Field Reimbursement Manager

Key Responsibilities: Support patient access by providing proactive face-to-face education on product-specific programs to providers and staff, integrating programs into office workflows. Analyze payer and reimbursement issues (utilization management, denials, appeals), drug acquisition/inventory management, and patient/practice reimbursement (co-pay, administration, drug claims); identify issues/opportunities and trends locally/regionally/nationally to support patient pull-through. Partner with the Patient Support Center (hub) on patient case management: track cases, resolve issues, provide reimbursement support, and educate office staff; review patient-specific information when requested. Collaborate cross-functionally with aligned NPC associates to share insights on customer needs and barriers related to access and reimbursement. Maintain compliance with NPC policies/requirements; handle Patient Identifiable Information (PII) appropriately. Minimum Requirements: Bachelor’s degree required (Business/biological science preferred); advanced degree preferred. 3–5+ years’ experience in third-party reimbursement or pharmaceutical industry in managed care, clinical support, or sales. Experience with specialty pharmacy buy-and-bill and/or specialty distributors. Experience with coding, billing, and office support programs. Prior account management or complex account experience (payer landscape, high patient volume, large systems). Knowledge of managed care/government/federal payers and IDNs/integrated health systems. Team-oriented collaborator. Reside within territory or within 60 miles commuting distance; travel 60–80%; valid driver’s license. Preferred Qualification: Buy-and-bill experience supporting provider-administered therapies. #J-18808-Ljbffr