Field Reimbursement Manager

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $176k - $242k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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argenx

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2008

🏥 Healthcare

💼 Consulting

🧬 Biotechnology

Healthcare • Consulting • Biotechnology

argenx is a biotechnology company committed to improving the lives of patients through immunology innovation. The company focuses on developing novel antibody-based therapies to treat severe autoimmune diseases. Using a collaborative approach with pioneering scientists and academic partners, argenx accelerates the discovery of therapeutic antibodies that target specific disease pathways. The company's proprietary products, such as efgartigimod, are aimed at treating diseases where IgG antibodies are pathogenic. Argenx emphasizes innovation, science of collaboration, and patient-centric approaches in its mission to deliver life-changing medical solutions.

📋 Description

• Serve as the primary reimbursement and patient access resource for healthcare providers and staff within the assigned territory • Build trusted relationships through in-person and virtual engagement • Educate customers on patient access, reimbursement, coverage policies, prior authorizations, claims, appeals, billing and coding, specialty pharmacy processes, and patient support resources • Develop account-specific access strategies and guide providers through reimbursement challenges • Manage complex reimbursement issues and escalations • Share customer insights and payer trends to inform business strategy • Partner with Patient Services, Case Management, Market Head, Business Leader, Market Access, and other stakeholders • Participate in case reviews and escalation management • Develop and execute territory plans • Utilize CRM tools, data analytics, and reporting to document activities, identify opportunities, track performance, and manage territory priorities and travel • Address patient access challenges proactively • Navigate complex account dynamics and manage conflict constructively • Conduct all activities in compliance with applicable laws, regulations, company policies, and argenx values

🎯 Requirements

• Bachelor's degree or equivalent experience • 5+ years of reimbursement, patient access, market access, specialty pharmacy, or related healthcare experience • Expertise supporting therapies reimbursed under both medical and pharmacy benefits • Strong knowledge of Medicare, Medicaid, commercial insurance, prior authorizations, claims, appeals, and patient access pathways • Ability to build productive relationships with healthcare providers and office staff • Strong communication, presentation, organizational, problem-solving, and customer engagement skills • Ability to work independently and collaborate across cross-functional teams • Experience in neurology, immunology, rare disease, specialty biologics, or other complex specialty therapeutic areas • Knowledge of buy-and-bill and specialty pharmacy distribution models, infusion reimbursement, site-of-care optimization, and payer management strategies • Experience utilizing CRM systems, data analytics, and customer insights • Willingness and ability to travel extensively throughout the assigned geography • Candidate must reside in the West Atlanta area

🏖️ Benefits

• Competitive salary package with benefits • Short-term and long-term incentive programs • Retirement savings plans • Health benefits • Comprehensive benefits package • Inclusive work environment • Equal consideration for employment without discrimination