Field Reimbursement Manager

🕒 3 days ago

🏛️ District of Columbia, Washington – Remote

🏛️ District of Columbia – Remote ☕ Washington – Remote

💵 $150k - $165k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

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EVERSANA

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

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 plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other partners • Interact frequently in the field (60-70% of the time) with key stakeholders in multiple sites of care including, physician practices, hospitals, and other sites of care • Serve as a subject matter expert in educating healthcare provider staff on approved patient access services • Collaborate with various internal field teams to ensure appropriate education in assigned geography • Review and educate offices on payer policies such as prior authorization requirements to ensure patient access • Review patient-specific information in cases where the site has specifically requested assistance in resolving issues or coverage challenges • Provide feedback to internal teams 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 • Minimum of 3 years in benefit verifications and prior-authorization requirement experience or equivalent experience in patient access, billing and coding - rare disease preferred • Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with experience in 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 communication skills: oral, written, training/presentation • Proficient in MS Office • Must be able to travel up to 60-70% domestically • 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 • Comprehensive employer benefits including medical, dental, and vision insurance