Covance Market Access Services currently provides health care reimbursement support, access education, and access solutions for pharmaceutical and biopharmaceutical clients with its Market Access Field Team. The Field Reimbursement Manager are client-facing and customer-facing staff who leverage their expertise and experience to assist client customers in understanding and addressing access challenges. They conduct presentations to small and large groups in various settings and often work face to face with providers’ office staff -- educating staff on access services and solutions specific to a product and therapeutic area, and consulting on reimbursement matters. These services play an important role in clients’ customer relationships as they facilitate access to important patient therapies.
*** NOTE: This position can be filled anywhere in OH or in the Pittsburgh area, PA to cover the North, East of USA. Due to the travel requirements of the job, candidates should live close to a major airport.
The Field Reimbursement Manager helps to educate corporate decision-makers and accounts on reimbursement, billing and coding. The FRM will provide education on the barriers to appropriate reimbursement and discuss current billing/coding practices to identify possible opportunities to provide learning. The FRM will work directly with CEO, CMO, Corporate office support staff, LTC billing and coding staff, third party vendors (Reimbursement Support Service), and other important stakeholders. This position will work closely with internal partners, supporting priority accounts through effective account planning/execution. They also develop customer-oriented reimbursement support, and proactively communicate payer criteria/terms, policies and practices, as these relate to reimbursement for the assigned products.
Proactively communicates and explains reimbursement, billing/coding policies, procedures and resources in-person
Bachelor's Degree recommended
5 or more years' work experience in pharmaceutical, medical, LTC, vaccine, and/or practice/hospital reimbursement. LTC experience highly preferred.
• A minimum of 2 years of direct experience with managed care and reimbursement is required, either directly within/from the pharmaceutical/biotech industry or relevant, and experience calling on large accounts
Must demonstrate excellent working knowledge of reimbursement and the practice management environment
Have a valid driver's license and a safe driving record and be available to drive during the day and night time. Must live within a reasonable driving distance from a major airport.