Field Reimbursement Access Manager (West Coast)

When you join the team as the Field Reimbursement Access Manager, you will be directly influencing patient access by being the expert and field base support in the healthcare offices across the country.
You will be acting as the extension of the manufacture team to assist in resolving complex reimbursement issues that may create barriers and access for patients.
A typical day in this role will include ownership of your patients cases from initiation to dispense to include; in person or video practice education on the benefit investigation or prior authorizations / denial appeals process, determining financial qualifications for assistance programs and assisting patients or other callers/stakeholders through resolution (via email, inbound/outbound calls and using our patented technology, CORscend) by using your critical thinking skills and your knowledge of the program and industry rules and standards.
This role requires a high level of ownership, attention to detail and patient focus and will put your problem-solving skills to the test.
This role is responsible for educating healthcare professionals about important product reimbursement information and processes as well as helping providers understand other services that may be available to help appropriate patients access specialty buy-and-bill products.
ONC FRMs are responsible for educating providers on key payer policies and work to communicate the impact of these policies on providers and appropriate patients back to the Payer Account Teams.
This role reports to a Field Reimbursement Director.
Qualified candidates must possess a demonstrated track record of success working in a matrix environment and must demonstrate effective leadership of non-direct reports.
Specialty FRMs routinely interface with Payer Account Directors, Patient Services Case Managers and Specialty Sales professional teams.
This job might be for you if (must have requirements of the role): Basic qualifications: Bachelor's Degree Ability to travel up to 30% including overnights Must be located within 50 miles of a major airport in or near the territory Valid driver's license Minimum of 2 years' experience in Industry Field Reimbursement role or for reimbursement support services company Preferred qualifications: Experience as a field reimbursement manager in the Oncology Space strongly preferred Basic knowledge of the payer environment including state, federal, private third-party reimbursement issues, methodologies and policies for physician administered products Strong customer focus with building relationships, issue identification and resolution, problem-solving and project management skills Ability to operate independently and handle multiple projects with a high degree of initiative and operate successfully in matrix environment reporting into reimbursement function while deployed in the field Highly organized, strategic thinker with excellent verbal, written and presentation communication skills Reimbursement experience for oncology or specialty injected/infused products in a buy and bill setting across all sites of care Comprehensive understanding of Medicare Parts A, B, C, D and knowledge of commercial insurance reimbursement Understanding billing and coding and possible issues surrounding appropriate billing Experience working with reimbursement call centers in support of patient access Ability to speak Spanish fluently is a plus Physical Demands & Work Environment: While performing the duties of this job, the employee is regularly required to talk or hear.
The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms.
Must be able to type 35 WPM with 97% accuracy.
Although very minimal, flexibility to travel as needed is preferred.
This is a travel-based position, the ability to sit, drive for fly for extended periods of time is necessary.
This job operates in a professional office environment.
This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
Due to investment in program specific training, candidates are expected to maintain role for a minimum of 1 year within a client-facing role, prior to being considered eligible for lateral or promotion level move.
PharmaCord is committed to creating a strong company culture that values collaboration, employee development, and promotion from within.
Exceptions will be reviewed on a case-by-case basis to assess business need and service impact.
Once you land this position, you’ll get to enjoy: Our Benefits & Perks Company paid Short-term Disability (STD) Increased competitive 401(k) company match up to 4% Affordable Medical, Dental, and Vision benefits - PharmaCord covers 75% of Medical Premiums for our employees PharmaCord has not increased healthcare premiums in the past 4 years NEW! Concierge Medical Clinic free of cost for those enrolled in a PharmaCord medical plan (including dependents) Wellness discounts of up to $260 per year for participation in wellness program Annual HSA employer contribution Company paid and voluntary Life Insurance options Voluntary Life, AD&D and Long-Term Disability Insurances Paid Parental Leave of Absence Wellness and Employee Assistance Programs PTO benefits, flex days and paid holidays Employee Referral Program Ambassador Program Tuition reimbursement program up to $5,000 per year Competitive Compensation & Flexible Working Competitive starting pay rates Yearly merit increases Toll reimbursement program (valued at $655.
20 per year) A Career You'll Love Working for PharmaCord - voted Best Places to Work in Kentucky for 2019 and 2021 Work for a company that values diversity and makes deliberate efforts to create in inclusive workplace Opportunities for advancement with a company that supports personal and professional growth PharmaCord has doubled in size over the last few years and expects to be over 1000 employees by the end of 2023 giving current employees first access to promotional opportunities A challenging, stimulating work environment that encourages new ideas Exposure to many learning and development opportunities Playing a crucial part in the lives of our patients, physicians, and pharmacies by enhancing the patient services experience Our new state of the art Headquarters building offering many amenities including collaborations spaces, outdoor dining, walking path, marketplace café, and more! Any offer of employment is contingent on completion of a background check to company standard.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
Duties, responsibilities and activities may change at any time with or without notice.
At PharmaCord, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community.
PharmaCord is proud to be an equal opportunity employer.
In order to maintain a safe workplace for our team members, PharmaCord strongly recommends that all employees are vaccinated against COVID-19.
PharmaCord is unable to sponsor employees at this time.
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