Field Reimbursement Manager - West
ANI Career Site
Summary
The Field Reimbursement Manager (FRM) is a key contributor to the overall patient support program for Purified Cortrophin Gel. The FRM serves as the partner in product access, with a focus on patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business-related issues within the patient support division. This includes communicating with the case management team conducting benefit investigations, educating health care providers on the prior authorization and appeal process, and coordinating other patient services.
Job description
About the Role
The Field Reimbursement Manager (FRM) is a key contributor to the overall patient support program for Purified Cortrophin Gel. The FRM serves as the partner in product access, with a focus on patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business-related issues within the patient support division. This includes communicating with the case management team conducting benefit investigations, educating health care providers on the prior authorization and appeal process, and coordinating other patient services.
Responsibilities
- Reports to a director on the field reimbursement team for development and mentoring
- Provides proactive education to health care provider on the insurance requirements for a patient's prescription
- Works with Hub case manager and in-network Specialty Pharmacies on prior authorization requirements and communication with HCP and patients
- Coordinates communication and activities with Nurse Access Specialist colleagues
- Facilitates patient assistance when applicable, such as copay and free goods
- Partners with managed care colleagues to understand policies and highlight new trends
- Collaborate with sales colleagues when appropriate and as directed by Compliance policies
Skills/Competencies
- Strong collaboration with Hub partners and cross-functional colleagues
- Familiarity with OIG guidance, HIPAA guidelines and FDA protocols
- Possesses a sense of urgency to address critical access issues for patients
- Problem-solver who navigates challenging access scenarios and identifies solutions
- Takes initiative to move a patient case forward at all times
- Strong interpersonal and communication skills
Qualifications/Requirements
- Relevant post-secondary education or applicable certifications
- Minimum 3-4 years of experience working with specialty medications – either in pharma, at a provider's office or with an insurance payer
- Demonstrated expertise with both pharmacy and medical benefits in a specialty disease market
- Ability to travel up to 25% with some evening and weekend commitments
Requirements
- Relevant post-secondary education or applicable certifications
- Minimum 3-4 years of experience working with specialty medications – either in pharma, at a provider's office or with an insurance payer
- Demonstrated expertise with both pharmacy and medical benefits in a specialty disease market
- Ability to travel up to 25% with some evening and weekend commitments
- Strong collaboration with Hub partners and cross-functional colleagues
- Familiarity with OIG guidance, HIPAA guidelines and FDA protocols
- Strong interpersonal and communication skills
Benefits
- Health Insurance
- Life Insurance
- Disability Insurance
- Retirement Savings Plans
- Paid Leave Programs
- Paid Holidays
- Paid Time Off
Company overview
ANI Pharmaceuticals, Inc. (Nasdaq: ANIP) is a diversified biopharmaceutical company dedicated to its mission of 'Serving Patients, Improving Lives' through the development, manufacturing, and commercialization of high-quality therapeutics. The company operates across three core business segments: Rare Disease, Generics, and Established Brands. ANI focuses on delivering sustainable growth by scaling its Rare Disease business with innovative products in ophthalmology, rheumatology, nephrology, neurology, and pulmonology, while leveraging its U.S.-based manufacturing capabilities and R&D expertise in generics. As an integrated specialty pharmaceutical company, ANI manufactures oral solid dose products, liquids, topicals, narcotics, and potent products, with targeted development areas including narcotics, oncolytics, hormones, steroids, and complex formulations. Headquartered in Baudette, Minnesota, with additional operations in Princeton, New Jersey, and East Windsor, New Jersey, the company distributes its products through wholesalers, retail chains, distributors, mail-order pharmacies, group purchasing organizations, specialty pharmacies, and hospitals.