Posted to MedZilla on 11/18/2017


inVentiv Health

Syracuse, NY - Field Reimbursement Manager 67138-MZ


 
 

City Syracuse
State New York [NY]
Title Syracuse, NY - Field Reimbursement Manager
Job ID 67138
Overview
You re an expert facilitator: you open doors, foster communication and bridge the gap
Connecting people with the information they need is your forte. You re a unifier by nature and you re at your best when setting others up for success. Your ability to clear the way, extrapolate intricate details, attend to complex situations and serve as a trusted go-between make you a perfect fit for a Field Reimbursement Manager role at INC Research/inVentiv Health.
Why INC Research/inVentiv Health? Join our groundbreaking global network of more than 22,000 employees with the ability to service clients in over 110 countries. As part of the only fully integrated biopharmaceutical solutions organization, you ll be connected to a multitude of career paths and employment opportunities. You ll be supported with comprehensive resources based on today s emerging technologies, data, science and knowledge instead of practices from the past. Teaming with some of the most talented professionals in the industry, you ll gain exposure and work with endless energy in a dynamic environment to over-deliver and outperform. You ll integrate seamlessly with our clients and do what s best for their success. In a recent five-year period, INC Research/inVentiv Health has helped to develop or commercialize 82% of novel new drugs approved by the FDA and 70% of products granted marketing authorization by the EMA.
Here, there s no shortage of challenging work, learning and opportunities. Because we offer many services to varied clients, our knowledgeable professionals gain experience across a large section of the industry. Our client roster consists of more than 550 organizations including all 50 of the largest global biopharmaceutical companies.
Responsibilities

The Field Reimbursement Manager will be responsible for the management of defined accounts in a specified geographic region in the Immunology & Dermatology therapeutic area, specifically supporting our clients product in the targeted dermatology market. The Field Reimbursement Manager will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, including call center services and other collaboration partners. Responsibilities include ensuring understanding of Reimbursement services and program support as it relates to the Immunology & Dermatology franchise. The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI). Note this is not a sales job.

Services and Activities Provided by Reimbursement Managers:

  • Field Reimbursement Managers manage daily activities that support appropriate patient Reimbursement to our client's products in the provider offices and work as a liaison to other patient assistance and Reimbursement support services offered by our client. Activities include, but are not limited to:
  • Provide live one-on-one support to address questions about coverage requirements
  • Offer assistance from prescriber decision through to access, supporting the entire Reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms
  • Reviewing patient-specific information in cases where the site has specifically requested the assistance and patient health information is available in resolving any issues or coverage challenges
  • Reviewing patient insurance benefit options, in cases where patient health information is available as a result of patient SRF
  • Coordinating with other patient support service program representatives and with the field sales force, if necessary
  • Educating physician office staff on the use of the patient assistance programs and call center support services, including web based provider programs
  • Provide information on relevant Reimbursement topics related to the client product
  • Serve as payer expert for defined geography and able to communicate changes to key stakeholders in a timely manner
    Requirements
    • Bachelor s degree required
    • Minimum three years experience in public or private third party Reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales.
    • Experience with specialty products acquired through Specialty Pharmacy networks
    • Experience with coding, billing and in office support programs
    • Specialty pharmacy experience required (ability to teach an office the entire process from script to injection)
    • Establishing relationships within a practice by working closely with them to help remove Reimbursement barriers to specialty products for their patients
    • Ability to operate as a team player in collaborating with multiple sales representatives, sales leadership, and internal colleagues to reach common goals
    • Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus
    • Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus
    • Ability to travel and cover large multistate geography territories, at least 50% travel required, based on geography and territory / targeting make up
    • Excellent presentation skills
    • Advanced knowledge of medical insurance terminology
    • Strong teamwork abilities
    • Project management skills
    • Ability to work independently
    • Ability to manage expenses within allocated budgets
    • Good driving record
    • Ability to schedule individual work related travel (air, hotel, rental car as needed)
    • Above average computer skills: PowerPoint, Excel, Word, CRM (Salesforce.com)
    • Understanding of patient privacy laws including HIPAA and similar state laws
    • Strong business acumen
    • Ability to travel and possess a valid driver s license to drive to assigned healthcare accounts, unless otherwise specified
       
    Full INC Research/inVentiv Health benefits which include:
    • Competitive compensation, bonuses and fleet vehicle
    • Generous paid time off and company paid holidays
    • Comprehensive medical, dental and vision package
    • Matching 401K
    • Dedicated training and support
    • Tuition reimbursement
    • Referral bonuses and other personalized quality of life conveniences
       
    Make your work matter everywhere. Be a driving force in the evolution of healthcare sales.
     
    INC Research/inVentiv Health is an affirmative action/equal opportunity employer (Minorities/Females/Vet/Disabled) 
    Years Exp 4-5
    Position Type/Category Sales-Field
    Recruiting Area Northeast
    Travel About 50%
    Minimum Education Level Bachelor's Degree
    Employment/Job Type Full Time
    Employment Type INC Research/inVentiv Health position

    Please visit our website at commercialcareers.inventivhealth.com

     
     


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