Field Reimbursement Manager - Pacific Northwest

ADP, Inc.; Washington; On-site; USD 175,000 - 210,000; Full time

Benefits offered by this job

Medical, Vision and Dental benefits

Generous paid time off

Company paid Disability benefits and L

401(k) Retirement Savings Plan

Paid Parental leave

Employee Stock Purchase Plan (ESPP)

Wellness programs

Professional development initiatives

Great Place to Work recognition

Job summary

Harmony Biosciences is seeking a Field Reimbursement Manager for the Pacific Northwest to educate providers on access services, reimbursement solutions, and claims processes. The role supports patient access after prescription and works with HUB, market access and field partners.

Candidates should have a business degree, 5+ years in pharma/biotech reimbursement, and experience with complex specialty products. Travel ~50% and residency in Seattle, WA or nearby preferred.

Qualifications

• 5+ years pharmaceutical / biotech reimbursement or access experience in limited distribution models or relevant experience.
• Experience launching rare disease products or complex specialty products.
• Cross functional teamwork and working in a matrix environment.
• Experience in the reimbursement process, field reimbursement service, and patient support programs.
• Experience coordinating patient and provider support services such as specialty pharmacy, HUB, and reimbursement services.
• Experience handling PHI in accordance with company policies and procedures.
• Preference will be given to candidates residing in or near Seattle, WA; San Francisco, CA, San Jose, CA; however, candidates living anywhere within the region will be considered.

Responsibilities

• Execute a regional strategic plan through partnership with internal and external stakeholders (HUB, market access, field partners).
• Provide education on formulary coverage, insurance forms, utilization management criteria, prior authorization, and claims resolution.
• Educate offices on insurance authorization and reimbursement requirements for Harmony products.
• Educate physician office staff on Harmony patient support services and approved materials.
• Manage daily activities to support patient access and perform in-person visits when appropriate.
• Adhere to Rules of Engagement and company guidance; input call activity into CRM; participate in meetings.

Skills

Reimbursement knowledge

Cross-functional collaboration

PHI handling

CRM usage

Education

Bachelor’s Degree in a Business or related discipline

Master’s Degree or higher preferred

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Field Reimbursement Manager - Pacific Northwest

Full Time Sales Field - Washington

27 days ago Requisition ID: 1572

Harmony Biosciences is recruiting for a Field Reimbursement Managerin our Northwest region. Field Reimbursement Manager (FRM) is a customer facing role that will be responsible to appropriately support the reimbursement process for providers and patients within a specific geographic region after receipt of a Harmony product prescription by our HUB. This role will be highly visible within the organization and responsible for providing education to healthcare providers and office staff on access services and reimbursement solutions.

Responsibilities include but are not limited to:

• The FRM will execute a regional strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), market access, and/or field partners.
• After the prescription is submitted, provide relevant office education and awareness to HCP Office which may include formulary coverage/utilization management criteria, insurance forms & procedures, Codes, benefits investigation, prior authorization, appeal, and/or claims resolution.
• Educate offices on the requirements to obtain insurance authorization and/or reimbursement of products for appropriate patients in a compliant manner.
• Educate physician office staff on the use of Harmony’s patient support services, using approved educational materials.
• Manage daily activities that support appropriate patient access to Harmony’s products by the provider offices and act as an extension of the HUB, as appropriate and provide in-person customer visits.
• Conduct all activities in a compliant manner and will work closely within a defined set Rules of Engagement, and other company guidance documents.
• Participate in meetings as appropriate.
• Input call activity into CRM, as appropriate.
• Review specific patient case information, in a compliant manner.
• Perform other duties as assigned.

Qualifications:

• Bachelor’s Degree in a Business or related discipline required; Master’s Degree or higher preferred.
• 5+years pharmaceutical / biotech reimbursement or access experience in limited distribution models or relevant experience; Experience launching rare disease product(s) or complex specialty products preferred.
• Demonstrated success of cross functional teamwork and working in a matrix environment.
• Experience in the reimbursement process, field reimbursement service, and patient support programs.
• Experience in coordinating patient and provider support services such as specialty pharmacy, HUB, and reimbursement services.
• Experience handling patient health information (PHI) in accordance with company policies and procedures.
• Candidates must live in assigned coverage area, Preference will be given to candidates residing in or near Seattle, WA; San Francisco, CA, San Jose, CA; however, candidates living anywhere within the region will be considered.

Physical demands and work environment:

• Travel is estimated to be 50% of the time for this position within assigned region.
• Must have a valid US driver’s license with the ability to safely operate a motor vehicle
• While performing the duties of this job, the noise level in the work environment is usually quiet.
• The employee must occasionally lift and /or move more than 20 pounds.
• Specific vision abilities required by this job include close vision.
• Manual dexterity required to use computers, tablets, and cell phone. Continuous sitting for prolonged periods.

What can Harmony offer you?

• Medical, Vision and Dental benefits the first of the month following start date
• Generous paid time off and Company designated Holidays
• Company paid Disability benefits and Life Insurance coverage
• 401(k) Retirement Savings Plan
• Paid Parental leave
• Employee Stock Purchase Plan (ESPP)
• Company sponsored wellness programs
• Professional development initiatives and continuous learning opportunities
• A certified Great Place to Work for eight consecutive years based on our positive, values-based company culture

The anticipated salary range for fully qualified candidates applying for this position is $175,000 - $210,000 USD annually. This salary range is an estimate of what we reasonably expect to pay for this posted position. The actual salary may vary based on various factors including, without limitation, individual education, experience, tenure, skills and abilities, internal equity and alignment with market data. In addition to a competitive market-based salary, Harmony Biosciences offers the opportunity to participate in stock programs and a comprehensive benefits package. This position is also eligible for an incentive compensation plan.

Harmony Biosciences is a pharmaceutical company headquartered in Plymouth Meeting, PA. The company was established in October 2017 with a vision to provide novel treatment options for people living with rare, neurological disorders who have unmet medical needs. For more information on Harmony Biosciences, visit www.harmonybiosciences.com

Harmony Biosciences is an Equal Opportunity, e-Verify Employer. All qualified applicants will receive equal consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, marital status, sexual orientation, gender identity/expression, age, disability, genetic information, military service, covered/protected veteran status or any other federal, state or local protected class.

Recruitment agencies please note: Harmony Biosciences will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation.