Specialty Pharmacy Expert

3 days ago


Kansas City, Missouri, United States RemX | The Workforce Experts Full time
About the Role
We are seeking an experienced Clinical Reimbursement Specialist to join our team at RemX | The Workforce Experts. As a key member of our team, you will be responsible for ensuring patients receive the medications they need. Your expertise in clinical reimbursement, including experience working with FRM territory management, training, and educating provider office staff, is essential.

The ideal candidate will have a strong background in specialty pharmacy, with experience in retail pharmacy and specialty drug prior authorizations. You will be responsible for managing a territory in Kansas City, MO, and ensuring patients receive necessary medications. Your knowledge of local payor landscape: Medicare & Medicaid is also essential.

Responsibilities
- Manage a territory in Kansas City, MO
- Train and educate provider office staff
- Ensure patients receive necessary medications
- Manage escalations, education, Commercial co-pay card approvals, Patient Assistance program approvals, foundation coverage, guidelines, and reimbursement

Requirements
- BA degree highly preferred
- Experience in FRM territory management
- Knowledge of local payor landscape: Medicare & Medicaid
- Ability to work independently without access to PHI

Salary and Benefits
We offer a competitive salary range of $80,000 - $110,000 per year, depending on experience, plus comprehensive benefits package, including health insurance, 401(k) matching, and paid time off.

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