Field Reimbursement Manager - Washington, DC

Company Description

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! 

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs.  We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve.   We are EVERSANA.  

Job Description

*Territory includes Maryland, North Carolina, South Carolina and Virginia. 

The EVERSANA/Mitsubishi Tanabe Pharma America (MTPA) Field Reimbursement Manager is a field-based role that provides in person education to defined accounts within their assigned geographies on a range of access and reimbursement issues in support MTPA products.

EVERSANA Deployment Solutions offers our employees competitive compensation, paid time off, company paid holidays, excellent training, employee development programs, 401K plan with an employer match, and an incredible list of comprehensive employer benefits that includes medical, dental, and vision insurance along with a whole host of other valuable programs.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Our employees are tasked with delivering excellent business results through the efforts of their teams.  These results are achieved by:

• Manage daily field-based activities to support appropriate patient access in key neurology centers and provider offices
• Execute collaborative territory plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other partners
• Interacts frequently in the field (60-70% of the time) with key stakeholders in multiple sites of care including, physician practices, hospitals, and other sites of care.
• Serve as a subject matter expert in educating healthcare provider staff on approved patient access services
• Collaborate with various internal field teams to ensure appropriate education in assigned geography
• Review and educate offices on payer policy, such as prior authorization requirements to ensure patient access
• Reviews patient-specific information in cases where the site has specifically requested assistance in resolving issues or coverage challenges.
• Provides feedback to internal teams on local payer trends and access issues
• Performs other duties as required

#LI-CG1

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.

• Bachelor’s degree required
• Minimum of 5 years of pharmaceutical industry with experience in payer policy and reimbursement
• Minimum of 3 years of benefit verifications and prior-authorization requirements experience or equivalent experience in patient access, billing and coding in rare disease
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with experience in Medicare Part D 
• Self-direction coupled with strong organizational skills
• Outstanding interpersonal skills, consultative approach, and customer orientation; proven ability to build and maintain strong working relationships with internal and external customers
• Strong communication skills: oral, written, training/presentation
• Proficient in MS Office
• Must be able to travel up to 60-70% domestically
• Valid driver’s license to drive to healthcare provider sites

Additional Information

OUR CULTURAL BELIEFS

Patient Minded - I act with the patient’s best interest in mind.

Client Delight - I own every client experience and its impact on results.

Take Action -  I am empowered and hold myself accountable.

Grow Talent - I own my development and invest in the development of others. 

Win Together - I passionately connect with anyone, anywhere, anytime to achieve results.

Communication Matters -  I speak up to create transparent, thoughtful and timely dialogue.

Embrace Diversity - I create an environment of awareness and respect.

Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA.

From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at [email protected].

Follow us on LinkedIn | Twitter