Field Reimbursement Specialist
4 weeks ago
Job Summary:
The Field Reimbursement Manager will be responsible for managing the day-to-day tactical field-based reimbursement activities in their geography. This includes conducting field reimbursement in-services and educational workshops for Patient Advocacy groups, Health Care Professional (HCP) offices, Specialty Pharmacies, and distributors for all CSL therapies.
Main Responsibilities:
- Work with payers, specialty pharmacies, physicians, and professional societies to secure adequate reimbursement of CSL Behring therapies.
- Aid physicians, sites of service, and their support staff in the reimbursement process. Provide in-service training to sales and marketing on the fundamentals of healthcare economics.
- Execute reimbursement strategies that proactively integrate and align with marketing and sales objectives.
- Work directly with third-party payers and Medicare offices to ensure adequate reimbursement for our products.
- Provide monthly reports recounting significant activities, progress, and follow-up needed.
- Assess the reimbursement environment (coverage, coding, and payment) for any new products and procedures.
- Work with payer and channel Customer Account Managers in educating and resolving reimbursement issues with SP accounts and attend customer account calls as needed to present reimbursement information on CSL therapies.
- Collaborate with the Patient Services team to ensure the Hub offerings are up to date with the changing reimbursement landscape.
- Attend trade shows and present reimbursement information as requested by the various groups.
Requirements:
- Bachelor's degree required (business/management, healthcare discipline, or life sciences preferred)
- 3-5 years' experience in the healthcare industry
- Prior reimbursement or case management experience required
- Prior work with patient advocacy groups desirable
- Excellent verbal and written communication skills
- Demonstrated ability to work both independently and in group settings
- Requires 50-60% domestic travel
About CSL Behring:
CSL Behring is a global leader in developing and delivering high-quality medicines that treat people with rare and serious diseases. Our treatments offer promise for people in more than 100 countries living with conditions in the immunology, hematology, cardiovascular, and metabolic, respiratory, and transplant therapeutic areas.
Benefits:
CSL employees that work at least 30 hours per week are eligible for benefits effective day 1. We offer resources and benefits, from health care to financial protection, so you can focus on doing work that matters. Our benefits are designed to support the needs of our employees at every stage of their life.
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