Virtual Reimbursement Field Manager

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🔥 2 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 12%

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TJP

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1972

🏥 Healthcare

💼 Consulting

💊 Pharmaceuticals

Healthcare • Consulting • Pharmaceuticals

TJP is a pharmaceutical marketing agency that specializes in comprehensive commercialization solutions for the healthcare ecosystem. With over twenty years of access leadership, TJP partners with pharmaceutical and healthcare brands to navigate the complexities of drug commercialization, offering strategic guidance in areas such as payer access, patient access, and marketing. They provide tailored strategies that address every stage of a product's lifecycle, ensuring successful launches and sustained market presence.

📋 Description

• Conduct virtual outreach and engagement with healthcare providers, hospitals, physician offices, and reimbursement teams • Provide education and support related to patient access and reimbursement • Serve as a subject matter expert on reimbursement, billing, coding, J-codes, and buy-and-bill processes for pharmaceutical products • Educate and onboard healthcare providers and office staff on billing procedures, coding requirements, and payer coverage policies • Support commercial and Medicaid payer initiatives in collaboration with Market Access leadership • Serve as a primary point of contact for reimbursement questions • Identify and resolve coverage, billing, and patient access challenges • Review and interpret benefit verification requests and results to identify reimbursement barriers • Collaborate with Sales, Market Access, and Patient Services teams to coordinate customer support and communicate reimbursement updates • Maintain virtual engagement with approximately 10–15 healthcare offices or facilities daily • Support product procurement, billing, coding, and reimbursement • Conduct activities in accordance with company policies, industry regulations, and compliance requirements

🎯 Requirements

• Bachelor's degree in Business, Health Sciences, Healthcare Administration, Management, or a related field • 3+ years of experience in the biotechnology, pharmaceutical, medical device, or healthcare industry • 3+ years of hands-on experience in reimbursement, billing, and coding within healthcare, biotechnology, pharmaceuticals, wound care, or surgical devices • Strong knowledge of healthcare reimbursement practices, medical terminology, billing procedures, coding, payer coverage policies, and compliance requirements • Demonstrated experience supporting healthcare providers with buy-and-bill processes, including purchasing and billing pharmaceutical products under J-codes • Experience launching new biologics or innovative therapies involving medical and pharmacy benefits • Strong communication, problem-solving, and relationship management skills • Ability to engage healthcare providers and internal teams effectively in a virtual environment • Ability to work independently and manage multiple priorities • Ability to resolve reimbursement and patient access challenges while maintaining a patient-first approach • Advanced degree (MBA or MS) preferred • Experience in reimbursement or account management within biotechnology, particularly dermatology and buy-and-bill products, preferred • Experience working directly with commercial and Medicaid payers preferred • Certified Professional Coder (CPC) certification preferred

🏖️ Benefits

• Inclusive and welcoming work environment • Equal opportunity employment • Application process assistance and accommodations available

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