Strategic Field Reimbursement Leader

CSL; Charlotte (NC); On-site; USD 120,000 - 150,000; Full time

Job summary

CSL Behring is seeking a reimbursement specialist to support CSL therapies and ensure optimal coverage across payer programs. You will collaborate with physicians, sites of service and payers to drive appropriate reimbursement and coding for products.

The role requires 50-60% domestic travel, engagement with federal and state programs, and training the field on reimbursement matters. A strong background in healthcare economics is essential.

Qualifications

• Bachelor’s degree required.
• 5-8 years of reimbursement experience.
• Strong understanding of Medicare policies; Medicaid knowledge helpful.
• Experience with patient advocacy groups preferred.

Responsibilities

• Work with payers, specialty pharmacies, physician champions, and professional societies to secure adequate reimbursement of CSL Behring Therapies.
• Aid physicians, sites of service and their support staff in the reimbursement process.
• Provide in-service training to sales and marketing on the fundamentals of healthcare economics.
• Execute reimbursement strategies that proactively integrate and align with marketing and sales strategies.
• Execute strategies with third party payers to insure adequate reimbursement (hospitals, home health providers, ambulatory care centers and physicians).
• Work directly with third party payers and Medicare offices to insure adequate reimbursement for our products.
• Provide monthly report recounting significant activities, progress and follow-up needed.
• Assess reimbursement environment (coverage, coding and payment) for any new products and procedures.

Skills

Dealing with ambiguity

Healthcare policy knowledge

Command skills

Customer focused

Ethics and values

Written communications

Interpersonal savvy

Education

Bachelor's degree

Job description

CSL Behring is seeking a reimbursement specialist to support CSL therapies and ensure optimal coverage across payer programs. You will collaborate with physicians, sites of service and payers to drive appropriate reimbursement and coding for products.

The role requires 50-60% domestic travel, engagement with federal and state programs, and training the field on reimbursement matters. A strong background in healthcare economics is essential.