Field Reimbursement Manager, CAR-T

Jobtailor; Deutschland; Vor Ort; EUR 90.000 - 130.000; Vollzeit

Zusammenfassung

Jobtailor is seeking an experienced field-based reimbursement specialist to lead education and issue resolution for CAR-T reimbursement. The role involves extensive on-site work with customers, educating staff on access pathways, payer requirements, and formulary status.

You will triage access challenges, collaborate with Market Access, sales, and medical teams, and stay current with Medicare/Medicaid changes.

Qualifikationen

• Bachelor’s degree required with strong reimbursement knowledge.
• 5+ years of relevant experience including oncology or specialty disease areas.
• Live near a major airport and within the assigned geographic region.
• Extensive payer policy, coding, coverage, and payment knowledge.
• Experience in revenue cycle, prior authorization, and formulary processes.
• Knowledge of national/state Medicare/Medicaid/private payer initiatives.

Aufgaben

• Serve as the primary field-based lead for education and issue resolution on CAR-T reimbursement.
• Spend up to 75% of time on-site with customers assessing education needs.
• Educate staff on access processes, barriers, and payer actions supporting therapy access.
• Monitor and triage situations affecting patient access to therapy.
• Collaborate with Market Access, sales, medical, and internal groups to resolve issues.
• Be SME on Medicare/Medicaid guidelines, payer changes, and formulary status.
• Maintain contacts, prior authorization requirements, and competitive intelligence.
• Educate Customer Care on market access and medical benefit design.
• Operate in compliance with ethical, legal standards and complete training.

Kenntnisse

Payer Policy Expertise

Reimbursement Knowledge

Field-Based Education

Oncology Knowledge

Project Management

Ausbildung

Bachelor's Degree

Advanced Degree or Clinical License (Preferred)

Tools

Salesforce.com CRM

Microsoft Word

Microsoft Excel

Native iOS Apps

Jobbeschreibung

• Serve as the primary field-based lead for education, assistance, and issue resolution regarding CAR-T reimbursement
• Spend up to 75% of time potentially on-site with customers assessing education needs and facilitating stakeholder collaboration
• Educate office staff on access and payer approval processes, access barriers, and actions supporting therapy access
• Monitor, analyze, and triage situations that may adversely impact patient access to therapy
• Liaise with Market Access, sales, medical, and other internal groups to identify and resolve patient-access issues
• Serve as subject matter expert on Medicare treatment guidelines, Medicaid Managed Care, commercial plans, policy changes, formulary status, and healthcare reform impacts on coverage
• Maintain and share account contacts, prior authorization requirements, trends, and competitive intelligence with the Market Access Department
• Educate Customer Care Area peers on Market Access, reimbursement, medical coverage policies, and medical benefit design
• Conduct business according to ethical, legal, and compliance standards and complete required training

Requirements

• A minimum of a Bachelor’s degree is required
• Five years of relevant experience, including three years in specialty disease state(s)
• Must live within the assigned geographic region; candidates in other states may be considered
• Extensive technical knowledge of payer policy and reimbursement, including coding, coverage, and payment
• Extensive experience in revenue cycle, buy-and-bill, formulary, prior authorization, coding, and appeals processes
• Must live in close proximity to a major airport
• Valid Driver's License issued in the United States
• Advanced degree or clinical license preferred
• Two years of reimbursement or relevant managed care experience preferred
• Experience in multiple myeloma or related oncology areas preferred
• Knowledge of payer approval processes and business acumen
• Strong organizational, problem-solving, and project management skills
• Understanding of national and state legislative, Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement
• Salesforce.com CRM, native iOS apps, Microsoft Word, and Excel proficiency
• Superior written and verbal communication skills and excellent follow-through
• Experience in field-based reimbursement and oncology preferred
• Ability to develop and execute education plans
• Demonstrated ability to conduct field-based reimbursement and access support, education, and consultation
• Commitment to learning and applying emerging technologies such as AI
• Ability to obtain and maintain access to a national airport

Core Competencies

Demonstrates extensive knowledge of payer policy and reimbursement processes, including coding, coverage, and payment, while effectively educating stakeholders on access barriers and facilitating collaboration. Proven ability to analyze and resolve patient access issues in compliance with ethical and legal standards.

Highest-signal resume keywords

• Payer Policy Expertise
• Reimbursement Processes
• Field-Based Education
• Oncology Knowledge
• Project Management Skills

ATS Optimization Keywords

Hard Skills

• Coding
• Coverage
• Payment
• Revenue Cycle Management
• Prior Authorization
• Appeals Processes
• Market Access
• Healthcare Reform Knowledge
• Patient Access Support
• Education Plan Development

Soft Skills

• Organizational Skills
• Problem‑Solving Skills
• Communication Skills
• Follow-Through
• Collaboration

Certifications & Qualifications

• Bachelor's Degree
• Advanced Degree or Clinical License (Preferred)

Industry Keywords

• CAR-T Reimbursement
• Medicare Treatment Guidelines
• Medicaid Managed Care
• Commercial Plans
• Formulary Status
• Pharmaceutical Reimbursement
• Biotechnology Reimbursement
• Specialty Disease States
• Multiple Myeloma
• Managed Care Experience

Tools & Technologies

• Salesforce.com CRM
• Microsoft Word
• Microsoft Excel
• Native iOS Apps