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Invivyd · 1 day ago

Field Reimbursement Manager, Northeast

Northeast

Full-time

Hybrid

Senior Level, Lead/Staff

8+ years exp

Invivyd is a company dedicated to delivering protection from serious viral infectious diseases, starting with SARS-CoV-2. The Field Reimbursement Manager serves as a key expert in market access and reimbursement, providing education and support to healthcare providers and stakeholders to ensure patient access to therapy.

BiotechnologyPharmaceuticalTherapeutics

Responsibilities

Proactively address patient access barriers by working with customers and accounts to resolve complex reimbursement issues, including prior authorizations, appeals, and denials

Educate private practices, multi-specialty groups, facilities, and their staff on reimbursement support programs, coverage, coding, and payer policies

Accountable for ensuring access barriers are minimized, for appropriate patients, to obtain Invivyd products through HCP education

Have a thorough understanding of payor policies and navigating the coverage landscape

Deliver clear and actionable information to practice managers, billing staff, nurses, and reimbursement teams to improve their understanding of payer policies and processes

Conduct regular reviews with practices to understand their utilization of reimbursement support services and recommend program enhancements based on customer needs

Report payor trends related to approved products to Patient Services and Market Access account management teams

Have a deep understanding of coverage pathways to access, for both medical and pharmacy benefit products

Have a deep understanding of the Medicare reimbursement landscape

Provide expertise within the national/regional payor landscape in order to educate providers on navigating the reimbursement process and payer trends

Provide training to healthcare professionals on the drug reimbursement process, coding, and billing practices

Navigate and manage access and reimbursement concerns by pulling in the appropriate Invivyd stakeholder

Stay informed about relevant business trends, competitive landscape, regulatory changes, and healthcare policy developments that may impact our customers

Leverage market insights to anticipate customer needs and develop strategies that maintain a competitive edge

Exhibit executive presence to provide presentations on insights and trends to commercial and executive leadership

Ensure that all activities and interactions adhere to relevant pharmaceutical regulations, industry standards, and ethical guidelines

Qualification

Market AccessPayer Account ManagementAccessReimbursementAnalytical mindsetCRM systemsBachelor's DegreeStrategic account plansSales data interpretationFormulary inclusion processExecutive presence

Required

Bachelor's Degree

8+ years of experience in pharmaceutical or biotechnology, with experience in Market Access, Payer Account Management, and/or Access and Reimbursement

Capability to develop strategic account plans and oversee contract performance to ensure ongoing business health

Proven track record of success, meeting or exceeding business KPIs

Working knowledge of the formulary inclusion process and familiarity with sub-committees

Analytical mindset with the ability to interpret sales data, market trends, and customer insights

Experience working in CRM systems and sales analytics tools

Ability to travel as required ~60% of the time to meet with customers and attend industry events