Field Access Manager

ManagerManagerFull TimeRemoteTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

Florida

Posted

114 days ago

Salary

Not specified

Bachelor Degree3 yrs expEnglish

Job Description

• Manage daily activities virtually that support appropriate patient access to our client’s products in the provider offices • Work as a liaison to other patient assistance and access support services offered by our clients (i.e. HUB, Call Center, Specialty Pharmacy Services) • Participate in client meetings as appropriate • Participate in regularly scheduled team meetings and calls • Input call activity into customer relation management tool (CRM), as appropriate • Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner • Provide office education and awareness during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution • Educate offices using approved educational materials provided by the client • Review specific patient case information, in a compliant manner, defined by the client • Educate physician office staff on the use of our client’s patient support services, including web-based provider portals

Job Requirements

  • 3+ years of experience in one or more of the following areas: Managed Care, Field Reimbursement, Patient Services, and/or Sales (Specialty or Biologics), or healthcare provider office practice management
  • 4-year degree in related field or equivalent experience
  • Solution oriented mindset, strong business acumen, & strong analytic capabilities
  • Experience with specialty/biologic products and/or complex reimbursement process
  • Demonstrated ability to educate offices on access processes and issue resolution
  • Experience educating HCPs on client specific Patient Service programs (i.e. copay, nurse education, bridge, patient assistance, etc.)
  • Experience delivering educational presentations in person and/or via technology platforms such as Zoom, Webex, and/or Teams
  • Advanced knowledge of medical insurance terminology
  • Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B – for buy & bill products and Part D for Pharmacy products)
  • Ability to manage ambiguity & problem solve
  • Prepare and submit appropriate expense reports in a timely fashion
  • Valid Driver’s License

Benefits

  • Virtual role with limited to no travel

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