Field Reimbursement Manager

Description

Our client is a biopharmaceutical company developing and delivering novel therapies for the management of central nervous system (CNS) disorders.

Job Summary

Our client is looking for a dynamic and skilled Field Reimbursement Manager (FRM) to work in the field. This field-based role will collaborate with internal and external stakeholders to eliminate access barriers, facilitate prior authorization processes, and address issues for eligible patients while enhancing conversion rates and treatment adherence. The FRM provides expertise on coverage and common access and reimbursement challenges for a migraine product.

Job Responsibilities and Duties include, but are not limited to, the following:

• Function as a consultant to customers and staff regarding payer policies and processes (i.e., eligibility and benefit verification, prior authorization, and appeals/denials) supporting patient access to the product
• Educate office staff on the prior authorization process, denial and appeal options, and financial support options for migraine product
• Proactively engage with assigned accounts supporting internal/external customer access needs and compliantly engage within assigned geography to support access and adherence needs
• Ability to develop strong relationships with customers by understanding their needs and delivering solutions to overcome obstacles
• Be an expert on patient support programs, payer utilization management, access issue resolution, and financial assistance
• Collaborate effectively with Managed Markets and Sales to address access challenges and issues. Communicate access concerns and issues with relevant internal stakeholders, including Managed Markets
• Develop and keep updated knowledge of the local and national payer landscape
• Proficient in both virtual and live customer engagements
• Communicate territory activity in an accurate and timely manner as directed by management
• Assist in educating sales colleagues on product access and patient support programs, as needed
• Complete all training classes
• Complete administrative duties in an accurate and timely fashion
• Effectively collaborate across all corporate functions
• Overnight travel as indicated by the needs of the business
• Additional responsibilities as assigned
  
  

Requirements / Qualifications

• Bachelor’s Degree required; graduate degree preferred
• Minimum of 8 years of healthcare, field customer, and/or account management experience in the pharmaceutical industry with a minimum of 2 years as an FRM or RAM working specifically with retail medications (preferably with neurology experience)
• CNS/migraine experience strongly preferred
• Previous experience working in an entrepreneurial environment with launch experience is preferred
• Pharmacy benefit knowledge required, identifying, and educating to payer criteria for prior authorization
• Knowledge and understanding of payer segments (e.g., Commercial, Medicare Part D) required
• Experience strategizing within cross-functional teams, utilizing differential resources to achieve business goals
• Ability to successfully manage multiple tasks concurrently under aggressive timelines in a dynamic environment
• Demonstrated experience delivering outstanding results
• Comfortability with uncertainty and lofty expectations
• Ability to work independently, manage travel schedules, and schedule visits (territory management)
• Proficient in both virtual and live customer engagements
• Must live within territory or territory boundaries
• Ability to travel up to 50-75% required, which may include overnight travel
• All reimbursement activities must be conducted and managed within all appropriate legal and regulatory guidelines and require continuous monitoring of compliance with such guidelines and laws
  
  

The anticipated salary range for this role is $130,000 - $170,000

TSP Talent Solutions and our customers are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)