Job Description
Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses.
The Field Reimbursement Manager (“TAM”) will be responsible for educating healthcare providers (HCPs) and their staff on product-specific prior authorization and appeals processes, including how to access necessary forms and submission procedures. This role will also guide them through the referral process to the client’s HUB and highlight the additional support services available. The TAM will be required to collaborate with others partners to identify accounts that may benefit from further education.
The Field Reimbursement Manager will be a key member of both the client and Inizio Engage Patient Solutions teams. This role reports to the Director, Field Reimbursement.
What’s in it for you?
- Competitive compensation
- Excellent Benefits – accrued time off, medical, dental, vision, 401k, disability & life insurance, paid maternity and paternity leave benefits, employee discounts/promotions
- Employee discounts & exclusive promotions
- Recognition programs, contests, and company-wide awards
- Exceptional, collaborative culture
- Best Places to Work in BioPharma (2022, 2023, & 2024)
- Certified Great Place to Work (2022, 2023, 2025)
What will you be doing?
- Educate HCPs and appropriate office staff about product specific prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements.
- Educate HCPs and appropriate office staff on the referral process to client’s HUB as well as additional support and resources available through the HUB.
- Work closely with other matrix partners to identify additional accounts with need for education.
- Solid understanding of reimbursement issues that work within our core classes of trade:
- Commercial Managed Care (Regional Plans)
- Medicaid (Fee for Service, Managed Care Organizations)
- Medicare (Part A, B, C, D; Carriers)
- Veteran’s Administration (VISNs)
- TRICARE Regional Offices
- Specialty Pharmacy & Pharmacy Benefit Managers
- ACOs and other Integrated Delivery Networks (IDNs)
- Advocacy, consumer, provider and treatment systems groups
• Follows all requirements associated with compliance to program guidelines and relevant regulations, including HIPAA and patient privacy
What do you need for this position?
- Bachelor’s degree or equivalent experience required
- 3+ years of relevant experience in reimbursement and patient access
- Buy and Bill experience preferred
- Strong knowledge and understanding of payer reimbursement models (medical and pharmacy), prior authorization and appeal requirements, coding changes, appropriate claim submission, integration of HUB and patient assistance programs
- Maintains compliance with program business rules, standard operating procedures and guidelines
- Passionate about learning and able to share/communicate that passion to others
Location:
This position requires regular travel within a territory of up to a 150-mile radius. Occasionally overnight travel to client or Inizio offices may be required.
About Inizio Engage
Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people and providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need.
We believe in our values: We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them.
To learn more about Inizio Engage, visit us at:
Inizio Engage is proud to be an equal opportunity employer. Individuals seeking employment at Inizio are considered without regards to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related medical conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by federal, state, or local laws. Further, pursuant to applicable local ordinances, Inizio will consider for employment qualified applicants with arrest and conviction records.
Inizio Engage is an equal opportunity employer M/F/V/D. We appreciate your interest in our company, however, only qualified candidates will be considered.
Job Tags
Work at office, Local area, Night shift,