Access & Reimbursement Manager

🔥 12 hours ago

🇺🇸 United States – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.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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Lockwood

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

💼 Consulting

📣 Marketing

Healthcare • Consulting • Marketing

Lockwood is a company specializing in medical and market access communications, collaborating with healthcare clients to strategize and execute effective communications. The company works closely with clients' medical affairs teams from Phase 2 onwards to shape scientific strategies and support commercialization efforts. Lockwood's divisions include medical affairs, commercial development, publications, and market access, delivering high-quality, evidence-based initiatives. Their team includes numerous staff members with advanced scientific or medical degrees, allowing them to provide insights that inform compelling stories. Lockwood is committed to scientific accuracy, innovation, and long-term client partnerships while fostering a supportive culture for their employees.

📋 Description

• Serve as a dedicated virtual access and reimbursement resource supporting evolving coverage needs across client-defined geographies • Rapidly assess new geographic landscapes, establish productive virtual relationships, and transition between territories while maintaining continuity of support and service • Educate provider offices on payer requirements, reimbursement processes, patient support services, and approved access resources • Provide education to healthcare providers and office staff regarding access services and reimbursement solutions for cardiovascular products and therapeutic areas • Develop and execute territory access plans and prioritize accounts based on client-defined objectives • Coordinate compliantly with sales, market access, patient services, hub/specialty pharmacy partners, and other matrix stakeholders • Document activities in the approved CRM platform • Support patient-level access and reimbursement issue resolution as permitted by program design and Rules of Engagement • Manage daily virtual activities via phone, Zoom, Webex, Teams, and similar platforms • Support field vacancies, white space, and overflow case management virtually • Assume responsibility for new territory assignments while maintaining consistent program execution and customer support • Provide education on Retail and Specialty Pharmacy prior authorizations, appeals, and denials • Participate in client, internal team, and cross-functional meetings and calls • Monitor payer policy, formulary coverage, utilization management requirements, pharmacy access pathways, prior authorization trends, denial patterns, and other access barriers • Communicate relevant payer and field insights to internal stakeholders • Provide office education on formulary coverage, utilization management criteria, coding, insurance forms and procedures, benefits investigation, prior authorization, appeals, and claims resolution • Use only client-approved materials, messaging, processes, and resources • Identify and communicate field access insights, payer trends, office workflow barriers, and reimbursement challenges • Recognize and report adverse events, product complaints, and other reportable information in accordance with client policy and applicable requirements

🎯 Requirements

• 3+ years of experience in Managed Care, Field Reimbursement, Patient Services, Sales (Specialty or Biologics), or healthcare provider office practice management • 4-year degree in a related field or equivalent experience • Ability to quickly integrate into new business environments, adapt to changing coverage needs and territory priorities, and maintain consistent customer support and program execution • Cardiovascular/Cardiology and Hospital Healthcare Systems experience a plus • Experience and understanding of Retail Pharmacies and Specialty Pharmacies • Ability to educate offices on access processes and issue resolution • Experience educating HCPs and office staff on client-specific Patient Service programs, such as copay programs • Experience delivering educational presentations in person or via Zoom, Webex, and/or Teams • Advanced knowledge of medical insurance terminology • Knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, with expertise in Medicare Part D for Pharmacy Benefit products • Ability to develop and maintain trusted relationships with internal partners and work effectively in teams • Ability to manage ambiguity and solve problems • Ability to prepare and submit expense reports in a timely fashion • Valid driver's license