Field Reimbursement Specialist

4 weeks ago


Pittsburgh, Pennsylvania, United States RemX | The Workforce Experts Full time

Expertise in Retail Pharmacy and Specialty Pharmacy

We are seeking a skilled Field Reimbursement Manager to join our team at RemX | The Workforce Experts. The ideal candidate will have experience in Retail Pharmacy and Specialty Pharmacy drug Prior Authorizations, Appeals, and working denials, as well as territory management experience, training, and educating provider office staff.

The successful candidate will be responsible for covering a territory, working with provider office staff, and ensuring that medications are approved and paid for. Key skills and qualifications include:

  • Experience in Retail Pharmacy and Specialty Pharmacy drug Prior Authorizations, Appeals, and working denials
  • Territory management experience, training, and educating provider office staff
  • Knowledge of local payor landscape, including Medicare and Medicaid
  • Ability to work through roadblocks and barriers to get medications approved and paid for
  • BA degree highly preferred

Key Responsibilities

  • Manage a territory of provider offices, ensuring that medications are approved and paid for
  • Work with provider office staff to resolve issues and ensure compliance with regulations
  • Develop and maintain relationships with payers and other stakeholders
  • Stay up-to-date with changes and updates to drug programs, new FDA indications, and payer policy changes


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