Immunology Field Access & Reimbursement Lead

Jobtailor

Cincinnati (OH)

Hybrid

USD 95,000 - 130,000

Full time

9 days ago
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Job summary

Jobtailor is seeking a field-based reimbursement and access specialist in the United States to educate providers, resolve access issues, and partner with sales teams across Immunology accounts. The role requires up to 50% travel and hybrid on-site support with healthcare providers, focusing on coverage, prior authorizations, and coding policies.

The candidate will develop strong payer policy knowledge, navigate reimbursement processes, and collaborate with managed care colleagues to adapt to

Qualifications

  • Bachelor’s degree required; healthcare or business/public administration preferred.
  • Minimum 5 years of relevant professional experience.
  • Account Management and/or Reimbursement experience in a provider office setting.
  • Demonstrated expertise with pharmacy and medical/buy & bill benefits, coding, and billing.
  • Reimbursement or managed care experience including revenue cycle, buy-and-bill, prior authorization, coding, and appeals.

Responsibilities

  • Serve as the primary field-based lead for education, assistance, and issue resolution regarding patient access to immunology therapies.
  • Spend up to 50% on-site with healthcare providers, assess education needs, and facilitate stakeholder collaboration.
  • Educate healthcare providers on product coverage, prior authorizations, appeals, and payer coding requirements.
  • Collaborate with sales representatives and key account managers as the local reimbursement expert.
  • Address critical patient access and affordability issues with urgency.
  • Collaborate with managed care colleagues to understand current policies and potential future changes.
  • Build trust-based relationships with customers in assigned Immunology accounts.
  • Manage territory logistics, routing, and account business planning.

Skills

Account Management
Reimbursement Experience
Healthcare Education
Relationship Building
Communication

Education

Bachelor’s degree
Advanced degree preferred

Tools

Salesforce.com CRM
Microsoft Excel
Microsoft Word

Job description

Jobtailor is seeking a field-based reimbursement and access specialist in the United States to educate providers, resolve access issues, and partner with sales teams across Immunology accounts. The role requires up to 50% travel and hybrid on-site support with healthcare providers, focusing on coverage, prior authorizations, and coding policies.

The candidate will develop strong payer policy knowledge, navigate reimbursement processes, and collaborate with managed care colleagues to adapt to

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