Field Reimbursement Manager

🕒 Maio 8

🌲 North Carolina – Remoto

🌲 North Carolina – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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Mercalis

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

🛍️ Comércio Eletrônico

🏢 Corporativo

🚗 Transporte

eCommerce • Enterprise • Transport

A Mercalis é uma plataforma inovadora que simplifica a gestão da cadeia de suprimentos por meio de tecnologia avançada e análise de dados. Ao fornecer insights em tempo real e integração perfeita com sistemas existentes, a Mercalis ajuda as empresas a otimizar suas operações e reduzir custos. A plataforma é projetada para diversos setores, permitindo flexibilidade e adaptabilidade para atender a necessidades específicas.

Descrição

• Solve complex patient access issues by working across the Hub, provider offices and communicating with client field team • Partner with client’s Sales Team, Payer Teams, Marketing, HCPs, and their Specialty Pharmacies • Educate HCP and Office Staff on Patient Support Programs • Guide healthcare providers through the prior authorization and appeals process • The FRM will manage daily activities that support appropriate patient access to client’s products • Coordinate with client’s patient support services programs representatives on patient cases and claim issues • Conduct policy surveillance across regional payers to ensure appropriate coding, coverage, and payment of client’s products • Lead sales training related to product reimbursement

🎯 Requisitos

• Associate's degree or higher in a related field or equivalent market experience • 3+ in Pharma/Healthcare industry; working with specialty products, Hubs, Payers, HCP or related area • Must have specific practice management, billing and/or coding experience for drugs, biologicals, or devices • Must have general payer policy knowledge including public and private payers • Demonstrated ability to conduct virtual and field-based reimbursement support and education • Experience with Prior Authorizations, reimbursement billing, coding, and appeals process • Knowledge of commercial payer, Medicare and Medicaid structure, systems, and reimbursement process • Strong stakeholder engagement and communication skills

🏖️ Benefícios

• Patient access to life altering medications • Opportunities for creativity, growth, and success • Diversity-driven organization with an inclusive approach