Field Reimbursement Manager - South

Paragon Biosciences LLC; Plymouth Township (PA); On-site; USD 90,000 - 140,000; Full time

Benefits offered by this job

Medical, Vision and Dental benefits

Paid time off

401(k) Retirement Savings Plan

Parental leave

ESPP

Wellness programs

Job summary

Harmony Biosciences is seeking a Field Reimbursement Manager for the South/Ft. Lauderdale region. The role educates healthcare providers on access services, reimbursement solutions, and coverage criteria, while executing a regional strategic plan with HUB and market access partners.

Travel is required to meet with provider offices and HUB collaborators. The position requires a bachelor’s degree in business or related field with 5+ years in pharma reimbursement or access, and experience with PHI

Qualifications

• Bachelor’s Degree in 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 or complex specialty products is a plus.

Responsibilities

• Execute a regional strategic plan with internal/external stakeholders.
• Educate offices on insurance coverage, prior authorizations, appeals and claims.
• Educate provider offices on Harmony’s patient support services.
• Manage daily activities to support patient access and perform in-person visits.
• Input call activity into CRM and review patient case information in a compliant manner.
• Operate in compliance with Rules of Engagement and company guidance.

Skills

Pharma reimbursement

Cross-functional teamwork

PHI handling

Education

Bachelor’s Degree in Business or related

Master’s Degree or higher preferred

Job description

Field Reimbursement Manager - South

Full Time Management Field – Florida

8 days ago Requisition ID: 1579

Harmony Biosciences is recruiting for a Field Reimbursement Manager in our Southern 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

• 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.

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.

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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.