Coherus BioSciences, Inc.
Field Reimbursement Manager - East and South
Coherus BioSciences, Inc., Denver, Colorado, United States, 80285
Field Reimbursement Manager - East and South
Location: United States - East and South Position:
Field Reimbursement Manager (FRM) • Reports To: Director, Field Reimbursement Managers • Classification: Exempt Position Summary: The Field Reimbursement Manager (FRM) helps minimize access and reimbursement barriers for patients and providers to optimize access to Coherus’ Oncology product portfolio. Within their geography, the FRM is responsible for addressing access barriers by strategically working with customers and accounts to solve the most complex patient access issues through all facets of the reimbursement cycle. The FRM proactively provides education and support on Coherus reimbursement support programs (Coherus Solutions) to practices, facilities, and their staff. As a member of the front-line field team, they serve as the key contact responsible for reimbursement and access support-related matters. The FRM will provide education and support the integration of account implementation plans for Coherus products within practices and sites of care where applicable. Additionally, the FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for internal Coherus partners in their assigned geography. The FRM will coordinate cross-functionally across Corporate Accounts, Patient Services, and Field Sales to support patient drug accessibility. Key responsibilities include: Partner with internal and external stakeholders to identify, anticipate and address patient and practice reimbursement issues Collaborate with Field Sales to identify facilities and practices that need reimbursement education and support regarding Coherus products Provide insights and updates regarding product and support service integration at accounts Educate facility staff on policies related to product acquisition, inventory management, and all payer policies related to support full integration of product into the practice workflow Provide coverage, coding, and reimbursement information to key staff members (e.g., practice administrators, reimbursement staff, and providers) to support patient access Collaborate with field-facing teams to share insights into customer needs, barriers, and payer issues/opportunities for access at practices Communicate and explain payer policy updates or system changes that impact access Proactively communicate Coherus COMPLETE to ensure office staff are fluent in patient access programs and services Address questions related to patient coverage, access, and reimbursement in collaboration with Patient Services as directed Conduct frequent claim reviews with practices to ensure appropriate reimbursement of Coherus products Maintain a deep understanding of Coherus policies and perform the role in a compliant manner Stay abreast of customer and market access industry trends Experience: 5+ years of commercial experience in the pharmaceutical or biotech industry 3+ years of experience in healthcare coverage, coding and/or reimbursement Direct experience with Buy and Bill products, Medicare Part B and Miscellaneous J-Codes required Oncology experience strongly preferred Bachelor's degree from a four-year college or university Skills, Knowledge & Abilities: Experience working with billing and medical claims personnel in various health care settings (physician offices, hospitals, HOPD, ASC) Expertise in supporting healthcare provider offices with coding, billing, and submissions across payers Knowledge of Medicare, Medicaid, and other payer initiatives Familiarity with CPT, HCPCS, ICD-10 revenue codes Familiarity with health insurance claim forms, explanations of benefits, prior authorization forms, and EMR/Practice Mgmt systems Ability to analyze regulatory and legislative payer and healthcare policies Travel Requirements: Candidate must reside within assigned territory and be able to travel up to 70% Salary & Benefits:
Base Salary Range: $165,000 to $190,000. Salary will reflect factors such as professional background and work experience. Equal Opportunity: Coherus provides equal employment opportunities to all employees and applicants and prohibits unlawful discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We also prohibit discrimination based on the perception that anyone has any of these characteristics or is associated with a person who has or is perceived as having any of these characteristics. Notice:
We are currently not accepting unsolicited resumes from recruiters or employment agencies. Disclaimer: This description reflects the current duties and responsibilities and is not meant to be all-inclusive. The company reserves the right to modify this description at any time without notice.
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Location: United States - East and South Position:
Field Reimbursement Manager (FRM) • Reports To: Director, Field Reimbursement Managers • Classification: Exempt Position Summary: The Field Reimbursement Manager (FRM) helps minimize access and reimbursement barriers for patients and providers to optimize access to Coherus’ Oncology product portfolio. Within their geography, the FRM is responsible for addressing access barriers by strategically working with customers and accounts to solve the most complex patient access issues through all facets of the reimbursement cycle. The FRM proactively provides education and support on Coherus reimbursement support programs (Coherus Solutions) to practices, facilities, and their staff. As a member of the front-line field team, they serve as the key contact responsible for reimbursement and access support-related matters. The FRM will provide education and support the integration of account implementation plans for Coherus products within practices and sites of care where applicable. Additionally, the FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for internal Coherus partners in their assigned geography. The FRM will coordinate cross-functionally across Corporate Accounts, Patient Services, and Field Sales to support patient drug accessibility. Key responsibilities include: Partner with internal and external stakeholders to identify, anticipate and address patient and practice reimbursement issues Collaborate with Field Sales to identify facilities and practices that need reimbursement education and support regarding Coherus products Provide insights and updates regarding product and support service integration at accounts Educate facility staff on policies related to product acquisition, inventory management, and all payer policies related to support full integration of product into the practice workflow Provide coverage, coding, and reimbursement information to key staff members (e.g., practice administrators, reimbursement staff, and providers) to support patient access Collaborate with field-facing teams to share insights into customer needs, barriers, and payer issues/opportunities for access at practices Communicate and explain payer policy updates or system changes that impact access Proactively communicate Coherus COMPLETE to ensure office staff are fluent in patient access programs and services Address questions related to patient coverage, access, and reimbursement in collaboration with Patient Services as directed Conduct frequent claim reviews with practices to ensure appropriate reimbursement of Coherus products Maintain a deep understanding of Coherus policies and perform the role in a compliant manner Stay abreast of customer and market access industry trends Experience: 5+ years of commercial experience in the pharmaceutical or biotech industry 3+ years of experience in healthcare coverage, coding and/or reimbursement Direct experience with Buy and Bill products, Medicare Part B and Miscellaneous J-Codes required Oncology experience strongly preferred Bachelor's degree from a four-year college or university Skills, Knowledge & Abilities: Experience working with billing and medical claims personnel in various health care settings (physician offices, hospitals, HOPD, ASC) Expertise in supporting healthcare provider offices with coding, billing, and submissions across payers Knowledge of Medicare, Medicaid, and other payer initiatives Familiarity with CPT, HCPCS, ICD-10 revenue codes Familiarity with health insurance claim forms, explanations of benefits, prior authorization forms, and EMR/Practice Mgmt systems Ability to analyze regulatory and legislative payer and healthcare policies Travel Requirements: Candidate must reside within assigned territory and be able to travel up to 70% Salary & Benefits:
Base Salary Range: $165,000 to $190,000. Salary will reflect factors such as professional background and work experience. Equal Opportunity: Coherus provides equal employment opportunities to all employees and applicants and prohibits unlawful discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We also prohibit discrimination based on the perception that anyone has any of these characteristics or is associated with a person who has or is perceived as having any of these characteristics. Notice:
We are currently not accepting unsolicited resumes from recruiters or employment agencies. Disclaimer: This description reflects the current duties and responsibilities and is not meant to be all-inclusive. The company reserves the right to modify this description at any time without notice.
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