Field Reimbursement Manager - NY/NJ (Remote)
About ImprimisRx At ImprimisRx we are working hard to help our customers navigate the realities of the healthcare market by providing innovative medications that address both clinical and economic needs. To get there, we need exceptionally talented, bright, and driven people. If you would like to help us build a quality culture organization trusted by healthcare professionals from across the US, this is your chance to join us. We are looking for a dynamic, organized self-starter to lead our production planning at our New Jersey drug manufacturing facilities. Overview:
The Field Reimbursement Manager (FRM) is part of the Market Access group supporting the ImprimisRx family of branded FDA-approved products in the United States. The Market Access team at ImprimisRx focuses their efforts on supporting physician practices, accounts, and ambulatory sites of care (ASC) providers with necessary support materials and education to seek coverage to therapy for appropriate patients. The primary goal of this role is to support appropriate patient and provider access to care to an assigned geographic region. The person in this role will monitor local healthcare payer policies, develop relationships with key advocacy leaders and provide direct support to prescribing physicians, ASCs, outpatient hospital facilities and support sales staff with reimbursement and market access. Job Scope:
The FRM will execute local market plans to support field-based priorities. This will include understanding and educating on local health policy, reimbursement, billing, coding, and patient access issues. FRMs will collaborate with their field partners to alleviate reimbursement and access issues impacting physician offices, ASCs and outpatient facilities and the ability of patients to access the ImprimisRx portfolio of FDA-approved products. The FRM in this role will have expertise in access and reimbursement issues encompassing coverage, prior authorizations, appeals, exceptions, denials, coding and payer payment guidelines, payer policies, sites of care, understanding of coding guidelines (CPT/J-Code/Pass-Through), statutory or commercial pricing structures or mandates and patient assistance programs. Responsibilities include:
Incorporates knowledge of dynamic and complex marketplace and business trends to deliver maximum access to the portfolio of ImprimisRx FDA-approved products Possess expertise in Medicare policies and the variations within all parts of Medicare Have a deep understanding of medical vs pharmacy benefit and policy, both Medicare Part B and Medicare Part D Demonstrates a broad understanding of the physician buy and bill model including experience with Medicare Transitional Pass-Through Status Understands ambulatory sites of care to support patient options Ensure processes are in place to drive clear communication with sales teams to ensure clarity of reimbursement and access issues and opportunities including support pull-through efforts Effectively and persuasively communicates with customers using effective selling, listening and negotiation skills, proper terminology, and approved messaging Utilizes only PRC approved resources and communications to meet objectives Listens and respond appropriately to customer needs and questions Maintains thorough knowledge of ImprimisRx FDA-approved products Creates and maintains a positive impression with customers Participates in teleconference and live National, regional and district meetings and training sessions and represent ImprimisRx at national and/or local conventions when requested Additional Requirements:
Able to act as an articulate advocate for the market access team Proven teamwork and collaboration skills with a demonstrated track record of working in highly matrixed and cross-functional work teams Applies appropriate interpersonal styles and communications methods to influence and build effective relationships with business partners Strong written and verbal communication skills Strong presentation skills Able to effectively manage competing priorities with strong sense of urgency Provides consistent communications (both positive and negative information delivery) and is proactive and time in the conveyance of this information Uses appropriate methods and interpersonal styles to develop, motivate, and guide a matrixed team toward successful outcomes and attainment of business objectives Highly developed analytical skills with demonstrated ability to conceptualize issues and synthesize data to provide strategic direction. Acts as a role model for others in line with ImprimisRx values. Internal applicants must be in their current position 6 months before they are eligible to apply Job
Qualifications:
Bachelor's Degree required. Advanced degree a plus. A minimum of 5 or more years of experience in the healthcare industry including a strong understanding of but not limited to, insurance verification and / or claim adjudication, physician office and outpatient billing, Buy-and-Bill model, medical benefit procurement, understanding of adjudication within Commercial and Government payers, Medicare, Medicaid, VA, and National and Regional Commercial payers. Candidate will live within assigned geographic area. Experience working in Ophthalmic/Eye Care sector is a plus. Work Environment While performing the responsibilities of the job, these work environment characteristics are representative of the environment the job holder will encounter. Reasonable accommodations may be made to enable people with disabilities to perform the essential functions of the job. The employee may frequently be required to sit and talk or hear. This position will be a remote position. The noise level in the work environment is usually quiet to moderate and is dependent on where the employee is conducting work, which will vary. AAP/EEO Statement ImprimisRx believes in creating long-term relationships by being responsive and relevant and by consistently delivering value to our community of customers. Specifically, with our employees, we focus on attracting, developing and retaining the best talent for our business, challenging our people, demonstrating a can-do attitude and fostering a collaborative and mutually supportive environment. Diversity creates a healthier atmosphere:
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status. ImprimisRx, LLC is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Salary Range:
$100K -- $150K
Minimum Qualification
Brand Marketing & ManagementEstimated Salary: $20 to $28 per hour based on qualifications.
