Access & Reimbursement Manager

inVentiv Health - Oklahoma City, OK

Full-time - Mid Level

Remote - Oklahoma City, OK

Professional, Scientific, and Technical Services

About the position

The Access & Reimbursement Manager (ARM) serves as the subject-matter expert on reimbursement, access, and coverage issues affecting the client's products. This remote/field-based role involves providing education to defined accounts on reimbursement and access matters to facilitate appropriate patient access. The ARM analyzes reimbursement issues, coordinates with various stakeholders, and supports patient access initiatives while adhering to corporate policies.

Responsibilities

• Analyze access/reimbursement issues
• Provide product access/reimbursement education to HCP offices
• Provide access/reimbursement education to field teams upon approved direction
• Coordinate on access/reimbursement issues with third parties including hubs
• Provide education and support on Specialty Pharmacy issues for pharmacy benefit products
• Provide information to HCP on how the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid)
• Answer questions about coverage, ICD-10 codes of product, including patient-specific access questions
• Educate and update HCPs on key private and public payer coverage and changes that impact product access for patients
• Support patient access to the product by providing subject matter expertise on payer coverage issues
• Educate HCP offices on the product hub program including patient support offerings, financial assistance and hub educational resources
• Demonstrate knowledge of and communicate information about access resources and payer processes/policies
• Attend National and Regional Meetings

Requirements

• Bachelor's Degree or 4+ years professional sales, healthcare, scientific, marketing or military experience
• Minimum three years' experience in public or private third party reimbursement arena or pharmaceutical industry in managed care, patient services, or clinical support
• Pulmonary Arterial Hypertension experience preferred
• Cardiology, Pulmonology and/or orphan drug experience required
• Proven experience with hubs, in-depth knowledge on issues related to billing, coding, appeals across provider types
• Experience with commercial payers, Medicare plans and state Medicaid in geographic region
• Exhibit competent understanding of hub and patient support activities
• Communicate clearly and effectively - written and verbal
• Ability to operate as a 'team player' in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals
• Ability to travel and possess a valid driver's license to drive to assigned healthcare accounts, unless otherwise specified
• Must live within territory or within territory boundaries

Benefits

• Competitive compensation package
• Health benefits including Medical, Dental, and Vision
• Company match 401k
• Flexible paid time off (PTO) and sick time