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CSL · 1 day ago

Field Reimbursement Manager - West Central

Far-A-Field, PA

Full-time

Hybrid

Mid Level

$165K/yr - $185K/yr

3+ years exp

CSL is a global biotherapeutics leader committed to saving lives. The Manager of Field Reimbursement will oversee field-based reimbursement activities, conduct educational workshops, and resolve reimbursement issues to enhance patient access to therapies.

BiotechnologyHealth CareHealth DiagnosticsMedical

Comp. & Benefits

Responsibilities

Work with payers, specialty pharmacies, physicians, physician support staff, and professional societies to secure adequate reimbursement of CSL Behring therapies

Aid physicians, sites of service and their support staff in the reimbursement process. Provide in-service training to sales and marketing on the fundamentals of healthcare economics

Execute reimbursement strategies that proactively integrate and align with marketing and sales objectives

Work directly with third party payers and Medicare offices to insure adequate reimbursement for our products

Provide monthly report recounting significant activities, progress and follow-up needed

Assess reimbursement environment (coverage, coding and payment) for any new products and procedures

Work with payer and channel Customer Account Managers in educating and resolving reimbursement issues with SP (Specialty Pharmacy) accounts and attend customer account calls with payer and channel CAMs as needed to present reimbursement information on CSL therapies and answer any questions the accounts may have

Work with field sales organization and third-party patient access programs via patient access hotline (HUB) to resolve reimbursement issues and improve patient access to therapies

Perform field reimbursement in-services such as account visits, presentations to healthcare providers and other medical staff. Conduct billing procedure review for home care companies, pharmacies, and other providers experiencing inadequate reimbursement across the portfolio

Work directly with consumer groups to supply reimbursement education and training. This should be accomplished by attending and conducting patient education workshops at regional and national consumer group meetings (IDF, JMF, HAEA, NHF, etc.)

Work with consumer groups as needed to coordinate the use of CSL Behring Assurance and Assistance programs

Collaborate with the Patient Services team to ensure the Hub offerings are up to date with the changing reimbursement landscape, including HUB training and managing challenging cases

Attend trade shows (AAAAI, HAEA, NHF, NHIA AMCP, CMSA, etc.), and be able to present reimbursement information as requested by the various groups

Work with the Sr. Director of Reimbursement in developing and executing on tactical programs for strategic accounts

Qualification

Reimbursement strategiesHealthcare economicsPatient advocacy experienceBachelor’s degreeHealthcare industry experienceVerbal communicationWritten communicationTeam collaborationIndependent work