursement Manager (FRM) - Gulf Coast

Position Summary The Field Reimbursement Manager ( FRM ) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, primarily focusing on Nephrology and Rare Disease. This role operates as a crucial liaison between healthcare providers (HCPs), internal teams, and external stakeholders to facilitate appropriate patient access to our products.

Key Responsibilities:

+ Educate HCPs and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide product access expertise to healthcare offices + Coordinate with Hubs on individual patient cases, including patient support services and enrollment + Collaborate with Field Sales, Specialty Pharmacy Accounts, and other matrix partners + Manage daily field-based activities, spending 60-70% of time interacting with key stakeholders across various care sites + Execute collaborative territory plans through partnerships with internal and external stakeholders + Review and educate offices on payer policies, including prior authorization requirements + Provide feedback to internal teams on local payer trends and access issues + Assist in resolving patient-specific coverage challenges when requested by healthcare providers

Skills and Abilities:

+ Excellent verbal and written communication skills + Strong interpersonal and consultative abilities + Self-directed with outstanding organizational skills + Ability to build and maintain strong relationships with internal and external customers + Proficient in delivering training and presentations

Qualifications Required:

+ Bachelor's degree + 5+ years of pharmaceutical industry experience, with focus on payer policy and reimbursement + 3+ years of experience in benefit verifications, prior-authorization requirements, or equivalent experience in patient access, billing, and coding in rare disease

Preferred:

+ Strong knowledge of Centers for Medicare & Medicaid Services ( CMS ) policies and processes, especially Medicare Part D + Experience in "Buy and Bill" reimbursement environment + Nephrology experience strongly preferred + Comprehensive understanding of US healthcare system payer billing practices + Proficiency in MS Office suite

Travel Requirements:

+ Ability to travel up to 60-70% domestically + Valid driver's license required Competencies Accountability for Results - Stay focu To view full details and how to apply, please login or create a Job Seeker account