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Harmony Biosciences · 1 day ago

Field Reimbursement Manager - Great Lakes

Campbell Field, MI

Full-time

Onsite

Senior Level

5+ years exp

Harmony Biosciences is a pharmaceutical company focused on providing novel treatment options for individuals with rare neurological disorders. They are seeking a Field Reimbursement Manager to support the reimbursement process for providers and patients, educate healthcare providers, and manage access to Harmony’s products within the Great Lakes territory.

BiopharmaBiotechnologyHealth Care

Responsibilities

The FRM will execute a regional strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), market access, and/or field partners

After the prescription is submitted, provide relevant office education and awareness to HCP Office which may include formulary coverage/utilization management criteria, insurance forms & procedures, Codes, benefits investigation, prior authorization, appeal, and/or claims resolution

Educate offices on the requirements to obtain insurance authorization and/or reimbursement of products for appropriate patients in a compliant manner

Educate physician office staff on the use of Harmony’s patient support services, using approved educational materials

Manage daily activities that support appropriate patient access to Harmony’s products by the provider offices and act as an extension of the HUB, as appropriate and provide in-person customer visits

Conduct all activities in a compliant manner and will work closely within a defined set Rules of Engagement, and other company guidance documents

Participate in meetings as appropriate

Input call activity into CRM, as appropriate

Review specific patient case information, in a compliant manner

Perform other duties as assigned

Qualification

Pharmaceutical reimbursementPatient support programsMatrix environment experienceHandling patient health informationBachelor's DegreeReimbursement processCross functional teamworkCustomer serviceEducationTrainingCommunication skills