[Hiring] Field Reimbursement Manager @Recordati

Role Description

The Field Reimbursement Manager (FRM) will be responsible for managing accounts in a specified region focusing on but not limited to Endocrinology. The FRM is responsible for providing access and reimbursement education to healthcare providers (HCPs) and office personnel, including information regarding:

• Medical policies
• Prior authorization requirements
• Coding and billing
• Product access via buy-bill or specialty pharmacy

The goal is to minimize barriers to therapy. The FRM also supports by providing general education and case-specific next steps for appeals process in response to prior authorization denials. This role involves investing time on-site with HCPs, assessing their access and reimbursement needs education needs and facilitating collaboration with various stakeholders.

Qualifications

• Bachelor’s degree
• Experience in working in field-based role working with provider offices and/or with patient support HUB services
• Minimum of five to seven years of experience in the healthcare and/or pharmaceutical industry
• Minimum of three years successful field reimbursement experience
• Minimum of two years of experience working with buy and bill and/or specialty pharmacy networks
• Ability to analyze and interpret regulations and legislation regarding coding, coverage and reimbursements
• In-depth knowledge of the U.S. pharmaceutical market, specifically rare diseases
• Reimbursement or relevant managed care experience (buy-and-bill, prior authorization, coding, and appeals processes)
• Problem-solving ability to navigate challenging access scenarios and identify solutions in a timely and efficient manner
• Comfortable presenting in person or virtual to Healthcare practitioner office staff
• Superior communication skills (written and verbal) and efficient follow-through

Requirements

• Strong relationship-building skills, with demonstrated ability to collaborate and operate across functions
• Strong planning and organizational skills; demonstrated decision-making ability
• Reliable transportation within territory
• Proficiency in Microsoft Office
• Demonstrated highest ethical standards
• Demonstrated effective problem-solving and decision-making capabilities
• Ability to prioritize/multi-task effectively
• Excellent verbal and written communication skills

Benefits

• Annualized Pay Range (Base Pay): $144,000 - $198,000
• Annual bonus
• Health Insurance: Medical, dental, orthodontia, vision, life & ADD, short and long term disability insurance benefits
• Retirement Benefits: 401k
• Paid Time Off: Vacation, holiday, and sick/personal time

Work Environment

This job operates in a professional remote environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Based upon job requirements, the employee is required at times to travel to HCP offices within a specified territory and attend meetings including travel out of state over weekends and nights. The employee must be able to freely operate and travel by car and train/plane modes of transportation. The employee is required to have a valid driver’s license and means of transportation.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee must be able to fly via commercial air carrier. This is largely a sedentary role; however, the employee frequently is required to travel outside the office and also stand; walk; use hands to finger, handle or feel; and reach with hands and arms; talk and hear. Occasionally is required to lift and/or move light to moderate weight up to 25 lbs.

Location/Travel

This position is a remote position with proximity to a major airport. This position requires approximately 30-40% travel (need based).

FLSA Classification

This position is considered Exempt.

EEO Statement

It is the policy of Recordati Rare Diseases to provide equal employment opportunity (EEO) to all persons regardless of race, color, religion, sex, sexual orientation, gender identity, or national origin. Further, Recordati Rare Diseases will not discriminate on the basis of any characteristic protected by federal, state, or local law. Recordati Rare Diseases will provide reasonable accommodations for a qualified individual with disabilities.

Disclaimer

This job description is not designed to cover or contain a comprehensive listing of the activities, duties or responsibilities that may be required.