Field Reimbursement Manager

2 weeks ago


Fields, United States CSL Behring Full time
Main Responsibilities

The Field Reimbursement Manager will be responsible for managing the day-to-day tactical field-based reimbursement activities in their geography, including conducting in-services and educational workshops for Patient Advocacy groups, Health Care Professional offices, Specialty Pharmacies, and distributors for all CSL therapies.

Key responsibilities include:

  • Working with payers, specialty pharmacies, physicians, and professional societies to secure adequate reimbursement of CSL Behring therapies.
  • Aiding physicians, sites of service, and their support staff in the reimbursement process, providing in-service training to sales and marketing on the fundamentals of healthcare economics.
  • Executing reimbursement strategies that proactively integrate and align with marketing and sales objectives.
  • Collaborating with third-party payers and Medicare offices to ensure adequate reimbursement for CSL products.
  • Providing monthly reports on significant activities, progress, and follow-up needed.
  • Assessing the reimbursement environment (coverage, coding, and payment) for any new products and procedures.
  • Working with payer and channel Customer Account Managers to educate and resolve reimbursement issues with Specialty Pharmacy accounts and attending customer account calls as needed to present reimbursement information on CSL therapies.
  • Collaborating with field sales organizations and third-party patient access programs to resolve reimbursement issues and improve patient access to therapies.
  • Conducting field reimbursement in-services, such as account visits, presentations to healthcare providers, and billing procedure reviews for home care companies, pharmacies, and other providers experiencing inadequate reimbursement.
  • Working directly with consumer groups to provide reimbursement education and training, attending and conducting patient education workshops at regional and national consumer group meetings.
  • Collaborating with the Patient Services team to ensure the Hub offerings are up to date with the changing reimbursement landscape.
Requirements

The ideal candidate will have:

  • A Bachelor's degree in a business, management, healthcare discipline, or life sciences field.
  • 3-5 years of experience in the healthcare industry, with prior reimbursement or case management experience required.
  • Excellent verbal and written communication skills, with the ability to work independently and in group settings.
  • 50-60% domestic travel required.


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