Pharmacosmos Therapeutics Inc.
Field Reimbursement Manager, Southwest
Pharmacosmos Therapeutics Inc., Dallas, Texas, United States, 75215
Join to apply for the
Field Reimbursement Manager, Southwest
role at
Pharmacosmos Therapeutics Inc. Join to apply for the
Field Reimbursement Manager, Southwest
role at
Pharmacosmos Therapeutics Inc. Pharmacosmos Therapeutics Inc. provided pay range
This range is provided by Pharmacosmos Therapeutics Inc.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$162,000.00/yr - $189,000.00/yr About Us
We are a global, family-owned company driven by a passion for innovation. Building on our foundational expertise in carbohydrate chemistry and cell cycle biology, we develop innovative treatments for unmet patient needs, with a focus on iron metabolism and blood-related disorders.
With
700+ employees across the UK, Ireland, the Nordics, Germany, the USA, and China , we are committed to scientific excellence, patient care, and collaborative partnerships with the medical community.
Our Core Values Define Who We Are
People-Driven – We are a family-held company built on passionate, knowledgeable people. We value integrity, open-mindedness and respect and are guided by these values in all our endeavors. We respect each individual who becomes a part of our journey, from our employees and partners to our end-users. And we recognize that the strength in all our collaborations is trust. Committed to Quality – Quality is our source of inspiration. Quality drives our results. It represents our aspiration for excellence and our focus on driving continual improvements. For our partners and end-users, quality must always be tangible in our products, processes and people. This way, quality is the promise we keep every day. Innovating for Better Lives – Innovation is essential in our quest to improve the lives of humans. We seek to address unmet needs through our expertise in iron and carbohydrate-based pharmaceuticals. We believe in a holistic and collaborative approach to research and innovation, so we work together with the scientific and medical communities to set new standards.
We have continued our growth trajectory since we launched our first product in the US, Monoferric (ferric derisomaltose), through acquisitions, partnerships, and pipeline. Our R&D investments continue to leverage our core competencies, alongside our recent advancements in cancer care.
Join us in shaping the future of patient care through innovation and collaboration.
Job Purpose Purpose is to establish, maintain, and grow business relationships within designated hematology oncology practices, regional hospitals, integrated delivery networks (IDNs) and other emerging key accounts in the assigned geography to enhance reimbursement and patient access to Pharmacosmos products. This individual will work in a highly collaborative environment that includes field sales, market access, and regulatory.
Job Responsibilities
Pro-actively educate provider offices on Patient Services at the regional level in targeted accounts (oncology clinic/practice, hospital, IDN, emerging customers) by strategically prioritizing high utilization accounts Assist customers in the Patient Services enrollment process using approved user guides and marketing collateral. Partner with targeted hematology/oncology practices and regional health systems to track status of customer co-pay claims to ensure timely payment and a claim adjudication rate of 100%. Work with provider accounts to enroll using the most effective patient co-pay assistance process for each account’s workflow mail, fax, or ACH. Act as the subject matter expert on payer reimbursement by educating customers on regional payer coverage issues, coding changes and appropriate claims submission processes. Assist with determining coverage and access options available for Pharmacosmos products. Work with hub and provider office to address payer reimbursement challenges by providing approved Letter of Medical Necessity template and information on each regional payer’s appeals process. Collaborate with National Payer Accounts Team to track payer coverage outcomes which are considered by account team when negotiating with payers. Responsible for Liaising with reimbursement hotlines regarding alternative funding/financial assistance programs. Collaborate with hub, internal Sales and Market Access teams to triage reimbursement challenges from customers. Identify at risk accounts and work cross-functionally on solutions and best positioning for value in partnering with Pharmacosmos. Manage your time effectively to maximize every opportunity to build and strengthen business relationships and provide solutions to your key accounts. Participate in strategic planning and evaluation sessions with Pharmacosmos senior leadership, sales, marketing, contracting and legal. Manage internal and external customer relationships to ensure that key account needs are identified and addressed. Know what additional resources and stakeholders are needed and how to execute that process within your account. Understand and identify the short and long-term strategic vision and objectives within each of your assigned key accounts. Actively maintain understanding of the drivers and trends within the healthcare industry that affect your accounts and shape their overall business and buying decisions. Maintain a high level of payer and related Managed Markets benefit structures, reimbursement mechanisms, legal and regulatory influences, health management programs, and product distribution knowledge necessary to accomplish goals. Maintain accurate records of all account activity and provide management with regular reporting on reimbursement issues at the customer level. Special projects as assigned by the Associate Director, Field Reimbursement Managers Other Duties as assigned.
