About the Role

The Field Reimbursement Manager (FRM) is a key contributor to the overall patient support program for Purified Cortrophin Gel. The FRM serves as the partner in product access, with a focus on patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business-related issues within the patient support division. This includes communicating with the case management team conducting benefit investigations, educating health care providers on the prior authorization and appeal process, and coordinating other patient services.

Responsibilities

• Reports to a director on the field reimbursement team for development and mentoring
• Provides proactive education to health care provider on the insurance requirements for a patient’s prescription
• Works with Hub case manager and in-network Specialty Pharmacies on prior authorization requirements and communication with HCP and patients
• Coordinates communication and activities with Nurse Access Specialist colleagues
• Facilitates patient assistance when applicable, such as copay and free goods
• Partners with managed care colleagues to understand policies and highlight new trends
• Collaborate with sales colleagues when appropriate and as directed by Compliance policies

Skills/Competencies

• Strong collaboration with Hub partners and cross-functional colleagues
• Familiarity with OIG guidance, HIPAA guidelines and FDA protocols
• Possesses a sense of urgency to address critical access issues for patients
• Problem-solver who navigates challenging access scenarios and identifies solutions