Serve as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs)
Invest time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations
Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team
Act with a sense of urgency to address critical access and affordability issues for patients
Partner with managed care colleagues to understand current policies and potential future changes
Conduct field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of Engagement
Build strong, trust-based relationships with customers in all assigned Immunology accounts
Manage territory logistics, routing, and account business planning
Maintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirements

Bachelor’s degree (preferably in healthcare or business/public administration)
Minimum of 5 years of relevant professional experience
Account Management and/or Reimbursement experience working in the hospital and/or provider office setting
Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing
Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes)
Ability to establish relationships, collaborate, and influence across a matrix organization
Problem-solving ability to navigate challenging access scenarios and identifies solutions in a timely and efficient manner
Experience in working with patient support HUB services
Valid US driver’s license and a driving record in compliance with company standards
Ability to consistently maintain up to 50% travel
Permanent residence in the listed territory

Field Reimbursement Manager, Rheumatology

Key skills