Field Reimbursement Manager (New England)

The role

The Field Reimbursement Manager manages a dedicated territory to support access for providers and patients. This role provides education to primary care and cardiology healthcare providers and office staff on access services and reimbursement solutions for cardiovascular products.

What you will do

• Manage daily activities to support patient access in provider offices
• Work as a liaison to other patient assistance and access support services
• Provide general education on Retail and Specialty Pharmacy drug Prior Authorizations, Appeals, and Denials
• Provide in-person customer visits
• Participate in client meetings and internal team meetings
• Input call activity into customer CRM
• Serve as payer expert for defined geography
• Provide office education on formulary coverage, coding, insurance forms, benefits investigation, and claims resolution
• Educate offices using approved educational materials
• Prepare and submit expense reports

Required qualifications

• 3+ years of experience in Managed Care, Field Reimbursement, Patient Services, Sales (Specialty or Biologics), or healthcare provider office practice management
• 4-year degree in related field or equivalent experience
• Ability to travel 3-4 days a week, with overnights (as needed)
• Must reside within the Territory
• Solution oriented mindset, strong business acumen, and strong analytic capabilities
• Experience and understanding of Retail Pharmacies and Specialty Pharmacies
• Demonstrated ability to educate offices on access processes and issue resolution
• Experience educating HCPs and office staff 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 D for Pharmacy Benefit products)
• Valid Driver’s License

Nice to have

• Cardiovascular/Cardiology and Hospital Healthcare Systems experience

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.