Virtual Access & Reimbursement Manager
New
J
JobgetherPharmaceuticals/Healthcare
Based in United StatesFull-TimeManager
Salary not disclosed
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Job Details
- Experience
- 3+ years
- Required Skills
- CRM
Requirements
- 3+ years of experience in managed care, field reimbursement, patient services, or healthcare office management.
- Four-year degree in a related field or equivalent professional experience.
- Strong understanding of Retail and Specialty Pharmacy reimbursement and access processes.
- Advanced knowledge of medical insurance terminology and CMS policies, including Medicare Part D.
- Demonstrated experience educating healthcare staff on access processes, coding, and prior authorizations.
- Experience delivering educational presentations through virtual platforms like Zoom, Webex, or Teams.
- Ability to adapt to changing territories and prioritize accounts effectively.
- Proficiency in relationship building and cross-functional collaboration.
- Proven solution-oriented mindset and analytical capabilities.
- Valid driver's license.
Responsibilities
- Manage daily virtual activities through phone, Zoom, Webex, and Teams to support appropriate patient access.
- Provide virtual coverage for field vacancies, underserved territories, and overflow case management.
- Educate healthcare provider offices on prior authorizations, appeals, denials, and reimbursement processes.
- Develop and execute territory access plans and coordinate with sales, market access, and pharmacy partners.
- Serve as an access and reimbursement resource by monitoring payer policies and formulary coverage.
- Support patient-level access and reimbursement issue resolution within compliance guidelines.
- Document activities in the approved CRM and communicate payer trends and access insights.
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