Field Reimbursement Manager
New
I
InvivydBiotechnology
Remote (DC, NJ, Maryland)Full-TimeManager
Salary152,000 - 202,000 USD per year
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Job Details
- Experience
- 8+ years
- Required Skills
- CRM
Requirements
- Bachelor's Degree
- 8+ years of experience in pharmaceutical or biotechnology
- Experience in Market Access, Payer Account Management, and/or Access and Reimbursement
- Capability to develop strategic account plans and oversee contract performance
- Proven track record of success, meeting or exceeding business KPIs
- Working knowledge of the formulary inclusion process and familiarity with sub-committees
- Analytical mindset with the ability to interpret sales data, market trends, and customer insights
- Experience working in CRM systems and sales analytics tools
- Ability to travel as required ~60% of the time
Responsibilities
- Proactively address patient access barriers by working with customers to resolve complex reimbursement issues like prior authorizations, appeals, and denials.
- Educate private practices, multi-specialty groups, and facilities on reimbursement support programs, coverage, coding, and payer policies.
- Accountable for ensuring access barriers are minimized for appropriate patients.
- Deliver clear information to practice managers, billing staff, and nurses to improve understanding of payer policies.
- Conduct regular reviews with practices to understand utilization of reimbursement services and recommend program enhancements.
- Report payor trends to Patient Services and Market Access account management teams.
- Provide training on drug reimbursement processes, coding, and billing practices.
- Navigate and manage access and reimbursement concerns by coordinating with appropriate internal stakeholders.
- Stay informed about business trends, competitive landscape, regulatory changes, and healthcare policy.
- Deliver presentations on insights and trends to commercial and executive leadership.
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