Virtual Reimbursement Field Manager

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🔥 6 horas atrás

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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TJP

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 1972

🏥 Saúde

💼 Consultoria

💊 Farmacêutico

Healthcare • Consulting • Pharmaceuticals

A TJP é uma agência de marketing farmacêutico e acesso a pacientes (Thomas J. Paul, LLC) que colabora com marcas farmacêuticas e de saúde para projetar e implementar programas de acesso a pacientes, engajamento de pagadores e provedores e marketing de ciclo de vida. Com duas décadas de experiência, a TJP oferece suporte estratégico, criativo e operacional—usando insights baseados em dados, mapeamento de jornada e programas personalizados—para ajudar os pacientes a iniciar e manter terapias adequadas e enfrentar desafios complexos de acesso ao mercado.

Descrição

• Conduct virtual outreach and engagement with healthcare providers, hospitals, physician offices, and reimbursement teams • Provide education and support related to patient access and reimbursement • Serve as a subject matter expert on reimbursement, billing, coding, J-codes, and buy-and-bill processes for pharmaceutical products • Educate and onboard healthcare providers and office staff on billing procedures, coding requirements, and payer coverage policies • Support commercial and Medicaid payer initiatives in collaboration with Market Access leadership • Serve as a primary point of contact for reimbursement questions • Identify and resolve coverage, billing, and patient access challenges • Review and interpret benefit verification requests and results to identify reimbursement barriers • Collaborate with Sales, Market Access, and Patient Services teams to coordinate customer support and communicate reimbursement updates • Maintain virtual engagement with approximately 10–15 healthcare offices or facilities daily • Support product procurement, billing, coding, and reimbursement • Conduct activities in accordance with company policies, industry regulations, and compliance requirements

🎯 Requisitos

• Bachelor's degree in Business, Health Sciences, Healthcare Administration, Management, or a related field • 3+ years of experience in the biotechnology, pharmaceutical, medical device, or healthcare industry • 3+ years of hands-on experience in reimbursement, billing, and coding within healthcare, biotechnology, pharmaceuticals, wound care, or surgical devices • Strong knowledge of healthcare reimbursement practices, medical terminology, billing procedures, coding, payer coverage policies, and compliance requirements • Demonstrated experience supporting healthcare providers with buy-and-bill processes, including purchasing and billing pharmaceutical products under J-codes • Experience launching new biologics or innovative therapies involving medical and pharmacy benefits • Strong communication, problem-solving, and relationship management skills • Ability to engage healthcare providers and internal teams effectively in a virtual environment • Ability to work independently and manage multiple priorities • Ability to resolve reimbursement and patient access challenges while maintaining a patient-first approach • Advanced degree (MBA or MS) preferred • Experience in reimbursement or account management within biotechnology, particularly dermatology and buy-and-bill products, preferred • Experience working directly with commercial and Medicaid payers preferred • Certified Professional Coder (CPC) certification preferred

🏖️ Benefícios

• Inclusive and welcoming work environment • Equal opportunity employment • Application process assistance and accommodations available

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