Virtual Field Reimbursement Manager

Ashfield Healthcare, LLC; Yardley (WA); Hybrid; USD 98,000 - 182,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401(k) with company match

Paid time off

Company holidays

Career development & recognition

Great Place to Work recognition

Job summary

Inizio Engage is seeking a Virtual Field Access Manager to educate HCPs and staff on access pathways, prior authorizations, and reimbursement for Genentech products. The role focuses on national payer landscape knowledge, compliant handling of PHI, and partnering with Clinical Specialists and District Managers to resolve access challenges.

Candidates should have a BS/BA and 3+ years in reimbursement/patient access, with 5+ years in healthcare overall.

Qualifications

• 3+ years of reimbursement and patient access experience in healthcare.
• 5+ total years in healthcare industry.
• Experience engaging HCP staff to educate on access pathways and product requirements.
• Experience navigating payer reimbursement processes (commercial, Medicare Part D).
• Ophthalmology/self-injectable experience preferred.

Responsibilities

• Educate HCPs on access, insurance approval, and reauthorization for products.
• Explain prior authorization processes and forms to office staff.
• Develop educational framework for field partners including Clinical Specialists and District Managers.
• Manage patient access and reimbursement issues within assigned geography; ensure PHI confidentiality.
• Support payer policy reviews and provide insights to stakeholders.
• Navigate CRM platform daily and document calls with data integrity.

Skills

Reimbursement knowledge

HCP engagement

Payer policy

Communication

Multitasking

Detail-oriented

Education

BS/BA Degree

Tools

Microsoft Office

CRM platform

Google Suite

Job description

Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. The Virtual Field Access Manager will provide access education to HCPs of insured patients who enroll in vendor programs and/or have been prescribed one of our client’s brands. They will engage healthcare providers, and their staff to communicate and educate on patient benefit coverage, prior authorization processes, general payer policy criteria and affordability programs supporting the initiation of the products. They will have a solid understanding of the local, regional and national payer landscape. Exceptional customer and patient engagement skills, attention to detail, and the ability to think comprehensively is a must. The virtual Field Access Manager will report to a National Director. This is your opportunity to join Inizio Engage and represent Genentech, a top biotechnology company!

Why You’ll Love Working Here

• 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. 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. That’s why at Inizio Engage we’ve brought together a group of more than 7,000 experts, working in more than 20 countries. A passionate, diverse team with global reach and local knowledge. Together, we partner with our clients to challenge conventional thinking to empower people to make better health decisions and enhance treatment outcomes across the globe.