Field Reimbursement Manager

🕒 Ontem

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $98.000 - $182.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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Inizio Engage

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

💼 Consultoria

📣 Marketing

🏥 Saúde

Consulting • Marketing • Healthcare

A Inizio Engage é uma parceira global de engajamento estratégico, comercial e criativo especializada em saúde. Combinando nossa mistura única de consultoria, criação e expertise em ativação com a tecnologia mais recente, projetamos e entregamos soluções personalizadas que inspiram mudanças duradouras. Avanços na ciência. Novas tecnologias. Incerteza econômica. Eventos globais. Mudanças regulatórias. É difícil acompanhar. E para nossos clientes, o ritmo das mudanças só está aumentando. Mas, para aqueles que podem se adaptar rapidamente, essa mudança sem precedentes representa uma oportunidade incomparável. É por isso que na Inizio Engage reunimos um grupo de mais de 7.000 especialistas, trabalhando em mais de 20 países. Uma equipe apaixonada e diversa com alcance global e conhecimento local. Juntos, fazemos parceria com nossos clientes para desafiar o pensamento convencional para capacitar as pessoas a tomarem melhores decisões de saúde e melhorar os resultados dos tratamentos em todo o mundo.

Descrição

• Engage healthcare providers and office staff to educate on access to prescribed treatments within the specialty pharmacy channel • Address questions about initial access, insurance approval, and reauthorizations for product initiation • Educate HCP office staff on prior authorization and appeals processes, forms, submission procedures, and reauthorization requirements • Develop and implement educational frameworks for Clinical Specialists and District Managers on access challenges • Identify and resolve patient access and reimbursement issues within assigned geography • Provide factual process information using PHI with appropriate patient consent • Serve as reimbursement expert for patient support services teams for assigned geography and plans • Use approved resources, call guides, and FAQs to provide education and answer questions • Review payer policies and contribute policy insights to stakeholders and client leadership • Virtually manage assigned accounts and align with key stakeholders on support needs • Document call details with attention to data integrity and compliance • Navigate CRM platform and learn internal team processes • Maintain PHI confidentiality and comply with laws, regulations, and company policies • Triage escalations to manufacturer leadership according to program design and business rules • Complete required training and follow Inizio and client policies, procedures, business rules, call guides, and applicable laws

🎯 Requisitos

• BS/BA Degree • Proven success operating in a virtual environment • 3+ years of relevant experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management • 5+ years of total healthcare industry experience • Experience engaging HCP staff in a support role to educate on access pathways and product requirements • Experience navigating payer reimbursement process, including commercial and Medicare Part D • Experience with specialty products acquired through specialty pharmacy networks • Ophthalmology and self-injectable experience preferred • Patient-centric and service-oriented mindset, with emotional intelligence and empathy • Exemplary interpersonal and listening skills • Strong written, verbal, and presentation skills • Strong business acumen • Ability to reach common goals in collaboration with therapeutic specialists, sales leadership, market access, and patient support services colleagues • Highly organized with excellent attention to detail and multitasking ability • Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook) and Google Suite Products • English required; Spanish highly preferred

🏖️ Benefícios

• Comprehensive benefits including medical, dental, and vision coverage • Accrued paid time off • 401(k) with company match • Disability and life insurance • Paid maternity and paternity leave • Company-paid holidays • Recognition programs, contests, and awards • Continuous growth opportunities through learning, leadership development, and career advancement support • Collaborative culture where ideas are valued

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