Stratis Group · 1 month ago
Field Reimbursement Manager (Oklahoma City, OK)
OKC Metro Area
Full-time
Onsite
Mid Level
3+ years expStratis Group is an independent pharmaceutical consulting firm specializing in commercialization throughout a brand’s lifecycle. In this role, the Field Reimbursement Manager will manage a dedicated territory to support access for providers and patients, providing education on access services and reimbursement solutions specific to a product and therapeutic area.
AnalyticsBiotechnologyData VisualizationMarket Research
Hiring Manager
Sarah McKay, PACS
Responsibilities
Manage daily activities that support appropriate patient access to our client’s products in the provider offices and work as a liaison to other patient assistance and access support services offered by our clients (i.e. HUB, Call Center, Specialty Pharmacy Services)
Act as an extension of client’s HUB, as appropriate and provide in-person customer visits
Participate in client meetings as appropriate. Participate in regularly scheduled team meetings and calls. Input call activity into customer 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
Qualification
Required
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 practice management
4 year degree or 8+ years in related healthcare roles and/or pharmaceutical or medical industry
Ability to travel 3-4 days a week, with overnights and flights (as needed), must reside within the territory
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
Company
Stratis Group
Stratis Group specialises in primary research and analytics for the pharmaceutical, biotechnology, and academic industries.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase