Reimbursement Navigator
$160,000–$170,000 year
RemotePasadena, California, United States
Job Summary
Manage assigned healthcare provider accounts and patient cases within a defined geographic region to advance patient access and reimbursement for Redemplo®. Deliver approved reimbursement education, facilitate patient access, resolve complex coverage challenges, and support case pull-through by collaborating with Sales, Market Access, Specialty Pharmacy, and HUB partners. Analyze reimbursement issues to develop strategies that optimize patient access while ensuring compliance with all policies and regulations. Document customer interactions, maintain accurate records, and proactively identify barriers to improve the customer experience. Operate in full compliance with legal, regulatory, and privacy requirements while managing business travel and expenses within established guidelines.
Required Qualifications
- Bachelor's degree
- healthcare, life sciences, nursing, or a related field
- Minimum of seven (7) years of pharmaceutical and/or biotechnology industry experience
- Minimum of three (3) years of experience in one or more of the following: Field reimbursement, Patient access and reimbursement, Specialty medication access solutions, Specialty pharmacy, Advanced specialty pharmaceutical sales, Patient support services
- Demonstrated knowledge of pharmacy benefit reimbursement
- Demonstrated ability to analyze and resolve complex reimbursement and patient access challenges
- Strong understanding of specialty pharmacy operations and patient support services
- Must reside within the assigned territory or territory boundaries
- Valid driver's license with the ability to travel extensively throughout the assigned territory
- Candidates must have current, valid authorization to work in the country where this role is located
Desired Qualifications
- Experience supporting rare disease, cardiometabolic, or specialty pharmaceutical products
- Experience supporting a commercial pharmaceutical product launch
- Strong knowledge of payer coverage, reimbursement, specialty pharmacy, and patient support programs
- Excellent presentation, communication, and relationship-building skills
- Demonstrated strategic account planning, case management, and territory management capabilities
- Ability to effectively collaborate across cross-functional teams
- Strong analytical, problem-solving, and organizational skills
- High emotional intelligence with the ability to build trusted relationships with customers and internal partners
- Demonstrated accountability, ownership, adaptability, and customer focus
- Ability to thrive in a dynamic, fast-paced environment while maintaining a high level of professionalism and compliance
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.