Field Reimbursement Manager - West

Recordati; San Francisco (CA); Remote; USD 75,000 - 115,000; Full time

Job summary

An established industry player is seeking a dynamic Field Reimbursement Manager to enhance access to vital therapies for rare diseases. This role emphasizes collaboration with healthcare providers to educate them on reimbursement processes and ensure patient access to treatments. The successful candidate will thrive in a professional remote environment, leveraging strong communication and relationship-building skills to navigate the complexities of the U.S. pharmaceutical landscape. Join a passionate team dedicated to making a significant impact on patients' lives and help shape the future of healthcare access.

Qualifications

• Bachelor's degree required; 3-5 years in healthcare/pharma industry.
• Experience in field reimbursement and patient support HUB services.

Responsibilities

• Manage accounts focusing on reimbursement education for healthcare providers.
• Collaborate with cross-functional teams to maximize customer knowledge.

Skills

Relationship Building

Communication Skills

Problem-Solving

Organizational Skills

Analytical Skills

Education

Bachelor's Degree

Tools

Microsoft Office

Job description

With its beginnings in a family run pharmacy in Correggio, Italy in the 1920s, Recordati is now a global pharmaceutical company, listed on the Italian stock exchange, with over 4,500 employees and turnover of over Euro 2bn.

We are a group of like-minded, passionate individuals who go to extraordinary lengths for our patients, customers, partners, investors and the people across the globe who we serve. We develop and commercialise medicines to serve people living with common diseases, as well as those living with some of the rarest, in around 150 countries.

At Recordati, our mantra is simple. We’ve always believed that health, and the opportunity to live life to the fullest, is a right, not a privilege. Whether that is for common diseases or the rarest – we want to give people the opportunity to be the best version of themselves.

This drive will never stop. Together, we will always be reimagining tomorrow – with new ideas, new technologies and new innovations to fight diseases.

Recordati. Unlocking the full potential of life.

This position is with Recordati Rare Diseases, Inc. (RRD), North America, an affiliate of Recordati.

Recordati Rare Diseases, Inc. (RRD) develops high-impact therapies for rare diseases, focusing on providing treatments to underserved communities in the U.S. Our mission is to mitigate the impact of rare diseases through increased awareness, better diagnoses, and improved treatment access in endocrinology, metabolic, hematology and oncology franchises. RRD is dedicated to fostering a dynamic work environment that promotes professional growth and a significant impact on patients' lives.

Reporting Structure

Reports To: Sr. Director, US Patient Services and Payer Access
Direct Reports: None
Areas Managed: Field Reimbursement

Overview

The Field Reimbursement Manager (FRM) will be responsible for managing accounts in a specified region focusing on but not limited to Endocrinology. The FRM is responsible for providing access and reimbursement education to healthcare providers (HCPs), office personnel including medical policies, prior authorization requirements, coding and billing, product access via buy-bill or specialty pharmacy with the goal of minimizing barriers to therapy. The FRM also supports by providing general education and case-specific guidance in response to prior authorization denials. This role involves investing some time on-site with HCPs, assessing their access and reimbursement needs education needs and facilitating collaboration with various stakeholders.

Key Responsibilities

1. Partnering with cross-functional parties on overall account and territory strategy to maximize internal/external customer knowledge on payor policy and processes
2. Collaborate with Specialty Pharmacy to follow up with accounts that have outstanding prior authorization or appeals submissions
3. Being a subject matter expert on reimbursement and regional-specific access landscape. This includes payor policies, prior authorization requirements, denials, appeals, peer to peer and other education required to navigate access for coverage of company therapies
4. Collaborating with cross-functional parties on individual case management needs related to HCP education on reimbursement issues
5. Leveraging all available resources including internal data to develop and execute account plans/call purpose
6. Complying with all laws, regulations and policies that govern the conduct of company activities, work with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct
7. Complying with annual budget allocation within respective territory
8. Perform additional duties as may be assigned.

Education and Experience

1. Bachelor’s degree
2. Experience in working with patient support HUB services
3. Minimum of three to five years of experience in the healthcare and/or pharmaceutical industry
4. Minimum of three years successful field reimbursement experience
5. Minimum of two years of experience working with buy and bill and/or specialty pharmacy networks
6. Ability to analyze and interpret regulations and legislation regarding coding, coverage and reimbursements
7. In-depth knowledge of the U.S. pharmaceutical market, specifically rare diseases.
8. Account Management and/or Reimbursement experience working with the provider office setting, building strong customer relationship
9. Reimbursement or relevant managed care experience (buy-and-bill, prior authorization, coding, and appeals processes)
10. Problem-solving ability to navigate challenging access scenarios and identifies solutions in a timely and efficient manner
11. Comfortable presenting in person or virtual to Healthcare practitioner office staff
12. Superior communication skills (written and verbal) and efficient follow-through

Knowledge and Skills

1. Strong relationship-building skills, with demonstrated ability to collaborate and operate across functions
2. Strong planning and organizational skills; demonstrated decision-making ability
3. Valid drivers license in good standing
4. Proficiency in Microsoft Office
5. Demonstrated highest ethical standards
6. Demonstrated effective problem-solving and decision-making capabilities
7. Ability to prioritize/multi-task effectively
8. Excellent verbal and written communication skills

This job operates in a professional remote environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Based upon job requirements, the employee may be required at times to attend meetings including travel out of state over weekends and nights. The employee must be able to freely operate and travel by car and train/plane modes of transportation. The employee is required to have a valid driver’s license and means of transportation.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee must be able to fly via commercial air carrier.

This is largely a sedentary role; however, the employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms; talk and hear. Occasionally is required to lift and/or move light to moderate weight up to 25 lbs.

Location/Travel

• This position is a remote position with proximity to a major airport
• This position requires approximately 20% travel

FLSA Classification

• This position is considered Exempt.

EEO Statement

It is the policy of Recordati Rare Diseases to provide equal employment opportunity (EEO) to all persons regardless of race, color, religion, sex, sexual orientation, gender identity, or national origin. Further, Recordati Rare Diseases will not discriminate on the basis of any characteristic protected by federal, state, or local law. Recordati Rare Diseases will provide reasonable accommodations for a qualified individual with disabilities.

Disclaimer

This job description is not designed to cover or contain a comprehensive listing of the activities, duties or responsibilities that may be required.

At Recordati we believe in people! Inspired by our purpose - unlocking the full potential of life - we are committed to creating a diverse environment and cultivating a culture of inclusion. We strive to continually lead with our values and beliefs, enabling our employees to bring their whole selves to work and develop their potential.

We are proud to be an equal opportunity employer. We recruit, develop and reward without regard to, amongst others, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental ability, race, ethnicity, political or religious belief.

If you are looking to join a company where you can try new things, speak openly, and be bold, we invite you to apply today.