Sr Field Reimbursement Manager-East
$181,000–$234,500 year
On-siteWoburn, Massachusetts, United States or Woburn, Ontario, Canada
Job Summary
Manage the overall reimbursement process for Replimune's Eastern US market by collaborating with the field sales force, market access team, and patient support services. Gain a firm understanding of clinical policies, coding guidelines, and prior authorization protocols to quickly identify and resolve outstanding billing reimbursement issues. Inform the Field Sales Team of specific territory hurdles regarding Replimune Compliance guidelines and partner with the Director of National Accounts to understand payer-based medical policies and clinical criteria. Use approved tools and dashboards to assist in making a smooth patient journey, while proactively communicating with the Market Access account team to track and report on key performance indicators. Advise on the development of field tools and conduct updates on approval status for FDA approved products. This field-based position requires candidates to reside within the Eastern US territory and travel as required.
Required Qualifications
- College Degree
- Five (5) + years or relevant reimbursement experience preferably in oncology 'Buy and Bill' settings, including community and academic center environments
- Comprehensive knowledge and understanding of the payers in the US health care system, including Medicare, Commercial, Medicaid and other payer archetypes
- Strong knowledge of market access, patient access and support services, with an emphasis on payer and provider reimbursement
- Ability to communicate with customers and stakeholders in a professional manner to build trust and credibility with health care providers
- Travel as required to assist in the overall reimbursement process
- Reside within the territory for which they are applying
Desired Qualifications
- Proven track record in product reimbursement and coding, preferably in Oncology, with the melanoma therapeutic area a plus
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