Field Reimbursement Manager

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $150k - $165k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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EVERSANA

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

EVERSANA is a comprehensive service provider focused on integrated commercial solutions for the life sciences industry. The company offers a wide range of services including advisory and management consulting, regulatory consulting, patient services, market access strategies, pricing and revenue management, medical affairs, and digital transformation. EVERSANA is known for its expertise in drug commercialization, enabling companies to effectively launch and manage pharmaceutical products. With a platform powered by data and analytics, EVERSANA addresses challenges related to drug pricing, market access, patient adherence, and product delivery, helping companies optimize their commercial strategies and enhance patient outcomes. The company emphasizes innovation and has been recognized for its use of AI and data analytics within the life sciences sector.

📋 Description

• Manage daily field-based activities to support appropriate patient access in key neurology centers and provider offices • Execute collaborative territory plans with internal and external stakeholders, including HUB/call center services, sales, market access, and other partners • Interact in the field 60–70% of the time with stakeholders at physician practices, hospitals, and other sites of care • Educate healthcare provider staff on approved patient access services • Collaborate with internal field teams to provide education in the assigned geography • Review and educate offices on payer policies, including prior authorization requirements • Review patient-specific information when sites request assistance resolving coverage issues • Provide internal teams with feedback on local payer trends and access issues • Perform other duties as required

🎯 Requirements

• Bachelor’s degree required • Minimum of 5 years of pharmaceutical industry experience with payer policy and reimbursement experience • Minimum of 3 years of benefit verification and prior-authorization requirement experience, or equivalent experience in patient access, billing, and coding • Rare disease experience preferred • Knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes • Experience with Medicare Part D • Self-direction coupled with strong organizational skills • Outstanding interpersonal skills, consultative approach, and customer orientation • Proven ability to build and maintain strong working relationships with internal and external customers • Strong oral, written, and training/presentation communication skills • Proficient in MS Office • Ability to travel domestically up to 60–70% • Valid driver’s license to drive to healthcare provider sites

🏖️ Benefits

• Competitive compensation • Paid time off • Company paid holidays • Excellent training • Employee development programs • 401K plan with an employer match • Medical insurance • Dental insurance • Vision insurance • Comprehensive employer benefits and other valuable programs • Reasonable accommodation during the hiring process