Field Reimbursement Manager - West

About the Role

The Field Reimbursement Manager (FRM) is a key contributor to the overall patient support program for Purified Cortrophin Gel. The FRM serves as the partner in product access, with a focus on patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business-related issues within the patient support division. This includes communicating with the case management team conducting benefit investigations, educating health care providers on the prior authorization and appeal process, and coordinating other patient services.

Responsibilities

• Reports to a director on the field reimbursement team for development and mentoring
• Provides proactive education to health care provider on the insurance requirements for a patient’s prescription
• Works with Hub case manager and in-network Specialty Pharmacies on prior authorization requirements and communication with HCP and patients
• Coordinates communication and activities with Nurse Access Specialist colleagues
• Facilitates patient assistance when applicable, such as copay and free goods
• Partners with managed care colleagues to understand policies and highlight new trends
• Collaborate with sales colleagues when appropriate and as directed by Compliance policies

Skills/Competencies

• Strong collaboration with Hub partners and cross-functional colleagues
• Familiarity with OIG guidance, HIPAA guidelines and FDA protocols
• Possesses a sense of urgency to address critical access issues for patients
• Problem-solver who navigates challenging access scenarios and identifies solutions
• Takes initiative to move a patient case forward at all times
• Strong interpersonal and communication skills

Qualifications/Requirements

• Relevant post-secondary education or applicable certifications
• Minimum 3-4 years of experience working with specialty medications – either in pharma, at a provider’s office or with an insurance payer
• Demonstrated expertise with both pharmacy and medical benefits in a specialty disease market
• Ability to travel up to 25% with some evening and weekend commitments

The base salary range for this position is $100,000-$175,000; the exact salary depends on various factors such as experience, skills, education, location, competencies and industry-specific knowledge. In addition to base salary, this position is eligible for participation in a competitive short term and long term incentive program based on performance and company results.

ANI Pharmaceuticals offers a variety of benefits to eligible employees, including health insurance coverage, life and disability insurance, retirement savings plans, paid leave programs, paid holidays and paid time off. Many of these benefits are subsidized or fully paid for by the company.

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