Inizio Engage · 1 day ago
Virtual Access and Reimbursement Manager
Philadelphia, PA
Full-time
Onsite
Mid Level
3+ years expInizio Engage is a strategic engagement partner specializing in healthcare, and they are seeking a Virtual Access and Reimbursement Manager to educate healthcare providers on patient benefit coverage and reimbursement processes. The role involves engaging with HCPs, resolving access issues, and providing insights on payer policies to support patient access to prescribed treatments.
CommercialHealth CareHospital
Responsibilities
Engage healthcare providers and appropriate office staff to educate on access to prescribed treatments within the specialty pharmacy and HUB channel, including addressing questions about initial access, insurance approval and reauthorizations pertaining to the initiation of product
Educate HCP office staff about prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements
Work compliantly and proactively to identify and resolve patient access and reimbursement issues, within assigned geography. Assigned geography may be adjusted based on zone and national volume
Provide appropriate factual process information to HCP office utilizing Personal Health Information (PHI), with appropriate patient consent
Serve as reimbursement expert for patient support services team for assigned geography/plans
Utilize approved resources and call guides/FAQs to provide education and answer questions as needed
Conduct ongoing payer policy reviews and contribute local, regional and national policy insights to Field Access Managers and client leadership
Virtually manage assigned accounts and align with Field Access and Reimbursement team, sales teams as well as specialty pharmacy and HUB team on ongoing support needs
Document call details with attention to data integrity to ensure compliance with program policies and business rules
Navigate CRM platform in daily interactions and learn internal team processes (when available)
Maintain confidentiality of Patient Health Information (PHI) and act in compliance with all laws, regulations, and company policies
Triage appropriate escalations to the Field Access Manager team in accordance with the program design and business rules
Comply, take, and attend all required training
Adhere to all Inizio and client policies, procedures, business rules, and call guides, as well as applicable laws
Qualification
Required
BS/BA Degree Required
Proven success operating in a virtual environment
3+ years of relevant experience in – reimbursement and patient access, market access, specialty pharmacy, or physician/system account management
Experience engaging HCP staff in a support role to educate on access pathways and product requirements
Experience navigating payer reimbursement process for oral medications
Experience with specialty products acquired through specialty pharmacy networks
Patient-centric and service-oriented mindset, with a high degree of emotional intelligence and empathy
Exceptional customer and patient engagement skills, attention to detail, and the ability to think comprehensively is a must
Exemplary interpersonal and listening skills
Strong communication (written and verbal), and presentation skills
High enthusiasm with a drive to success within a team – demonstrated ability to reach common goals in collaboration with multiple therapeutic specialists, sales leadership, market access, and patient support services colleagues
Highly organized with excellent attention to detail and the ability to multi-task in engaging both patients and providers
Benefits
Accrued time off
Medical
Dental
Vision
401k
Disability & life insurance
Paid maternity and bonding time benefits
Employee discounts/promotions
Generous performance-driven Incentive Compensation package
Company
Inizio Engage
Inizio Engage is a healthcare agency that provides decision optimization, experience design, patient solutions, and medical affairs.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Adam Nguyen, MBA
Senior Partner, People & Culture
JESSICA BENNETT, MBA, SHRM-CP
People and Culture Partner
Recent News
2025-08-19
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