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Field Reimbursement Specialist

2 months ago

Colorado Springs, Colorado, United States RemX | The Workforce Experts Full time
Join Our Team as a Field Reimbursement Manager

We are seeking a highly skilled Field Reimbursement Manager to join our team at RemX | The Workforce Experts. As a Field Reimbursement Manager, you will be responsible for managing a territory of several states, including CO, Eastern ID, UT, WY, and MT.

Key Responsibilities:
  • Expertise in Retail Pharmacy and Specialty pharmacy drug Prior Authorizations, Appeals, and working denials
  • Experience in FRM territory management, training, and educating provider office staff
  • Knowledge of LOCAL PAYOR LANDSCAPE: Medicare & Medicaid
  • Ability to work through roadblocks and barriers to get medications approved and paid for
  • Experience in escalations, education, Commercial co-pay card approvals, Patient Assistance program approvals, foundation coverage, guidelines, and reimbursement

What We Offer:

  • Opportunity to work on an important launch for a large BioPharm company
  • Chance to make a meaningful impact on patients' lives
  • Collaborative and dynamic work environment

Requirements:

  • FRM territory experience (including experience working without access to PHI)
  • Expertise in Retail Pharmacy, Specialty Drug Prior authorizations through portals, benefits investigations, working appeals and denials
  • Local payor landscape knowledge: Medicare & Medicaid
  • Ability to work arounds when PHI is not accessible

Travel Requirements: 80% travel within the territory

Please submit your resume with your city, state, and zip code for consideration.