Field Reimbursement Manager - West
Field Reimbursement Manager - West
Posted on :
20-01-2025
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1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
20-01-2025
Job Description
Job Title: Field Reimbursement Manager West
Job Location: Bridgewater NJ USA
Job Location Type: Remote
Job Contract Type: Fulltime
Job Seniority Level: MidSenior level
With its beginnings in a family run pharmacy in Correggio Italy in the 1920s Recordati is now a global pharmaceutical company listed on the Italian stock exchange with over 4500 employees and turnover of over Euro 2bn.
We are a group of likeminded passionate individuals who go to extraordinary lengths for our patients customers partners investors and the people across the globe who we serve. We develop and commercialise medicines to serve people living with common diseases as well as those living with some of the rarest in around 150 countries.
At Recordati our mantra is simple. We’ve always believed that health and the opportunity to live life to the fullest is a right not a privilege. Whether that is for common diseases or the rarest – we want to give people the opportunity to be the best version of themselves.
This drive will never stop. Together we will always be reimagining tomorrow – with new ideas new technologies and new innovations to fight diseases.
Recordati. Unlocking the full potential of life.
This position is with Recordati Rare Diseases Inc. (RRD) North America an affiliate of Recordati.
Recordati Rare Diseases Inc. (RRD) develops highimpact therapies for rare diseases focusing on providing treatments to underserved communities in the U.S. Our mission is to mitigate the impact of rare diseases through increased awareness better diagnoses and improved treatment access in endocrinology metabolic hematology and oncology franchises. RRD is dedicated to fostering a dynamic work environment that promotes professional growth and a significant impact on patients' lives.
Reporting Structure
Reports To: Sr. Director US Patient Services and Payer Access
Direct Reports: None
Areas Managed: Field Reimbursement
Overview
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) office personnel including medical policies prior authorization requirements coding and billing product access via buybill or specialty pharmacy with the goal of minimizing barriers to therapy. The FRM also supports by providing general education and casespecific guidance in response to prior authorization denials. This role involves investing some time onsite with HCPs assessing their access and reimbursement needs education needs and facilitating collaboration with various stakeholders.
Key Responsibilities
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 may be required at times to 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 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
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.
At Recordati we believe in people! Inspired by our purpose unlocking the full potential of life we are committed to creating a diverse environment and cultivating a culture of inclusion. We strive to continually lead with our values and beliefs enabling our employees to bring their whole selves to work and develop their potential.
We are proud to be an equal opportunity employer. We recruit develop and reward without regard to amongst others gender sexual orientation gender identity or expression national origin age physical or mental ability race ethnicity political or religious belief.
If you are looking to join a company where you can try new things speak openly and be bold we invite you to apply today.
We are a group of likeminded passionate individuals who go to extraordinary lengths for our patients customers partners investors and the people across the globe who we serve. We develop and commercialise medicines to serve people living with common diseases as well as those living with some of the rarest in around 150 countries.
At Recordati our mantra is simple. We’ve always believed that health and the opportunity to live life to the fullest is a right not a privilege. Whether that is for common diseases or the rarest – we want to give people the opportunity to be the best version of themselves.
This drive will never stop. Together we will always be reimagining tomorrow – with new ideas new technologies and new innovations to fight diseases.
Recordati. Unlocking the full potential of life.
This position is with Recordati Rare Diseases Inc. (RRD) North America an affiliate of Recordati.
Recordati Rare Diseases Inc. (RRD) develops highimpact therapies for rare diseases focusing on providing treatments to underserved communities in the U.S. Our mission is to mitigate the impact of rare diseases through increased awareness better diagnoses and improved treatment access in endocrinology metabolic hematology and oncology franchises. RRD is dedicated to fostering a dynamic work environment that promotes professional growth and a significant impact on patients' lives.
Reporting Structure
Reports To: Sr. Director US Patient Services and Payer Access
Direct Reports: None
Areas Managed: Field Reimbursement
Overview
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) office personnel including medical policies prior authorization requirements coding and billing product access via buybill or specialty pharmacy with the goal of minimizing barriers to therapy. The FRM also supports by providing general education and casespecific guidance in response to prior authorization denials. This role involves investing some time onsite with HCPs assessing their access and reimbursement needs education needs and facilitating collaboration with various stakeholders.
Key Responsibilities
- Partnering with crossfunctional parties on overall account and territory strategy to maximize internal/external customer knowledge on payor policy and processes
- Collaborate with Specialty Pharmacy to follow up with accounts that have outstanding prior authorization or appeals submissions
- Being a subject matter expert on reimbursement and regionalspecific access landscape. This includes payor policies prior authorization requirements denials appeals peer to peer and other education required to navigate access for coverage of company therapies
- Collaborating with crossfunctional parties on individual case management needs related to HCP education on reimbursement issues
- Leveraging all available resources including internal data to develop and execute account plans/call purpose
- Complying with all laws regulations and policies that govern the conduct of company activities work with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct
- Complying with annual budget allocation within respective territory
- Perform additional duties as may be assigned.
- Bachelor’s degree
- Experience in working with patient support HUB services
- Minimum of three to 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
- Account Management and/or Reimbursement experience working with the provider office setting building strong customer relationship
- Reimbursement or relevant managed care experience (buyandbill prior authorization coding and appeals processes)
- Problemsolving ability to navigate challenging access scenarios and identifies 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 followthrough
- Strong relationshipbuilding skills with demonstrated ability to collaborate and operate across functions
- Strong planning and organizational skills; demonstrated decisionmaking ability
- Valid drivers license in good standing
- Proficiency in Microsoft Office
- Demonstrated highest ethical standards
- Demonstrated effective problemsolving and decisionmaking capabilities
- Ability to prioritize/multitask effectively
- Excellent verbal and written communication skills
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 may be required at times to 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 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 20% travel
- This position is considered Exempt.
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.
At Recordati we believe in people! Inspired by our purpose unlocking the full potential of life we are committed to creating a diverse environment and cultivating a culture of inclusion. We strive to continually lead with our values and beliefs enabling our employees to bring their whole selves to work and develop their potential.
We are proud to be an equal opportunity employer. We recruit develop and reward without regard to amongst others gender sexual orientation gender identity or expression national origin age physical or mental ability race ethnicity political or religious belief.
If you are looking to join a company where you can try new things speak openly and be bold we invite you to apply today.
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Employment Type
Full Time
Key Skills
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