Virtual Access & Reimbursement Manager
New
S
Stratis GroupPharmaceutical Consulting
Remote, United StatesContractMiddle
Salary not disclosed
Apply NowOpens the employer's application page
Job Details
- Experience
- 3+ years
- Required Skills
- CRM
Requirements
- 3+ years of experience in Managed Care, Field Reimbursement, Patient Services, Sales (Specialty or Biologics), or healthcare provider office practice management.
- 4-year degree in a related field or equivalent experience.
- Advanced knowledge of medical insurance terminology.
- Expertise in Medicare (Part D for Pharmacy Benefit products) and CMS policies.
- Experience with Retail and Specialty Pharmacies, including Prior Authorizations, Appeals, and Denials.
- Proven ability to deliver educational presentations to HCPs and office staff via in-person or virtual platforms like Zoom, Webex, and Teams.
- Demonstrated ability to quickly integrate into new business environments and manage changing territory priorities.
- Solution-oriented mindset with strong business acumen and analytic capabilities.
- Valid Driver’s License.
- Cardiovascular/Cardiology and Hospital Healthcare Systems experience is a plus.
Responsibilities
- Manage daily activities virtually via phone and video conferencing to support patient access and serve as a liaison to patient assistance services.
- Support field vacancies, white space, and overflow case management via virtual communication platforms.
- Rapidly assume responsibility for new territory assignments while maintaining consistent program execution.
- Educate HCPs and office staff on Retail and Specialty Pharmacy drug Prior Authorizations, Appeals, and Denials.
- Serve as an access and reimbursement expert, monitoring payer policy, formulary coverage, and utilization management requirements.
- Communicate field access insights, payer trends, and reimbursement challenges to internal stakeholders.
- Recognize and report adverse events and product complaints in accordance with client policy.
- Participate in client, internal team, and cross-functional meetings while maintaining CRM activity records.
View Full Description & ApplyYou'll be redirected to the employer's site
