Field Reimbursement Manager - San Francisco Bay (...

Field Reimbursement Manager - San Francisco Bay (Northwest) 4 days ago Be among the first 25 applicants Stratis Group is an independent pharmaceutical consulting firm that specializes in commercialization throughout a brand's lifecycle. Our core passions include market access, patient services, field reimbursement, and data-driven analytics. In this contracted role, the Field Reimbursement Manager (FRM) is a client-facing position responsible for managing a dedicated territory to support access for providers and patients. This role will be highly visible within the organization and is responsible for providing education to primary care and cardiology-specific healthcare providers and office staff on access services and reimbursement solutions specific to a product and therapeutic area (Cardiovascular). The FRM will execute a region or territory strategic plan through partnership with internal and external stakeholders, which may include sales, market access, and/or other matrix field partners. Responsibilities include ensuring understanding of the reimbursement process, particularly in Retail Pharmacy, field reimbursement services, and the payer landscape. The FRM may also have to work on patient-level reimbursement issues without access to PHI and will abide in a compliant manner while working closely within a defined set of Rules of Engagement. In this role, the FRM will demonstrate a compliant and consultative approach to help offices obtain insurance authorization and/or reimbursement of products for appropriate patients. The FRM will directly impact providing a positive experience for both the HCP Customer and Patient. Additional responsibilities include: Manage daily activities that support appropriate patient access to our client's products in provider offices and work as a liaison to other patient assistance and access support services offered by our clients. Expert in providing general education on Retail and Specialty Pharmacy drug Prior Authorizations, Appeals, and Denials. Participate in client meetings as appropriate and regularly scheduled internal team and cross-functional meetings and calls. Input call activity into customer CRM as appropriate. Serve as payer expert for defined geography and communicate payer changes to key stakeholders in a timely manner. Provide office education and awareness during the entire access process, which may include formulary coverage/utilization management criteria, coding, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution. Educate offices using approved educational materials provided by the client. Desired Job Requirements: 3+ years of experience in Managed Care, Field Reimbursement, Patient Services, and/or Sales (Specialty or Biologics), or healthcare provider office practice management. 4-year degree in a related field or equivalent experience. Cardiovascular/Cardiology and Hospital Healthcare Systems experience is a plus. The 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 & 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 (i.e. copay). 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). Proven ability to develop and maintain trusted relationships with internal partners and effectively work well in teams. Ability to manage ambiguity and problem-solve. Prepare and submit appropriate expense reports in a timely fashion. Valid Driver's License. Seniority level Mid-Senior level Employment type Full-time Job function Finance and Sales Industries Pharmaceutical Manufacturing #J-18808-Ljbffr

Created: 2025-03-06