Field Reimbursement Manager Delaware Valley
Field Reimbursement Manager Delaware Valley
Posted on :
20-01-2025
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1 Vacancy
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Job Description
Job Title: Field Reimbursement Manager Delaware Valley
Job Location: Home KS 66438 USA
Job Location Type: Remote
Job Contract Type: Fulltime
Job Seniority Level: MidSenior level
Region location: Delaware Valley DC/Baltimore
The Manager of Field Reimbursement will be responsible for managing the daytoday tactical fieldbased reimbursement activities in their geography including but not limited to conducting field reimbursement inservices and educational workshops for Patient Advocacy groups Health Care Professional (HCP) offices Specialty Pharmacies and distributors for all CSL therapies. Works with payer and channel Customer Account Managers in educating and resolving reimbursement issues with all accounts. Works with field sales organization and thirdparty patient access programs to resolve reimbursement issues and improve patient access to therapies. Works directly with consumer groups for reimbursement education and training and manages relationships with regional Medicare offices and Carrier Advisory Committees.
Main Responsibilities And Accountabilities
CSL employees that work at least 30 hours per week are eligible for benefits effective day 1. We are committed to the wellbeing of our employees and their loved ones. CSL offers resources and benefits from health care to financial protection so you can focus on doing work that matters. Our benefits are designed to support the needs of our employees at every stage of their life. Whether you are considering starting a family need help paying for emergency back up care or summer camp looking for mental health resources planning for your financial future or supporting your favorite charity with a matching contribution CSL has many benefits to help achieve your goals.
Please take the time to review our benefits site to see what’s available to you as a CSL employee.
About CSL Behring
CSL Behring is a global leader in developing and delivering highquality medicines that treat people with rare and serious diseases. Our treatments offer promise for people in more than 100 countries living with conditions in the immunology hematology cardiovascular and metabolic respiratory and transplant therapeutic areas. Learn more about CSL Behring.
We want CSL to reflect the world around us
As a global organization with employees in 35 countries CSL embraces diversity and inclusion. Learn more about Diversity & Inclusion at CSL.
Do work that matters at CSL Behring!
The Manager of Field Reimbursement will be responsible for managing the daytoday tactical fieldbased reimbursement activities in their geography including but not limited to conducting field reimbursement inservices and educational workshops for Patient Advocacy groups Health Care Professional (HCP) offices Specialty Pharmacies and distributors for all CSL therapies. Works with payer and channel Customer Account Managers in educating and resolving reimbursement issues with all accounts. Works with field sales organization and thirdparty patient access programs to resolve reimbursement issues and improve patient access to therapies. Works directly with consumer groups for reimbursement education and training and manages relationships with regional Medicare offices and Carrier Advisory Committees.
Main Responsibilities And Accountabilities
- Work with payers specialty pharmacies physicians physician support staff and professional societies to secure adequate reimbursement of CSL Behring therapies.
- Aid physicians sites of service and their support staff in the reimbursement process. Provide inservice training to sales and marketing on the fundamentals of healthcare economics.
- Execute reimbursement strategies that proactively integrate and align with marketing and sales objectives.
- Work directly with third party payers and Medicare offices to insure adequate reimbursement for our products.
- Provide monthly report recounting significant activities progress and followup needed.
- Assess reimbursement environment (coverage coding and payment) for any new products and procedures.
- Work with payer and channel Customer Account Managers in educating and resolving reimbursement issues with SP (Specialty Pharmacy) accounts and attend customer account calls with payer and channel CAMs as needed to present reimbursement information on CSL therapies and answer any questions the accounts may have.
- Work with field sales organization and thirdparty patient access programs via patient access hotline (HUB) to resolve reimbursement issues and improve patient access to therapies.
- Perform field reimbursement inservices such as account visits presentations to healthcare providers and other medical staff. Conduct billing procedure review for home care companies pharmacies and other providers experiencing inadequate reimbursement across the portfolio.
- Work directly with consumer groups to supply reimbursement education and training. This should be accomplished by attending and conducting patient education workshops at regional and national consumer group meetings (IDF JMF HAEA NHF etc.).
- Work with consumer groups as needed to coordinate the use of CSL Behring Assurance and Assistance programs.
- Collaborate with the Patient Services team to ensure the Hub offerings are up to date with the changing reimbursement landscape including HUB training and managing challenging cases.
- Attend trade shows (AAAAI HAEA NHF NHIA AMCP CMSA etc.) and be able to present reimbursement information as requested by the various groups.
- Work with the Sr. Director of Reimbursement in developing and executing on tactical programs for strategic accounts.
- Bachelor’s degree required (business /management healthcare discipline or life sciences preferred)
- 3 5 years’ experience in healthcare industry.
- Prior reimbursement or case management experience required.
- Prior work with patient advocacy group desirable.
- Excellent verbal and written communication skills.
- Demonstrated ability to work both independently and in group settings.
- Requires 5060% domestic travel
- Different qualifications or responsibilities may apply based on local legal and/or educational requirements. Refer to local job documentation where applicable.
CSL employees that work at least 30 hours per week are eligible for benefits effective day 1. We are committed to the wellbeing of our employees and their loved ones. CSL offers resources and benefits from health care to financial protection so you can focus on doing work that matters. Our benefits are designed to support the needs of our employees at every stage of their life. Whether you are considering starting a family need help paying for emergency back up care or summer camp looking for mental health resources planning for your financial future or supporting your favorite charity with a matching contribution CSL has many benefits to help achieve your goals.
Please take the time to review our benefits site to see what’s available to you as a CSL employee.
About CSL Behring
CSL Behring is a global leader in developing and delivering highquality medicines that treat people with rare and serious diseases. Our treatments offer promise for people in more than 100 countries living with conditions in the immunology hematology cardiovascular and metabolic respiratory and transplant therapeutic areas. Learn more about CSL Behring.
We want CSL to reflect the world around us
As a global organization with employees in 35 countries CSL embraces diversity and inclusion. Learn more about Diversity & Inclusion at CSL.
Do work that matters at CSL Behring!
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Employment Type
Full Time
Key Skills
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