EVERSANA
Healthcare
FieldReimbursementManager
“Field Reimbursement Manager at EVERSANA. Skills: Field Reimbursement, Payer Policy, Reimbursement, Patient Access, Pharmaceutical Industry Experience. Manage daily field-based activities to support appropriate patient access in key neurology centers and provider offices. Execute collaborative territory plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other partners”
What You'll Achieve.
support appropriate patient access in key neurology centers and provider offices; ensure patient access
Industry & Context.
resolving issues or coverage challenges
Interact frequently in the field (60-70% of the time) with key stakeholders in multiple sites of care including, physician practices, hospitals, and other sites of care., Must be able to travel up to 60-70% domestically, Valid driver’s license to drive to healthcare provider sites
What They're Looking For.
Must Have
Bachelor’s degree required, Minimum of 5 years of pharmaceutical industry with experience in payer policy and reimbursement, Minimum of 3 years benefit verifications and prior-authorization requirement experience or equivalent experience in patient access, billing and coding, Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with experience in Medicare Part D, Self-direction coupled with organizational skills, Outstanding interpersonal skills, consultative approach, and customer proven ability to build and maintain working relationships with internal and external customers, communication skills: oral, written, training/presentation, Proficient in MS Office, Must be able to travel up to 60-70% domestically, Valid driver’s license to drive to healthcare provider sites
Nice to Have
rare disease preferred
What You'll Do.
Manage daily field-based activities to support appropriate patient access in key neurology centers and provider offices
Execute collaborative territory plan through partnership with internal and external stakeholders
which may include call center services (HUB)
Serve as a subject matter expert in educating healthcare provider staff on approved patient access services
Review and educate offices on payer policies such as prior authorization requirements to ensure patient access
Review patient-specific information in cases where the site has specifically requested assistance in resolving issues or coverage challenges
Provide feedback to internal teams on local payer trends and access issues
Perform other duties as required
How You'll Work.
Team & Collaboration
Execute collaborative territory plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other partners; Collaborate with various internal field teams to ensure appropriate education in assigned geography
Communication Scope
oral communication; written communication; training/presentation skills
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