Virtual Field Reimbursement Manager

Inizio Engage; United States; Teletrabalho; USD 98 000 - 182 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Competitive pay

Healthcare benefits

Paid time off

401(k) plan

Parental leave

Company holidays

Recognition programs

Career growth

Collaborative culture

Resumo da oferta

Inizio Engage is seeking a healthcare access specialist to educate providers on access pathways, prior authorization, and reimbursement strategies. The role focuses on ophthalmology-related pathways, payer policies, and cross-functional collaboration to ensure timely patient access.

The ideal candidate has 3+ years in reimbursement or patient access within healthcare and thrives in a virtual, fast-paced environment. English required; Spanish preferred.

Qualificações

• BS/BA degree required.
• 3+ years of reimbursement and patient access experience; 5+ years total healthcare industry experience.
• Experience engaging HCP staff to educate on access pathways and product requirements.
• Experience navigating payer reimbursement processes including Medicare Part D.
• Ophthalmology and self-injectable experience preferred.

Responsabilidades

• Educate healthcare providers and office staff on access to prescribed treatments within specialty pharmacy channel.
• Explain prior authorization and appeals processes and related forms.
• Upskill field partners on navigating access challenges across geography.
• Resolve patient access and reimbursement issues in a compliant, proactive manner.
• Provide PHI-compliant information to HCP offices with patient consent.

Conhecimentos

Virtual environment experience

Healthcare reimbursement knowledge

Interpersonal skills

English fluency

Spanish language

Formação académica

BS/BA Degree

Ferramentas

Microsoft Office

CRM systems

Descrição da oferta de emprego

Why You’ll Love Working Here

We believe great people deserve great support—at work and beyond. That’s why we offer a rewards experience designed to help you thrive personally, professionally, and financially:

• Competitive pay that recognizes your experience, expertise, and impact
• Comprehensive benefits including medical, dental, and vision coverage; accrued paid time off; 401(k) with company match; disability and life insurance; and paid maternity and paternity leave
• Company-paid holidays so you can rest, recharge, and focus on what matters most
• Recognition programs, contests, and awards that celebrate your contributions
• Continuous growth opportunities through learning, leadership development, and career advancement support
• A collaborative culture where your ideas are valued and your work makes a difference

We’re also proud to be recognized for creating an exceptional employee experience:

• Best Place to Work in BioPharma — 2022, 2023, 2025
• Certified Great Place to Work® — 2021, 2023, 2025, 2026

Learn more: https://www.greatplacetowork.com/certified-company/7003732

What you will be doing?

• Engage healthcare providers and appropriate office staff to educate on access to prescribed treatments within the specialty pharmacy channel, including addressing questions about initial access, insurance approval and reauthorizations pertaining to the initiation of product.
• Educate HCP office staff about prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements.
• Formulate and implement comprehensive educational framework to upskill field partners including Clinical Specialists and District Managers on navigating simple to moderately complex access challenges.
• Work compliantly and proactively to identify and resolve patient access and reimbursement issues, within assigned geography.
• Provide appropriate factual process information to HCP office utilizing Personal Health Information (PHI), with appropriate patient consent.
• Serve as reimbursement expert for patient support services team for assigned geography/plans
• Utilize approved resources and call guides/FAQs to provide education and answer questions as needed.
• Conduct ongoing payer policy reviews and contribute local, regional and national policy insights to key stakeholders and client leadership.
• Virtually manage assigned accounts and align with key stakeholders on ongoing support needs.
• Document call details with attention to data integrity to ensure compliance with program policies and business rules.
• Navigate CRM platform in daily interactions and learn internal team processes.
• Maintain confidentiality of Patient Health Information (PHI) and act in compliance with all laws, regulations, and company policies.
• Triage appropriate escalations to the manufacturer leadership team in accordance with the program design and business rules.
• Comply, take, and attend all required training. Adhere to all Inizio and client policies, procedures, business rules, and call guides, as well as applicable laws.

What do you need for this position?

• BS/BA Degree
• Proven success operating in a virtual environment
• 3+ years of relevant experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management, with 5+ years of total healthcare industry experience.
• Experience engaging HCP staff in a support role to educate on access pathways and product requirements
• Experience navigating payer reimbursement process, including commercial and Medicare Part D (pharmacy benefit design and coverage policy)
• Ophthalmology and self-injectable experience preferred
• Experience with specialty products acquired through specialty pharmacy networks
• Patient-centric and service-oriented mindset, with a high degree of emotional intelligence and empathy
• Exemplary interpersonal and listening skills
• Strong communication (written and verbal), and presentation skills
• Strong business acumen
• High enthusiasm with a drive to success within a team – demonstrated ability to reach common goals in collaboration with multiple therapeutic specialists, sales leadership, market access, and patient support services colleagues
• Highly organized with excellent attention to detail and the ability to multi-task in engaging both patients and providers
• Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook) and Google Suite Products
• Language requirements: English required and Spanish highly preferred

The base pay range for this position is $ 98K – $ 182K per year. The final compensation offered to a successful candidate will be determined by factors such as experience, skills, internal equity, and business needs.

About Inizio Engage

Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people, and providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need.

We believe in our values: We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them.

To learn more about Inizio Engage, visit us at: https://inizio.com/

Equal Opportunity & Inclusion

Inizio Engage is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by applicable federal, state, or local law.

Inizio Engage is committed to providing reasonable accommodations in accordance with applicable law.

Inizio Engage complies with applicable fair chance hiring laws and will consider qualified applicants regardless of criminal history. Where permitted by applicable law, employment offers may be contingent upon the successful completion of a background check. Any information obtained from a background check will be considered in relation to the requirements of the relevant position, consistent with applicable law.

Candidate Use of Artificial Intelligence in Interviews

As part of our commitment to a fair and equitable hiring process, candidates are expected to complete all interview activities without the use of artificial intelligence tools or external assistance unless such assistance is authorized in advance by Inizio Engage or otherwise required in accordance with applicable law. This includes, but is not limited to, using generative artificial intelligence platforms to produce, edit, or guide responses in real time. Candidates may be asked to confirm compliance with this policy. Any violation of this policy may result in disqualification from consideration of employment. Candidates may submit requests for reasonable accommodation in accordance with applicable law to the Inizio Engage Talent Acquisition team.