Field Reimbursement Manager - Chicago Territory

EVERSANA; Illinois; On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive compensation

401K plan

Paid time off

Job summary

EVERSANA is seeking a Field Reimbursement Manager to educate providers and payers about access and reimbursement for Shionogi products across defined geographies. This field-based role combines in-person visits with virtual education to optimize patient access.

You will collaborate with HUB, sales, market access, and payer policy teams; travel up to 60-70% domestically and build strong relationships with healthcare providers across neurology centers and hospitals.

Qualifications

• Bachelor’s degree is required.
• Minimum of 5 years in the pharmaceutical industry with payer policy experience.
• Minimum of 3 years in benefit verifications and prior authorization or equivalent patient access experience.
• Knowledge of CMS policies and Medicare Part D processes.
• Strong organizational, communication, and relationship-building skills.
• Ability to travel up to 60-70% domestically.
• Valid driver’s license is required.

Responsibilities

• Manage daily field-based activities to support patient access in neurology centers and provider offices.
• Execute collaborative territory plans with internal and external stakeholders (HUB, sales, market access).
• Interact with multiple care sites (physician offices, hospitals) 60–70% of the time.
• Educate healthcare provider staff on approved patient access services as a subject matter expert.
• Collaborate with internal field teams to ensure consistent education in the geography.
• Review payer policies and prior authorization requirements to facilitate patient access.

Skills

Payer policy

Prior authorization

Field-based role

Travel 60-70%

CMS knowledge

Education

Bachelor’s degree

Tools

MS Office

Job description

At EVERSANA, we are proud to be a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 6,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to the market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us!

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA.

The EVERSANA/Shionogi - Field Reimbursement Manager is a field-basedrole that provides in person and virtual education to defined accounts within their assigned geographies on a range of access and reimbursement issues in support of Shionogi products.

EVERSANA Deployment Solutions offers our employees competitive compensation, paid time off, company paid holidays, excellent training, employee development programs, 401K plan with an employer match, and an extensive list of comprehensive employer benefits that includes medical, dental, and vision insurance along with a whole host of other valuable programs.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Manage daily field-based activities to support appropriate patient access in key neurologycenters and provider offices
• Execute collaborative territory plan through partnership with internal and external stakeholders, which may include call center services (HUB),sales, market access, and other partners
• Interact frequently in the field (60-70% of the time) with key stakeholders in multiple sites ofcare including, physician practices, hospitals, and other sites of care.
• Serve as a subject matter expert in educating healthcare provider staff on approved patient access services
• Collaborate with various internal field teams to ensure appropriate education in assigned geography
• Review and educate offices on payer policies such as prior authorization requirements to ensure patient access
• Review patient-specific information in cases where the site hasspecifically requested assistance in resolving issues orcoverage challenges.
• Provide feedback to internal teams on local payer trends and access issues
• Perform other duties as required

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

• Bachelor’s degree required
• Minimum of 5 years of pharmaceutical industry with experience in payer policy and reimbursement
• Minimum of 3 years benefit verifications and prior-authorization requirement experience or equivalent experience in patient access, billing and coding - rare disease preferred
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with experience in Medicare Part D
• Self-direction coupled with strong organizational skills
• Outstanding interpersonal skills, consultative approach, and customer orientation; proven ability to build and maintain strong working relationships with internal and external customers
• Strong communication skills: oral, written, training/presentation
• Proficient in MS Office
• Must be able to travel up to 60-70% domestically
• Valid driver’s license to drive to healthcare provider sites

OUR CULTURAL BELIEFS

Patient Minded -I act with the patient’s best interest in mind.

Client Delight -I own every client experience and its impact on results.

Take Action -I am empowered and hold myself accountable.

Grow Talent- I own my development and invest in the development of others.

Win Together- I passionately connect with anyone, anywhere, anytime to achieve results.

Communication Matters -I speak up to create transparent, thoughtful and timely dialogue.

Embrace Diversity -I create an environment of awareness and respect.

EVERSANA is committed to providing competitive salaries and benefits for all employees. If this job posting includes a base salary range, itrepresentsthe low and high end of the salary range for this position and is not applicable to locations outside of theU.S.Compensation will bedeterminedbased on relevant experience, other job-related qualifications/skills, and geographic location (to account for comparative cost of living). This role is eligible for hire in select U.S. locations based on business and operational considerations. For a full list of locations, visit eversana.com/careers.More information about EVERSANA’s benefits package can be found at eversana.com/careers. EVERSANA reserves the right tomodifythis base salary rangeand benefitsat any time.

From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an unintended hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at [e-mail].