Field Reimbursement Manager

🔥 1 hour ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 15%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Dendreon

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1992

🧬 Biotechnology

💊 Pharmaceuticals

🏥 Healthcare

💰 $10M Debt on 2020-04

Biotechnology • Pharmaceuticals • Healthcare

Dendreon is a biotechnology company focused on developing and delivering cellular immunotherapies. Dendreon developed PROVENGE (sipuleucel‑T), the first FDA‑approved cellular immunotherapy, which has been administered to nearly 40,000 men, and the company provides research, development, and end-to-end cellular therapy manufacturing and logistics services to advance complex cell therapies and enable partners to bring treatments to market.

📋 Description

• Ensure unimpeded patient access to PROVENGE within the assigned geographical area • Develop and implement strategies to maximize business growth opportunities • Review national, regional, federal, and state Medicaid payer policies to reduce medical policy restrictions and reimbursement barriers • Partner with medical practice decision makers, CFOs, CEOs, pharmacy and medical directors, purchasing departments, and stakeholders in urology and oncology practices, hospitals, medical centers, and clinics • Remove practice reimbursement barriers by providing coverage and coding resources and creating access to PROVENGE • Provide timely market feedback to corporate leadership on coverage and reimbursement trends, competitive updates, industry issues, and opportunities • Educate providers on patient assistance programs and other resources • Update and educate accounts on Commercial and Government payor policies affecting PROVENGE treatment access • Assist sales force with PROVENGE coverage, coding, reimbursement, access, pull-through, KOL, and champion development activities • Develop reimbursement-barrier removal strategies and educate customers to increase reimbursement confidence • Serve as a resource on payor policies, reimbursement regulations and processes, practice management, Medicare and Medicaid rules, and HIPAA • Liaise between LASH and internal/external customers on coverage, coding, and reimbursement • Record regional PROVENGE medical policies and contact information in SFDC • Comply with OIG, FDA, and corporate policies and procedures

🎯 Requirements

• BA or BS degree required • MBA or advanced degree preferred • Minimum of 5 years’ experience in the pharmaceutical/biotech/life-sciences industry, including 3–5 years of healthcare coverage, coding, and/or reimbursement experience required • Experience in oncology/urology specialty preferred • Experience working in the buy and bill area of reimbursement required • In-depth understanding of coding, coverage, and reimbursement across community, academic, hospital, and IDN sites of care • Broad knowledge of Medicare, Medicaid, Managed Care, and Third Party payors required • Sophisticated interpersonal skills to interact with insurance company medical directors, practice administrators, CEOs, CFOs, pharmacy directors, and practice medical directors • Ability to cover multiple regions with significant overnight travel, estimated at 60% • Ability to sit or stand for extended periods • Intermittent walking to access work areas • Finger dexterity sufficient to use a computer and complete paperwork • Vision sufficient to use a computer and read written materials; hearing sufficient for telephone and in-person communication

🏖️ Benefits

• Significant overnight travel estimated at 60% • Patient assistance programs and other resources are available to educate providers on • Remote work location in the USA

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