What are the responsibilities and job description for the Senior Field Reimbursement Manager - Midwest position at Fresenius Kabi USA, LLC?
Job Summary
The Senior Field Reimbursement Manager (FRM) plays a vital role in helping patients gain access to life changing therapies. From oral medications to biosimilars to critical cancer treatments. Fresenius Kabi's FRMs, with their passion for patients, represent these therapies providing education, coverage, and access solutions to healthcare personnel. Senior Field Reimbursement Managers (FRMs) educate and assist office staff on prior authorization requirements, coverage status and payer appeals requirements, processes and timelines. The Senior Field Reimbursement Manager will assist provider offices in resolving complex coverage and reimbursement issues that may create barriers to access for patients. FRM's travel weekly, Monday - Thursday, to healthcare offices within a designated geographic territory, using their knowledge of coverage, patient assistance, and health policy to educate office staff and break through access issues to ultimately help patients.
The ideal candidate will live near a major airport in one of the following cities : Chicago, St. Louis, Minneapolis, Kansas City or Denver. The territory covers the following states : Illinois, Missouri, Kansas, Nebraska, Iowa, Minnesota, Colorado, Washington, Idaho and Oregon
Salary Range : $155,000 - 165,000 per year
Position is eligible to participate in a bonus plan with a target of 14% of the base salary. Final pay determinations will depend on various factors, including, but not limited to experience level, education, knowledge, skills, and abilities. Our benefits and programs are comprehensive and thoughtfully crafted to ensure our colleagues live healthy lives and have support when it matters most.
Responsibilities
- Develop solutions and plan of action to internal or external reimbursement issues or opportunities. Able to condense complex issues into simple solutions by working with peers and internal stakeholders to improve the customer experience.
- Educating provider offices on local and regional payer issues, coding changes, and appropriate claims submission processes.
- Liaising with reimbursement hotlines regarding alternative funding / financial assistance programs.
- Assisting with determining coverage and access options available for a specific medication or procedure.
- Engage Key Stakeholders at Medicare Advisory Carriers, MAC's, and Monitor Local Coverage Determinations and articles for assigned MAC's to ensure coverage is consistent with product label.
- Work with internal partners to build strategic patient access and reimbursement account plans. Keep abreast of customer and healthcare industry trends. Sees patterns or connections between situations; can envision and articulate possibilities and likelihoods. Initiates development actions to constantly adapt and grow capabilities to increase impact.
- Work with the broad stakeholder team to achieve customer and product strategies and goals.
- Responsible for feeding key customer insights and product trends to HQ personnel, shaping current and future strategies.
- Direct the analysis and measurement of key business drivers and objectives including relationship effectiveness, value proposition and other operational and financial indicators for their customer(s).
- FRM's will communicate on the following : national commercial payers, PBM's, Medicaid, Medicare, clinical pathway organizations, payer owned specialty pharmacies, product distribution updates, and state government affairs.
- All employees are responsible for ensuring the compliance to company documents, programs and activities related to Health, Safety, Environment, Energy and Quality Management System as per your roles and responsibilities.
Requirements
Additional Information
We offer an excellent salary and benefits package including medical, dental and vision coverage, as well as life insurance, disability,401K with company contribution, andwellness program.
Fresenius Kabi is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, immigration status, disabilities, or protected veteran status.
Salary : $155,000 - $165,000
