Field Reimbursement Manager

🔥 2 minutes ago

🌽 Illinois, Michigan, +4 more states – Remote

🌽 Illinois – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🤠 Texas – Remote 🧀 Wisconsin – Remote

💵 $185k - $215k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 0%

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ITF Therapeutics LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2024

💊 Pharmaceuticals

🏥 Healthcare

Pharmaceuticals • Healthcare

ITF Therapeutics LLC is a pharmaceutical division of Italfarmaco S. p. A focused on developing, delivering, and supporting treatments for rare diseases. The company's website emphasizes medicines and science, a product pipeline, clinical studies, expanded access policies, and patient advocacy and engagement—stressing patient-centric care and support for rare disease communities. ITF Therapeutics describes activities including clinical research, medical grants, sponsorships, and community outreach, and references branded medicines (e. g. , DUVYZAT) and compliance materials such as code of conduct and privacy policies.

📋 Description

• Facilitate patient access to new therapies using expertise in coverage, payer policies, and patient assistance programs • Educate and partner with office staff to navigate the access journey and identify solutions • Provide personalized issue resolution with the dedicated patient support hub and specialty pharmacy team • Collaborate with local/regional sales teams supporting targeted accounts • Demonstrate deep understanding of reimbursement and access as the subject matter expert in the assigned territory • Analyze managed care accounts’ geographic presence/influence, payer mix, product coverage, and reimbursement criteria • Educate providers on prior authorization, coverage status, payer appeals, alternate funding options, processes, and timelines • Provide access education to healthcare professionals and office staff • Serve as liaison between sales representatives and key external customers • Build relationships with HCPs, HCP-office stakeholders, and healthcare systems • Help customers navigate specialty pharmacy distribution • Partner daily with specialty pharmacy case management to ensure accurate coverage determinations and timely product access • Identify accounts and patients delayed by reimbursement or insurance issues • Develop and implement innovative patient-access solutions • Perform strategic analyses and develop business plans identifying issues and opportunities • Meet customers, attend appropriate conferences, and travel with sales and regional colleagues

🎯 Requirements

• B.S./B.A. degree or higher and 8+ years of experience in the pharmaceutical or biotechnology industry, with expertise in biotech drug distribution across specialty distributors, specialty pharmacies, and hospital systems • Demonstrated understanding of coverage and reimbursement for oral and injectable therapies • Strong expertise in Specialty Pharmacy operations and third-party services (Patient Support) • Deep knowledge of payer/PBM utilization management tactics for new therapies, such as new-to-market blocks and exclusion lists • Extensive understanding of pharmaceutical manufacturer compliance, patient confidentiality, product reimbursement, and product access requirements • Knowledge of regulations and laws governing protection of patient identifying information and access offerings • Strong sense of urgency and self-motivation, with clear and concise written/verbal communication • Strong cross-functional influencing experience across commercial, medical, clinical, and external stakeholder groups • Ability to adapt to changing environments, balance competing priorities, and respond to ambiguity and unforeseen challenges with maturity, professionalism, and sound judgment • Extensive knowledge of laws and regulations governing contracting and pricing for pharmaceutical products • Experience managing long-term enterprise-level relationships and driving complex contract negotiations and contract pull-through • Deep understanding of and compliance with OIG and FDA regulations governing pharmaceutical marketing and the PhRMA code • Excellent communication skills with stakeholders at all organizational levels and a persuasive, credible presentation style • Significant travel availability, up to approximately 70% of time • Launch experience, specifically oral specialty drugs, is highly valued; rare disease experience is a plus • Experience and understanding of other commercial functions is an important consideration

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