[Hiring] Virtual Field Reimbursement Manager @Inizio Engage

Role Description

The Virtual Field Access Manager will provide access education to HCPs of insured patients who enroll in vendor programs and/or have been prescribed one of our client’s brands. They will engage healthcare providers, and their staff to communicate and educate on patient benefit coverage, prior authorization processes, general payer policy criteria and affordability programs supporting the initiation of the products. They will have a solid understanding of the local, regional and national payer landscape. Exceptional customer and patient engagement skills, attention to detail, and the ability to think comprehensively is a must. The virtual Field Access Manager will report to a National Director.

Qualifications

• BS/BA Degree
• Proven success operating in a virtual environment
• 3+ years of relevant experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management, with 5+ years of total healthcare industry experience
• Experience engaging HCP staff in a support role to educate on access pathways and product requirements
• Experience navigating payer reimbursement process, including commercial and Medicare Part D (pharmacy benefit design and coverage policy)
• Ophthalmology and self-injectable experience preferred
• Experience with specialty products acquired through specialty pharmacy networks
• Patient-centric and service-oriented mindset, with a high degree of emotional intelligence and empathy
• Exemplary interpersonal and listening skills
• Strong communication (written and verbal), and presentation skills
• Strong business acumen
• High enthusiasm with a drive to success within a team
• Highly organized with excellent attention to detail and the ability to multi-task in engaging both patients and providers
• Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook) and Google Suite Products
• Language requirements: English required and Spanish highly preferred

Requirements

• Engage healthcare providers and appropriate office staff to educate on access to prescribed treatments within the specialty pharmacy channel
• Educate HCP office staff about prior authorization & appeals process
• Formulate and implement comprehensive educational framework to upskill field partners
• Work compliantly and proactively to identify and resolve patient access and reimbursement issues
• Provide appropriate factual process information to HCP office utilizing Personal Health Information (PHI)
• Serve as reimbursement expert for patient support services team for assigned geography/plans
• Utilize approved resources and call guides/FAQs to provide education and answer questions
• Conduct ongoing payer policy reviews and contribute local, regional and national policy insights
• Virtually manage assigned accounts and align with key stakeholders on ongoing support needs
• Document call details with attention to data integrity
• Navigate CRM platform in daily interactions and learn internal team processes
• Maintain confidentiality of Patient Health Information (PHI)
• Triage appropriate escalations to the manufacturer leadership team
• Comply, take, and attend all required training

Benefits

• Competitive pay that recognizes your experience, expertise, and impact
• Comprehensive benefits including medical, dental, and vision coverage
• Accrued paid time off
• 401(k) with company match
• Disability and life insurance
• Paid maternity and paternity leave
• Company-paid holidays
• Recognition programs, contests, and awards
• Continuous growth opportunities through learning and leadership development
• A collaborative culture where your ideas are valued