Field Reimbursement Manager

2 weeks ago

Waltham, Massachusetts, United States Apellis Pharmaceuticals Full time
Job Summary

The Field Reimbursement Manager plays a critical role in minimizing access and reimbursement barriers for patients and providers, optimizing access to Apellis' Ophthalmology portfolio. This position requires a strategic thinker who can work with customers and accounts to solve complex patient access issues throughout the reimbursement cycle.

Key Responsibilities
  • Partner with internal and external stakeholders to identify and address patient and practice reimbursement issues.
  • Provide education and support on Apellis reimbursement support programs for retina practices, multi-specialty groups, facilities, and their staff.
  • Collaborate with field-facing teams to share insights into customer needs, potential barriers, and payer issues/opportunities for access at practices.
  • Communicate and explain payer policy updates or system changes that impact access in assigned accounts.
  • Proactively communicate Apellis-specific patient services programs, policies, procedures, and resources to office staff.
  • Support questions associated with patient coverage, access, and reimbursement from accounts in collaboration with patient services.
  • Conduct quarterly reviews with practices on their utilization of Apellis reimbursement support services.
Requirements
  • Bachelor's degree from a four-year college or university.
  • 10 years of commercial experience in the pharmaceutical or biotech industry.
  • 5+ years of experience in healthcare coverage, coding, and/or reimbursement experience.
  • Experience with Buy and Bill products, Medicare Part B, and Miscellaneous J-Codes required.
  • Ophthalmology experience strongly preferred.
Benefits and Perks

Apellis offers a comprehensive benefit package, including health insurance, 401K with company match, paid time off, long-term disability insurance, and life insurance. Visit https://www.apellis.com/careers to learn more.

About Apellis Pharmaceuticals

Apellis Pharmaceuticals is a global biopharmaceutical company that combines courageous science and compassion to develop life-changing therapies for challenging diseases. We have two approved medicines targeting C3 and are committed to unlocking the potential of targeting C3 across many serious diseases.

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