Access & Reimbursement Manager, Immunology - Remote

Overview

The Access & Reimbursement Manager will act as the primary contact for access and reimbursement support, focusing on payer policy coverage, billing, coding, and integration of manufacturer support programs.

In Short

• Serve as the local market access expert on payer policy coverage.
• Support patient access through education on product-specific programs.
• Analyze reimbursement issues and provide solutions.
• Collaborate with healthcare providers and staff to enhance patient access.
• Communicate policy changes affecting access and reimbursement.
• Maintain expertise in regional access landscapes.
• Engage with Patient Support Center for case management.
• Develop Plans of Action for access situations.
• Educate stakeholders on buy-and-bill processes.
• Ensure compliance with HIPAA and internal guidelines.

Requirements

• Bachelor’s Degree required; advanced degree preferred.
• 3-5 years of experience in reimbursement or pharmaceutical industry.
• Experience with specialty pharmacy products and coding.
• Prior account management experience required.
• Knowledge of Medicare and Medicaid policies preferred.
• Ability to travel at least 50% within assigned territory.
• Strong presentation and teamwork skills.
• Understanding of patient privacy laws.
• Excellent computer skills including PowerPoint and Excel.
• Valid driver's license required.

Benefits

• Competitive salary and benefits package.
• Opportunities for professional development and growth.
• Inclusive workplace culture that fosters innovation.
• Supportive team environment.
• Flexible working arrangements.