Field Reimbursement Manager

Field Reimbursement Manager Location: Memphis, TN; additional: New Orleans, LA. Job Description Summary This position is a critical front-line member of the Keenova Access and Reimbursement team. The Field Reimbursement Manager (FRM) represents Keenova's interest with Xiaflex, Testopel, Aveed, and Supprelin LA with HCP accounts, as well as all internal Keenova stakeholders and field sales personnel. The FRM will be an expert and provide education, training, and hands‑on assistance related to access of the above products. Responsibilities Critical point person for all reimbursement and acquisition logistics for high‑touch biologic medication for an orphan disease, and testosterone products with multiple acquisition options within a changing payer landscape. Assist HCP offices with questions related to Buy/Bill BI management, educate and assist with Specialty Pharmacy understanding, expectations, and logistics. Continually educate office staff on appropriate steps, importance of chart documentation, keep offices up to date on payer policies for Keenova products, and triage issues to the appropriate HUB and Specialty Pharmacy. Primary responsibilities include: Managing patient assistance and reimbursement support services offered to providers and related to patient access to buy/bill products. Coordinating with Keenova’s patient support services program representatives. Educating office staff on the use of Buy/Bill products, patient assistance, and reimbursement support services. Participating in sales training related to product reimbursement. Utilizing data to critically analyze acquisition challenges from Specialty Pharmacies, Specialty Distributors, and Title sales. Assisting new offices with reimbursement education and MARC approved resources pertaining to reimbursement, acquisition, and coding. SP Support: work closely with external and internal customers to troubleshoot any SP‑related issues, collaborate with NAE partners, analyze data, and provide MARC approved resources and programs to facilitate patient access. Identify gaps in knowledge of accounts from a Specialty Pharmacy process and help provide education for the account and physician. Internal Partnerships: provide consistent, reliable, timely, and high‑quality support of the field and all other internal commercial functions. Lead the field teams by establishing a solutions‑oriented approach, working with Sales Representatives and District Managers to build and execute local plans, provide actionable feedback on support programs, educate internal customers on managed market dynamics, track customer trends to inform business decisions, and proactively use analytics to understand logistical issues in top accounts. Advocacy: work with the field to identify potential payer advocates and support the National Account Management team on medical policy development and execution at the HCP level. Ensure all Keenova approved promotional speakers have an in‑depth understanding of billing/coding, logistics, and payer coverage. Other duties as assigned. Qualifications Education & Experience BS or equivalent; MBA or advanced degree ideal. 5‑7 years of relevant experience. Previous experience with vendor relationships desirable. Previous experience managing customer interactions. Previous sales management and/or account management experience highly desirable. Knowledge Systemic understanding of the global payer and distribution environment, especially biologic in‑office injectables, in the U.S. Understanding of coverage, coding (diagnostic, procedural, product), payment, and reimbursement requirements and policies. Knowledge of local coverage determinations per each regional MAC for all Keenova products. Knowledgeable on Medicare billing/coding and appeal process. ASP, WAC, and sequestration; interpret and understand Medicare EOBs and CMS 1500 forms. Understands legislative, legal, and regulatory environments and anticipates potential impact to Keenova. Solid understanding of coverage policy creation, interpretation, and management. Skills & Abilities Significant sales experience in the biologic (injectable) market. Ability to synthesize clinical literature and target product profile to understand value to payers, patients, and healthcare providers. Strong written and verbal communication skills, with ability to condense complex information into concise outputs. Ability to work with healthcare providers and insurers to explain and manage all issues related to product access. Ability to balance external stakeholders’ wants with Keenova needs. Hands‑on operational reimbursement experience – in‑house and outsourced desirable. Demonstrated ability to work with multiple stakeholders collaboratively and constructively. Establish relationships with field personnel, accounts, payers, and vendors. Comfortable working in a transparent environment (fair balance, full disclosure, Safe Harbors). Working Conditions Significant travel involved. The role is field based, ideally living in the Little Rock, AR area. Benefits and Compensation Keenova offers employees a Total Rewards package which includes competitive pay and benefits. This position is eligible for a bonus in accordance with the terms of the applicable program. Bonuses are awarded at the Company’s discretion. Disclaimer The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to change or modify such duties as required. #J-18808-Ljbffr