Field Reimbursement Manager

🔥 13 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 12%

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

🏥 Healthcare

🏭 Manufacturing

🧬 Biotechnology

💰 Series A - Duanben Pharmaceutical on 2024-03

Healthcare • Manufacturing • Biotechnology

Dendreon is a biotechnology company focused on developing and manufacturing cellular immunotherapies to improve patients' lives. Its flagship product, PROVENGE (sipuleucel-T), was the first FDA-approved cellular immunotherapy and has been administered to tens of thousands of patients. Dendreon provides end-to-end cellular therapy expertise — from research and clinical development to large-scale manufacturing and strategic partnerships — to help bring complex cell therapies 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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