The Field Reimbursement Manager (FRM) is part of the Market Access group supporting the ImprimisRx family of branded FDA-approved products in the United States. The Market Access team at ImprimisRx focuses their efforts on supporting physician practices, accounts, and ambulatory sites of care (ASC) providers with necessary support materials and education to seek coverage to therapy for appropriate patients. The primary goal of this role is to support appropriate patient and provider access to care to an assigned geographic region. The person in this role will monitor local healthcare payer policies, develop relationships with key advocacy leaders and provide direct support to prescribing physicians, ASCs, outpatient hospital facilities and support sales staff with reimbursement and market access. Job Scope:
The FRM will execute local market plans to support field-based priorities. This will include understanding and educating on local health policy, reimbursement, billing, coding, and patient access issues. FRMs will collaborate with their field partners to alleviate reimbursement and access issues impacting physician offices, ASCs and outpatient facilities and the ability of patients to access the ImprimisRx portfolio of FDA-approved products. The FRM in this role will have expertise in access and reimbursement issues encompassing coverage, prior authorizations, appeals, exceptions, denials, coding and payer payment guidelines, payer policies, sites of care, understanding of coding guidelines (CPT/J-Code/Pass-Through), statutory or commercial pricing structures or mandates and patient assistance programs. Responsibilities include:
Incorporates knowledge of dynamic and complex marketplace and business trends to deliver maximum access to the portfolio of ImprimisRx FDA-approved products Possess expertise in Medicare policies and the variations within all parts of Medicare Have a deep understanding of medical vs pharmacy benefit and policy, both Medicare Part B and Medicare Part D Demonstrates a broad understanding of the physician buy and bill model including experience with Medicare Transitional Pass-Through Status Understands ambulatory sites of care to support patient options Ensure processes are in place to drive clear communication with sales teams to ensure clarity of reimbursement and access issues and opportunities including support pull-through efforts Effectively and persuasively communicates with customers using effective selling, listening and negotiation skills, proper terminology, and approved messaging Utilizes only PRC approved resources and communications to meet objectives Listens and respond appropriately to customer needs and questions Maintains thorough knowledge of ImprimisRx FDA-approved products Creates and maintains a positive impression with customers Participates in teleconference and live National, regional and district meetings and training sessions and represent ImprimisRx at national and/or local conventions when requested Additional Requirements:
Able to act as an articulate advocate for the market access team Proven teamwork and collaboration skills with a demonstrated track record of working in highly matrixed and cross-functional work teams Applies appropriate interpersonal styles and communications methods to influence and build effective relationships with business partners Strong written and verbal communication skills Strong presentation skills Able to effectively manage competing priorities with strong sense of urgency Provides consistent communications (both positive and negative information delivery) and is proactive and time in the conveyance of this information Uses appropriate methods and interpersonal styles to develop, motivate, and guide a matrixed team toward successful outcomes and attainment of business objectives Highly developed analytical skills with demonstrated ability to conceptualize issues and synthesize data to provide strategic direction. Acts as a role model for others in line with ImprimisRx values. Internal applicants must be in their current position 6 months before they are eligible to apply Job
Qualifications:
Bachelor's Degree required. Advanced degree a plus. A minimum of 5 or more years of experience in the healthcare industry including a strong understanding of but not limited to, insurance verification and / or claim adjudication, physician office and outpatient billing, Buy-and-Bill model, medical benefit procurement, understanding of adjudication within Commercial and Government payers, Medicare, Medicaid, VA, and National and Regional Commercial payers. Candidate will live within assigned geographic area. Experience working in Ophthalmic/Eye Care sector is a plus. Work Environment While performing the responsibilities of the job, these work environment characteristics are representative of the environment the job holder will encounter. Reasonable accommodations may be made to enable people with disabilities to perform the essential functions of the job. The employee may frequently be required to sit and talk or hear. This position will be a remote position. The noise level in the work environment is usually quiet to moderate and is dependent on where the employee is conducting work, which will vary. AAP/EEO Statement ImprimisRx believes in creating long-term relationships by being responsive and relevant and by consistently delivering value to our community of customers. Specifically, with our employees, we focus on attracting, developing and retaining the best talent for our business, challenging our people, demonstrating a can-do attitude and fostering a collaborative and mutually supportive environment. Diversity creates a healthier atmosphere:
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status. ImprimisRx, LLC is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Salary Range:
$100K -- $150K
Minimum Qualification
Brand Marketing & ManagementEstimated Salary: $20 to $28 per hour based on qualifications.
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