Access & Reimbursement Manager (Pensacola, FL)

The role

The Access Reimbursement Manager manages a dedicated territory to support access for providers and patients. This role provides education to healthcare providers and office staff on access services and reimbursement solutions.

What you will do

• Manage daily activities that support patient access in provider offices
• Work as a liaison to patient assistance and access support services
• Act as an extension of client HUB and provide in-person customer visits
• Participate in client and team meetings
• Input call activity into customer CRM
• Serve as payer expert for defined geography
• Provide office education on the access process including formulary coverage and prior authorization
• Educate offices using approved educational materials
• Review specific patient case information in a compliant manner
• Educate physician office staff on patient support services and web-based portals

Required qualifications

• 3+ years of experience in Managed Care, Field Reimbursement, Patient Services and/or Sales (Specialty or Biologics) or healthcare provider practice management
• 4 year degree or 8+ years in related healthcare roles and/or pharmaceutical or medical industry
• Must reside within the territory
• Valid Driver’s License

Nice to have

• Experience with specialty/biologic products and/or complex reimbursement process
• Demonstrated ability to educate offices on access processes and issue resolution
• Experience educating HCPs on client specific Patient Service programs
• Experience delivering educational presentations in person and/or via technology platforms such as Zoom, Webex, and/or Teams
• Advanced knowledge of medical insurance terminology
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B and Part D)
• Solution oriented mindset, strong business acumen, & strong analytic capabilities
• Ability to manage ambiguity & problem solve

About the company

Stratis Group is an independent pharmaceutical consulting firm that specializes in commercialization throughout a brand’s lifecycle, including market access, patient services, field reimbursement, and data-driven analytics.