Field Reimbursement Manager (FRM) – Key Responsibilities Serve as a compliant SME for reimbursement, access, and specialty distribution in assigned geography. Educate HCP offices on coverage status, prior authorization, appeals, and alternate funding for uninsured/underinsured patients. Build relationships with HCPs, office staff, and health system stakeholders. Analyze regional/local payer coverage trends, reimbursement criteria, and payer mix. Advise on specialty pharmacy services and complex distribution navigation. Partner with Patient Support on benefit investigations and patient onboarding. Collaborate with internal teams to develop local access strategies. Develop and execute territory-level business plans using customer insights. Resolve reimbursement issues in the field and elevate cases as needed. Identify process improvements to improve patient access and provider satisfaction. Maintain compliance with legal/regulatory/company policies (including privacy and promotional conduct). Requirements / Qualifications Bachelor’s degree in an allied health field (preferred) or equivalent experience. 8+ years in pharmaceutical/biotech/related healthcare. Required reimbursement experience: prior authorizations and navigating the US payer landscape. 3–6 years supporting Specialty Pharmaceuticals/Biologics. Deep knowledge of reimbursement/access/specialty pharmacy operations; specialty distribution models and patient services programs. Experience supporting product launches and/or insurance approval processes. Knowledge of HIPAA and other federal/state confidentiality and healthcare communications laws. Bilingual (English/Spanish) highly desired. Proven track record with complex therapies in rare/specialty conditions. Exceptional communication/interpersonal skills; build trust; manage multiple cases; problem-solve in real time. Digital fluency with CRM platforms and technology-enabled patient support tools (including AI). Benefits (as listed) 401(k) with company match; comprehensive medical/dental/vision; company-paid Life/AD&D; company-paid short/long-term disability; EAP; HSA/FSA; paid parental leave; performance-based incentives; plus other listed supplemental plans (pet/legal; accident/critical illness/hospital indemnity). #J-18808-Ljbffr
...Overview At Five Below our growth is driven by people who embrace our purpose: life is better when you are free to have fun in an amazing experience, filled with unlimited possibilities, priced so low you can always say yes to the newest, coolest stuff. Our culture inspires...
...Job Description Job Description Skilled Trades Services is seeking an experienced Lead Industrial Electrician for a long-term project in the Hickory, NC area. Were looking for a true Industrial Electriciansomeone who can work with a crew of industrial electricians...
...Job Description Job Description Description: Graphic Designer Join Our Team at Hello Adorn! At Hello Adorn, great design is more... ...experience across every customer touchpoint. As a Graphic Design Intern, youll work alongside our creative and marketing teams to...
...JOB TITLE: Court Reporter An AFSCME 3308 Bargaining Unit Position REPORTS TO: Court Reporter Supervisor GENERAL SUMMARY: Under... ...and shall not be prepared during the Court Reporter's normal work hours unless authorized by the supervisor. # Provides...
...About the RoleWe are looking for compassionate and reliableJob Title: In-Home Dialysis TechnicianLocation: Bodfish, CA, 93205Compensation: $25 per hourAbout the RoleWe are looking for compassionate and reliable Care Partners with at least 1 year of dialysis machine...