Requirements For Position
Required 4-year bachelor’s degree; MBA preferred. Experience with payer Reimbursement and Pharma patient services programs is required. Account management experience highly preferred (oncology clinics and hospital systems). Ability to establish and maintain executive relationships (C Suite and Pharmacy Director) in health systems and oncology clinics/practices. Experience with buy and bill pharmaceutical products. A strategic outlook and critical thinking are essential along with strong clinical, financial, and analytical skills. Solid understanding of the current environment and reimbursement trends in community oncology practices, including alternative payment models. Superior communication, teamwork, and ability to work in a high matrix environment. Oncology and Hematology therapeutic experience preferred. At minimum 50% travel
Competencies
Teamwork/Collaboration – Works toward common goals by supporting, encouraging, and sharing information with colleagues, both internal and external. Communication— Speaks, writes, listens and presents information in a logical and articulate manner appropriate for the audience. Skilled in developing and delivering presentations and leading meetings. Leadership Operate with high integrity in all matters with a proven ability to motivate teams and individuals; ability to build consensus and lead cross-functionally without authority. Negotiation Confer with others to reach resolution; explore alternatives and positions to reach outcomes that gain support and acceptance of all parties. Drive Produce consistent, high quality and quantity outputs and meaningful results that contribute to the agency mission and strategic goal on time. Problem Solving Determine what is wrong in complex situations by identifying root causes and working with others to permanently fix problems with win/win solutions.
Attitude And Demeanor
Proud Pharmacosmos ambassador Strong personal leadership Inspire cross-functional transparency and collaboration Customer-centric ‘can-do’ attitude and goal focused Ambitious, independent, analytical, collaborative, loyal, organized
Flexibility
Our roles can evolve over time. Reasonable flexibility is, therefore, a key part of any job at Pharmacosmos. Significant variations in duties and responsibilities should be discussed between the employee and manager.
Additional Information
Requires budgetary responsibilities and discretion with confidential data Traveling – minimum 50% of the time
All job requirements listed indicate the minimum level of knowledge, skills and/or experience necessary to perform the job proficiently. This job description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any other job-related duties as requested by their supervisor, subject to reasonable accommodation.
Pharmacosmos Therapeutics Inc. is committed to equal opportunity in employment. We value diversity which embraces all perspectives towards innovation and are committed to making PTI a truly inclusive place to work where everyone of us can be our best and true selves.
We select and employ qualified candidates in accordance with their competencies and skills to perform the duties of the job regardless of gender, gender identity or expression, ancestry, national or ethnic origin, marital status, race, religion, color, age, disability, sexual orientation, military, or veteran status.
Pharmacosmos Therapeutics Inc. has adopted a hybrid work schedule – a combination of being on-site at our Morristown, NJ offices along with remote working. Being present is critical to collaboration, innovation, productivity, employee well-being and engagement and enhances the Company culture.
Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Finance and Sales Industries Pharmaceutical Manufacturing Referrals increase your chances of interviewing at Pharmacosmos Therapeutics Inc. by 2x Sign in to set job alerts for “Field Reimbursement Manager” roles.
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Field Reimbursement Manager, Southwest
role at
Pharmacosmos Therapeutics Inc. Join to apply for the
Field Reimbursement Manager, Southwest
role at
Pharmacosmos Therapeutics Inc. Pharmacosmos Therapeutics Inc. provided pay range
This range is provided by Pharmacosmos Therapeutics Inc.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$162,000.00/yr - $189,000.00/yr About Us
We are a global, family-owned company driven by a passion for innovation. Building on our foundational expertise in carbohydrate chemistry and cell cycle biology, we develop innovative treatments for unmet patient needs, with a focus on iron metabolism and blood-related disorders.
With
700+ employees across the UK, Ireland, the Nordics, Germany, the USA, and China , we are committed to scientific excellence, patient care, and collaborative partnerships with the medical community.
Our Core Values Define Who We Are
People-Driven – We are a family-held company built on passionate, knowledgeable people. We value integrity, open-mindedness and respect and are guided by these values in all our endeavors. We respect each individual who becomes a part of our journey, from our employees and partners to our end-users. And we recognize that the strength in all our collaborations is trust. Committed to Quality – Quality is our source of inspiration. Quality drives our results. It represents our aspiration for excellence and our focus on driving continual improvements. For our partners and end-users, quality must always be tangible in our products, processes and people. This way, quality is the promise we keep every day. Innovating for Better Lives – Innovation is essential in our quest to improve the lives of humans. We seek to address unmet needs through our expertise in iron and carbohydrate-based pharmaceuticals. We believe in a holistic and collaborative approach to research and innovation, so we work together with the scientific and medical communities to set new standards.
We have continued our growth trajectory since we launched our first product in the US, Monoferric (ferric derisomaltose), through acquisitions, partnerships, and pipeline. Our R&D investments continue to leverage our core competencies, alongside our recent advancements in cancer care.
Join us in shaping the future of patient care through innovation and collaboration.
Job Purpose Purpose is to establish, maintain, and grow business relationships within designated hematology oncology practices, regional hospitals, integrated delivery networks (IDNs) and other emerging key accounts in the assigned geography to enhance reimbursement and patient access to Pharmacosmos products. This individual will work in a highly collaborative environment that includes field sales, market access, and regulatory.
