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Field Reimbursement Team Liaison I @Caremetx

[Hiring] Field Reimbursement Team Liaison I @Caremetx

Mar 19, 2025 - Caremetx is hiring a remote Field Reimbursement Team Liaison I. 💸 Salary: unspecified. 📍Location: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Field Reimbursement Team Liaison I will serve as the primary point of contact with the client’s field reimbursement team leaders and with specialty pharmacy partners to ensure open communication and resolution for problems in support of eliminating barriers for patients and providers to access therapy.

  • Build a team environment with applicable Client field counterparts and Client Market Access personnel.
  • Support open communication, perform root cause analysis of issues, and track issues through to resolution.
  • Ensure program enhancements, process changes, and program updates are shared back to the client’s field teams, healthcare providers, and specialty pharmacies.
  • Serve as a patient journey navigator to the client and the providers to pursue opportunities for improving patient access.
  • Partner with internal and external stakeholders to identify, anticipate, and address patient and administrative process fulfillment and reimbursement issues.
  • Manage ad hoc/urgent escalations as needed and report major escalations to CareMetx Operational and Executive Sponsor leadership and Client leadership.
  • Be a subject matter expert on the payer landscape related to applicable disease state.
  • Weekly monitoring of reports and dashboards capturing prescription intake, claim status, and outcomes.
  • Proactively identify, organize, summarize, and present market access industry trends to Field Team leads.
  • Ensure processes are in place for clear communication with other field-facing teams regarding reimbursement and access barriers.
  • Provide exceptional customer service to internal and external customers; resolve customer requests in a timely and accurate manner.
  • Collaborate and communicate with cross-functional partners/vendors and share customer feedback.
  • Communicate with provider office staff on how to use patient access programs and services.
  • Maintain thorough knowledge of Client’s Product(s).
  • Participate in client’s virtual or in-person meetings to represent the operational program.
  • Prepare ad-hoc reports for CareMetx or Client leadership as needed.
  • Address and respond to individual customer escalations involving possible access barriers.
  • Partner with appropriate CareMetx cross-functional teams to identify, develop, and provide training for the operational team.
  • Travel overnight (10% - 15% travel required) for conferences or client meetings.
  • Maintain regular and reliable attendance, including being present, on time, and prepared for work as scheduled.
  • Other duties as assigned; duties, responsibilities, and activities may change or new ones may be assigned at any time with or without notice.

Qualifications

  • Advanced degree or relevant pharmaceutical experience preferred.
  • 5+ years’ experience with specialty providers or Specialty Pharmacies in support of reimbursement and/or reimbursement hubs.
  • 2+ years of leadership experience, preferably in the healthcare industry.
  • Prior experience as a Field Reimbursement Manager or equivalent experience.
  • Proven track record of supporting HCPs and office staff in seeking access/reimbursement.
  • Experience with both ‘buy and bill’ and Specialty Pharmacy distribution pathways for specialty oral and injectable medications.
  • Strong knowledge of the payer environment, including government and commercial payers.
  • Ability to professionally interact with customers, HCPs, Specialty Pharmacies, and clients.
  • Strong knowledge of patient support programs including HUB, co-pay assistance, and patient financial assistance.
  • Strong planning and organization skills including OFFICE suite of productivity tools.

Requirements

  • Ability to communicate effectively both orally and in writing.
  • Ability to build productive internal/external working relationships.
  • Ability to analyze, interpret, and understand payer, provider, and patient data and trends.
  • Strong interpersonal and leadership skills.
  • Strong organizational skills; attention to detail.
  • Ability to manage multiple tasks.
  • Extensive knowledge in areas of reimbursement and billing including Medicare, Medicaid, and commercial coverage.
  • General knowledge of healthcare from a patient and provider perspective.
  • Ability to resolve associate issues effectively and efficiently.
  • Ability to proficiently use Microsoft Excel, Outlook, and Word.
  • Ability to problem solve.
  • Willingness to travel up to 10% - 15% of the time.

Physical Demands

  • Regularly required to sit.
  • Occasionally lift and/or move up to 10 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Schedule

Must be flexible on schedule and hours. Overtime may be required from time to time.

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📍 Be aware of the location restriction for this remote position: USA
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Back to Remote jobs  >   All others
Field Reimbursement Team Liaison I @Caremetx
All others
Salary 💸 unspecified
Remote Location
USA
Job Type full-time
Posted Mar 19, 2025
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️
📍 Be aware of the location restriction for this remote position: USA
‼ Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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