Fresenius Kabi USA
Senior Field Reimbursement Manager - South Central
Fresenius Kabi USA, Houston, Texas, United States, 77246
Senior Field Reimbursement Manager - South Central
This role plays a vital part in helping patients gain access to life‑changing therapies. The Senior Field Reimbursement Manager provides education, coverage and access solutions to healthcare personnel and assists provider offices in resolving complex coverage and reimbursement issues.
Base pay range $155,000.00/yr - $165,000.00/yr
Additional compensation types Annual Bonus
Responsibilities
Develop solutions and plan of action for internal or external reimbursement issues or opportunities.
Educate provider offices on local and regional payer issues, coding changes, and appropriate claims submission processes.
Liaise with reimbursement hotlines regarding alternative funding/financial assistance programs.
Assist with determining coverage and access options available for a specific medication or procedure.
Engage key stakeholders at Medicare Advisory Carriers, MAC’s, and monitor local coverage determinations and articles for assigned MAC’s to ensure coverage is consistent with product label.
Work with internal partners to build strategic patient access and reimbursement account plans.
Work with the broad stakeholder team to achieve customer and product strategies and goals.
Responsible for feeding key customer insights and product trends to HQ personnel, shaping current and future strategies.
Direct the analysis and measurement of key business drivers and objectives including relationship effectiveness and value proposition.
Communicate on national commercial payers, PBM’s, Medicaid, Medicare, clinical pathway organizations, payer owned specialty pharmacies, product distribution updates, and state government affairs.
Ensure compliance with company programs and activities related to Health, Safety, Environment, Energy and Quality Management System.
Requirements
Bachelor’s degree required. Advanced degree preferred.
7+ years’ experience with specialty providers in support of reimbursement.
Technical knowledge of health care reimbursement from a patient and provider perspective.
Knowledge of all phases of specialty pharmacy core services and connectivity to assist with the complexity of patient access.
Knowledge of private payer, Medicare and Medicaid structure systems and reimbursement process.
Exceptional business and clinical acumen, strong leadership skills, and the ability to lead without authority.
Excellent communication skills, oral and written, and strong presentation skills.
Strategic thinker who understands policies and creates action plans.
Ability to interact with senior leaders and work across functional groups to build consensus and action.
Demonstrated success in account management.
Ability to work independently without direct supervision.
Live near a major airport in the designated territory and be able to travel extensively (overnight – 80% of the time).
Benefits We offer an excellent salary and benefits package including medical, dental and vision coverage, life insurance, disability, 401(k) with company contribution and a wellness program.
Equal Opportunity Statement Fresenius Kabi is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, immigration status, disabilities, or protected veteran status.
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Base pay range $155,000.00/yr - $165,000.00/yr
Additional compensation types Annual Bonus
Responsibilities
Develop solutions and plan of action for internal or external reimbursement issues or opportunities.
Educate provider offices on local and regional payer issues, coding changes, and appropriate claims submission processes.
Liaise with reimbursement hotlines regarding alternative funding/financial assistance programs.
Assist with determining coverage and access options available for a specific medication or procedure.
Engage key stakeholders at Medicare Advisory Carriers, MAC’s, and monitor local coverage determinations and articles for assigned MAC’s to ensure coverage is consistent with product label.
Work with internal partners to build strategic patient access and reimbursement account plans.
Work with the broad stakeholder team to achieve customer and product strategies and goals.
Responsible for feeding key customer insights and product trends to HQ personnel, shaping current and future strategies.
Direct the analysis and measurement of key business drivers and objectives including relationship effectiveness and value proposition.
Communicate on national commercial payers, PBM’s, Medicaid, Medicare, clinical pathway organizations, payer owned specialty pharmacies, product distribution updates, and state government affairs.
Ensure compliance with company programs and activities related to Health, Safety, Environment, Energy and Quality Management System.
Requirements
Bachelor’s degree required. Advanced degree preferred.
7+ years’ experience with specialty providers in support of reimbursement.
Technical knowledge of health care reimbursement from a patient and provider perspective.
Knowledge of all phases of specialty pharmacy core services and connectivity to assist with the complexity of patient access.
Knowledge of private payer, Medicare and Medicaid structure systems and reimbursement process.
Exceptional business and clinical acumen, strong leadership skills, and the ability to lead without authority.
Excellent communication skills, oral and written, and strong presentation skills.
Strategic thinker who understands policies and creates action plans.
Ability to interact with senior leaders and work across functional groups to build consensus and action.
Demonstrated success in account management.
Ability to work independently without direct supervision.
Live near a major airport in the designated territory and be able to travel extensively (overnight – 80% of the time).
Benefits We offer an excellent salary and benefits package including medical, dental and vision coverage, life insurance, disability, 401(k) with company contribution and a wellness program.
Equal Opportunity Statement Fresenius Kabi is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, immigration status, disabilities, or protected veteran status.
#J-18808-Ljbffr