Job Responsibilities
Pro-actively educate provider offices on Patient Services at the regional level in targeted accounts (oncology clinic/practice, hospital, IDN, emerging customers) by strategically prioritizing high utilization accounts Assist customers in the Patient Services enrollment process using approved user guides and marketing collateral. Partner with targeted hematology/oncology practices and regional health systems to track status of customer co-pay claims to ensure timely payment and a claim adjudication rate of 100%. Work with provider accounts to enroll using the most effective patient co-pay assistance process for each account’s workflow mail, fax, or ACH. Act as the subject matter expert on payer reimbursement by educating customers on regional payer coverage issues, coding changes and appropriate claims submission processes. Assist with determining coverage and access options available for Pharmacosmos products. Work with hub and provider office to address payer reimbursement challenges by providing approved Letter of Medical Necessity template and information on each regional payer’s appeals process. Collaborate with National Payer Accounts Team to track payer coverage outcomes which are considered by account team when negotiating with payers. Responsible for Liaising with reimbursement hotlines regarding alternative funding/financial assistance programs. Collaborate with hub, internal Sales and Market Access teams to triage reimbursement challenges from customers. Identify at risk accounts and work cross-functionally on solutions and best positioning for value in partnering with Pharmacosmos. Manage your time effectively to maximize every opportunity to build and strengthen business relationships and provide solutions to your key accounts. Participate in strategic planning and evaluation sessions with Pharmacosmos senior leadership, sales, marketing, contracting and legal. Manage internal and external customer relationships to ensure that key account needs are identified and addressed. Know what additional resources and stakeholders are needed and how to execute that process within your account. Understand and identify the short and long-term strategic vision and objectives within each of your assigned key accounts. Actively maintain understanding of the drivers and trends within the healthcare industry that affect your accounts and shape their overall business and buying decisions. Maintain a high level of payer and related Managed Markets benefit structures, reimbursement mechanisms, legal and regulatory influences, health management programs, and product distribution knowledge necessary to accomplish goals. Maintain accurate records of all account activity and provide management with regular reporting on reimbursement issues at the customer level. Special projects as assigned by the Associate Director, Field Reimbursement Managers Other Duties as assigned.
Requirements For Position
Required 4-year bachelor’s degree; MBA preferred. Experience with payer Reimbursement and Pharma patient services programs is required. Account management experience highly preferred (oncology clinics and hospital systems). Ability to establish and maintain executive relationships (C Suite and Pharmacy Director) in health systems and oncology clinics/practices. Experience with buy and bill pharmaceutical products. A strategic outlook and critical thinking are essential along with strong clinical, financial, and analytical skills. Solid understanding of the current environment and reimbursement trends in community oncology practices, including alternative payment models. Superior communication, teamwork, and ability to work in a high matrix environment. Oncology and Hematology therapeutic experience preferred. At minimum 50% travel
Competencies
Teamwork/Collaboration – Works toward common goals by supporting, encouraging, and sharing information with colleagues, both internal and external. Communication— Speaks, writes, listens and presents information in a logical and articulate manner appropriate for the audience. Skilled in developing and delivering presentations and leading meetings. Leadership Operate with high integrity in all matters with a proven ability to motivate teams and individuals; ability to build consensus and lead cross-functionally without authority. Negotiation Confer with others to reach resolution; explore alternatives and positions to reach outcomes that gain support and acceptance of all parties. Drive Produce consistent, high quality and quantity outputs and meaningful results that contribute to the agency mission and strategic goal on time. Problem Solving Determine what is wrong in complex situations by identifying root causes and working with others to permanently fix problems with win/win solutions.
Attitude And Demeanor
Proud Pharmacosmos ambassador Strong personal leadership Inspire cross-functional transparency and collaboration Customer-centric ‘can-do’ attitude and goal focused Ambitious, independent, analytical, collaborative, loyal, organized
Flexibility
Our roles can evolve over time. Reasonable flexibility is, therefore, a key part of any job at Pharmacosmos. Significant variations in duties and responsibilities should be discussed between the employee and manager.
Additional Information
Requires budgetary responsibilities and discretion with confidential data Traveling – minimum 50% of the time
All job requirements listed indicate the minimum level of knowledge, skills and/or experience necessary to perform the job proficiently. This job description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any other job-related duties as requested by their supervisor, subject to reasonable accommodation.
Pharmacosmos Therapeutics Inc. is committed to equal opportunity in employment. We value diversity which embraces all perspectives towards innovation and are committed to making PTI a truly inclusive place to work where everyone of us can be our best and true selves.
We select and employ qualified candidates in accordance with their competencies and skills to perform the duties of the job regardless of gender, gender identity or expression, ancestry, national or ethnic origin, marital status, race, religion, color, age, disability, sexual orientation, military, or veteran status.
Pharmacosmos Therapeutics Inc. has adopted a hybrid work schedule – a combination of being on-site at our Morristown, NJ offices along with remote working. Being present is critical to collaboration, innovation, productivity, employee well-being and engagement and enhances the Company culture.
Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Finance and Sales Industries Pharmaceutical Manufacturing Referrals increase your chances of interviewing at Pharmacosmos Therapeutics Inc. by 2x Sign in to set job alerts for “Field Reimbursement Manager” roles.
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr