Field Reimbursement Manager, N&I, Tristate

Department : HC-NA-HDHBA FRM East

Recruiter : Rena Ann Peterson

This information is for internals only. Please do not share outside of the organization.

Your Role : As the Field Reimbursement Manager N&I for the Tristate region, you will play a crucial role in facilitating patient and healthcare provider access to transformative therapies. Reporting to the East Associate Director, Field Reimbursement, Neurology & Immunology (N&I), you will be an essential part of the Field Reimbursement team, focusing on enhancing patient experiences with EMD Serono's (EMDS) products and services.

Your impact will be significant in navigating and ensuring patient access to EMDS N&I products, particularly for Multiple Sclerosis (MS). Your efforts will ensure timely treatment, unobstructed coverage, and proper distribution, which are vital for both patients and healthcare operations. You will collaborate with internal and external stakeholders to optimize patient access and educate healthcare providers across community, institutional, and academic settings. Job responsibilities include but are not limited to :

• Reimbursement Support : Assist healthcare providers in navigating the reimbursement landscape and patient access for N&I products, including prior authorizations, appeals, and denials. Provide personalized issue resolution for these processes.
• Education and Training : Conduct training sessions for healthcare providers and office staff on HUB services, reimbursement processes, coding, and billing practices related to N&I products. Educate providers on payer challenges and claims submission.
• Patient Assistance : Support patients in understanding their insurance benefits and accessing patient assistance programs for N&I products. Ensure a positive experience for healthcare providers and patients through collaboration.
• Stakeholder Collaboration : Collaborate with internal and external stakeholders, including sales, marketing, and medical affairs, to optimize patient access and support N&I products reimbursement strategies. Serve as the liaison to the HUB and specialty pharmacies to address therapy challenges.
• Compliance : Ensure all activities comply with company policies, industry regulations, and legal requirements.
• Data Analysis : Monitor and analyze reimbursement trends and issues for N&I products, providing insights and recommendations to improve access to the therapy.
• Field Visits : Regularly visit healthcare provider offices to offer hands-on support and build strong relationships.
• Patient Access Leadership : Lead the evaluation and implementation of patient access opportunities within your geographic area to ensure alignment with overall access goals. Develop and present tactical plans to internal leadership stakeholders to share insights and gain feedback.

Travel Requirements : This is a remote, field-based position. Travel is required, with 40-50% of your time spent traveling, including overnight stays, in the assigned geography, company meetings and conferences.

Who You Are :

Minimum Qualifications :

Preferred Qualifications :

Preference given to candidates in the covered geography.

The Pay Range for this position : $131,000 - 209,500

Our ranges are derived from several sources, and largely reliant on relevant industry market data. Should we decide to make an offer, we will consider several factors, including but not limited to your location, skills, experience, career level, and other job-related factors. This role may offer the following benefits : medical, vision, and dental insurance; life insurance; disability insurance; a 401(k) matching program; paid time off; and paid holidays; among other employee benefits. This role may also be eligible for short-term or long-term incentive compensation, including, but not limited to, cash bonuses.

The Company is an Equal Employment Opportunity employer. No employee or applicant for employment will be discriminated against on the basis of race, color, religion, age, sex, sexual orientation, national origin, ancestry, disability, military or veteran status, genetic information, gender identity, transgender status, marital status, or any other classification protected by applicable federal, state, or local law. This policy of Equal Employment Opportunity applies to all policies and programs relating to recruitment and hiring, promotion, compensation, benefits, discipline, termination, and all other terms and conditions of employment. Any applicant or employee who believes they have been discriminated against by the Company or anyone acting on behalf of the Company must report any concerns to their Human Resources Business Partner, Legal, or Compliance immediately. The Company will not retaliate against any individual because they made a good faith report of discrimination.

Salary : $131,000 - $209,500