Senior Field Reimbursement Manager

🕒 vor 10 Tagen

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $181.000 - $234.500 / Jahr

⏰ Vollzeit

🟠 Senior

👔 Manager

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Replimune

WebsiteLinkedInAlle Stellen

201 - 500 Mitarbeiter

Gegründet 2015

🧬 Biotechnologie

🏥 Gesundheitswesen

💊 Pharmazie

💰 €140.000.000 Post-IPO Equity - Replimune Group im 2024-11

Biotechnology • Healthcare • Pharmaceuticals

Replimune ist ein Biotechnologieunternehmen im klinischen Stadium, das sich auf die Entwicklung einer neuen Klasse von onkolytischen Immuntherapien konzentriert, die darauf abzielt, starke, dauerhafte systemische Anti-Tumor-Immunantworten auszulösen. Der Ansatz des Unternehmens besteht darin, Tumore lokal zu zerstören, das Tumormikroumfeld zu verändern und eine umfassende, tumorspezifische Immunreaktion des gesamten Körpers zu entfachen. Replimune führt klinische Programme zur Bewertung der Sicherheit und Wirksamkeit seiner Prüftherapien bei einer Vielzahl von soliden Tumoren durch, sowohl als Einzeltherapien als auch in Kombination mit anderen Immuntherapien.

Beschreibung

• Gain a firm understanding of the clinical policies, coding guidelines, prior authorization protocol required to prescribe and process billing for FDA approved products. • Quickly identify, communicate and resolve outstanding billing reimbursement issues to the Director of National Accounts – Payers. • Inform Field Sales Team of reimbursement hurdles specific to their territory with respect to Replimune Compliance guidelines. • Use approved materials and suggest any material updates needed to the Market Access team marketer. • Manage reimbursement challenges through a well-defined triage process. • Partner with the Director of National Accounts – Payer team on a routine basis to understand the clinical policies for Replimune FDA approved products. • Use approved tools, such as dashboards, coding guides, etc., to assist in making a smooth and efficient overall patient journey. • Proactively communicate with Market Access account team to gain a complete understanding of payer based medical policies and clinical criteria for use of FDA approved Replimune products. • Assist in building, tracking and reporting on key performance indicators to monitor overall performance. • Collaborate with other field reimbursement managers to implement best practices. • Advise in the development of tools to be used in the field to assist in product reimbursement. • Conduct updates to the Director of National Accounts – Payers on the status of approval and reimbursement for patients of FDA approved products.

🎯 Anforderungen

• Five (5) + years or relevant reimbursement experience preferably in oncology “Buy and Bill” settings, including community and academic center environments. • Comprehensive knowledge and understanding of the payers in the US health care system, including Medicare, Commercial, Medicaid and other payer archetypes. • Proven track record in product reimbursement and coding, preferably in Oncology, with the melanoma therapeutic area a plus. • Strong knowledge of market access, patient access and support services, with an emphasis on payer and provider reimbursement. • Demonstrated ability to develop working relationships with other teams to achieve a common goal. • Strong organizational alignment around prioritization and focus to meet set goals. • Ability to communicate with customers and stakeholders in a professional manner to build trust and credibility with health care providers. • Travel as required to assist in the overall reimbursement process.

🏖️ Vorteile

• medical, dental, and vision insurance • 401k match • flexible time off • paid holidays including year-end shutdown