Field Reimbursement Manager

🕒 May 8

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Mercalis

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🛍️ eCommerce

🏢 Enterprise

🚗 Transport

eCommerce • Enterprise • Transport

Mercalis is an innovative platform that streamlines supply chain management through advanced technology and data analytics. By providing real-time insights and seamless integration with existing systems, Mercalis helps businesses optimize their operations and reduce costs. The platform is designed for various industries, allowing for flexibility and adaptability to meet specific needs.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

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