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 collaborate with other 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 the client’s HUB as well as additional support and resources available through the HUB. Work closely with other matrix partners to identify additional accounts needing education. Develop a solid understanding of reimbursement issues within core classes of trade: Commercial Managed Care (Regional Plans) Medicaid (Fee for Service, Managed Care Organizations) Medicare (Parts 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 Follow all requirements related to compliance with 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 of payer reimbursement models (medical and pharmacy), prior authorization and appeal requirements, coding changes, claim submission, and integration of HUB and patient assistance programs Maintain compliance with program business rules, SOPs, and guidelines Passionate about learning and able to 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. #J-18808-Ljbffr Inizio Engage XD
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