Field Reimbursement Manager

RemX | The Workforce Experts; Oklahoma City (OK); On-site; USD 115,000 - 116,000; Full time

Job summary

A staffing agency is seeking a Field Reimbursement Manager in Oklahoma City. This role involves managing specialty drug prior authorizations and appeals while training provider staff. Successful candidates will have at least 2 years of experience, a strong focus on patient care, and skills in territory management. The position offers a competitive base pay of $115-116K and is positioned for mid-senior level professionals.

Qualifications

• 2+ years experience with specialty drug prior authorizations and appeals.
• Expertise in Medicare Part D and reimbursement processes.
• Strong leadership and education skills.

Responsibilities

• Manage prior authorizations and appeals for specialty drugs.
• Educate and train provider office staff in your territory.
• Address and overcome barriers to medication approval.

Skills

Specialty drug Prior Authorizations

Territory management

Training and educating provider office staff

Escalations management

Patient Assistance program approvals

Job description

Field Reimbursement Manager , LPN, PharmD, or Biologic Coordinator looking for the next step in their career.

OKLAHOMA / NORTH TEXAS (Oklahoma City, Tulsa, Amarillo, and Wichita Falls, TX). This position base pay is $115-116K

Seeking an Expert in Specialty drug Prior Authorizations, Appeals, and working denials, with territory management experience, and experience training and educating provider office staff.

The best FRM candidates will :

1) Truly care about the patients and work through all roadblocks and barriers to get the medications approved and paid for.

2) have expertise in all: Specialty Drug Prior authorizations through portals, benefits investigations, Medicare Part D, working appeals and denials.

3) 2+ years experience in: escalations, education, Patient Assistance program approvals, foundation coverage, guidelines, and reimbursement.

4) You know how to keep up with changes and updates to drug programs, new FDA indications, miscellaneous J-codes, and payer policy changes that impact reimbursement.

5) We also like to see leadership and training or educating skills, as you will be teaching others in your territory.

6) Degree is not required.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider and Strategy/Planning
• Hospitals and Health Care, Retail Pharmacies, and Medical Practices