Access & Reimbursement Manager (Colorado)

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 to 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 meetings and regularly scheduled 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 the use of 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
• Experience educating HCPs on client specific Patient Service programs (i.e. copay, nurse education, bridge, patient assistance, etc.)
• 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 – for buy & bill products and Part D for Pharmacy products)
• Solution oriented mindset, strong business acumen, & strong analytic capabilities
• Demonstrated ability to educate offices on access processes and issue resolution
• 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.