[Hiring] Field Reimbursement Specialist @Cencora

Role Description

The Field Reimbursement Specialist (FRS) serves as a subject-matter expert on reimbursement, access, and coverage issues. The FRS plays a critical role in ensuring patients can access specialty medications by educating healthcare providers and their staff on complex insurance and reimbursement processes and resolving access barriers.

• Act as a liaison between providers, manufacturers, pharmacies, and payers to navigate reimbursement challenges.
• Meet directly with healthcare providers and their office staff to provide education on reimbursement and access considerations specific to a specialty medication.
• Educate providers and their office staff on access and reimbursement topics using client-approved resources.
• Support appropriate patient access to the client’s products by resolving reimbursement and coverage challenges.
• Collaborate with other patient assistance and reimbursement support services offered by the client.
• Travel weekly, including potential overnight stays, to healthcare offices within a designated territory.
• Deliver interactive educational presentations at various provider sites of service.
• Perform other related duties as assigned.

Qualifications

• High School Diploma/GED required.
• Bachelor's degree or relevant practice management experience preferred.
• Previous experience as Field Reimbursement Manager/Specialist preferred.
• Previous experience working in healthcare directly resolving pharmacy benefit access issues.
• Experience with extensive travel.
• Candidates must be willing to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment.

Requirements

• Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners.
• Understands the dynamics of specialty pharmacy.
• Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes.
• Deep understanding of pharmacy benefits/policies.
• Strong time management and planning skills.
• Proficient in Microsoft Word, PowerPoint, Excel, and Outlook.
• Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory that includes but may not be limited to Nashville, TN, Knoxville, TN, Springfield, MO, North AL, South IL, and Kentucky.

Benefits

• Compensation, benefits, and resources that enable a highly inclusive culture.
• Traditional offerings like medical, dental, and vision care.
• Comprehensive suite of benefits focusing on physical, emotional, financial, and social aspects of wellness.
• Support for working families, including backup dependent care, adoption assistance, infertility coverage, and family building support.
• Behavioral health solutions, paid parental leave, and paid caregiver leave.
• Variety of training programs, professional development resources, and opportunities to participate in mentorship programs and volunteer activities.