Field Reimbursement Manager

Job not on LinkedIn

🔥 13 minutes ago

🇺🇸 United States – Remote

💵 $98k - $182k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Inizio Engage

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

📣 Marketing

🏥 Healthcare

Consulting • Marketing • Healthcare

Inizio Engage is a company that partners with clients in healthcare and beyond to drive strategic, commercial, and creative engagement solutions. Leveraging advanced analytics, unique methodologies, and a team of over 5,000 experts worldwide, Inizio Engage focuses on optimizing decision-making, enhancing patient solutions, and promoting healthcare professionals. The company designs experiences that inspire lasting change, enrich cultures, and enhance business performance. They specialize in areas like medical affairs, patient solutions, and omnichannel commercial engagement, aiming to improve health decisions and treatment outcomes globally.

📋 Description

• Engage healthcare providers and office staff to educate on access to prescribed treatments within the specialty pharmacy channel • Address questions about initial access, insurance approval, and reauthorizations for product initiation • Educate HCP office staff on prior authorization and appeals processes, forms, submission procedures, and reauthorization requirements • Develop and implement educational frameworks for Clinical Specialists and District Managers on access challenges • Identify and resolve patient access and reimbursement issues within assigned geography • Provide factual process information using PHI with appropriate patient consent • Serve as reimbursement expert for patient support services teams for assigned geography and plans • Use approved resources, call guides, and FAQs to provide education and answer questions • Review payer policies and contribute policy insights to stakeholders and client leadership • Virtually manage assigned accounts and align with key stakeholders on support needs • Document call details with attention to data integrity and compliance • Navigate CRM platform and learn internal team processes • Maintain PHI confidentiality and comply with laws, regulations, and company policies • Triage escalations to manufacturer leadership according to program design and business rules • Complete required training and follow Inizio and client policies, procedures, business rules, call guides, and applicable laws

🎯 Requirements

• BS/BA Degree • Proven success operating in a virtual environment • 3+ years of relevant experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management • 5+ years of total healthcare industry experience • Experience engaging HCP staff in a support role to educate on access pathways and product requirements • Experience navigating payer reimbursement process, including commercial and Medicare Part D • Experience with specialty products acquired through specialty pharmacy networks • Ophthalmology and self-injectable experience preferred • Patient-centric and service-oriented mindset, with emotional intelligence and empathy • Exemplary interpersonal and listening skills • Strong written, verbal, and presentation skills • Strong business acumen • Ability to reach common goals in collaboration with therapeutic specialists, sales leadership, market access, and patient support services colleagues • Highly organized with excellent attention to detail and multitasking ability • Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook) and Google Suite Products • English required; Spanish highly preferred

🏖️ Benefits

• Comprehensive benefits including medical, dental, and vision coverage • Accrued paid time off • 401(k) with company match • Disability and life insurance • Paid maternity and paternity leave • Company-paid holidays • Recognition programs, contests, and awards • Continuous growth opportunities through learning, leadership development, and career advancement support • Collaborative culture where ideas are valued

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