Field Reimbursement Manager (National)
stratis-group-llc
Job description
About the role
Stratis Group, an independent pharmaceutical consulting firm, seeks a National Field Reimbursement Manager to support provider and patient access across a dedicated territory. The role involves client‑facing education, reimbursement issue resolution, and collaboration with internal and external stakeholders.
Key responsibilities
- Manage daily activities that ensure patient access to client products in provider offices and act as a liaison to HUB, call center, and specialty pharmacy services.
- Provide in‑person visits as an extension of the client’s HUB, delivering education on formulary coverage, insurance forms, prior authorizations, appeals, and claims resolution.
- Serve as the payer expert for the assigned geography, communicating payer changes to stakeholders promptly.
- Review patient case information in a compliant manner and educate office staff on web‑based provider portals and patient support programs.
Required profile
- 3+ years of experience in Managed Care, Field Reimbursement, Patient Services, or Specialty/Biologic sales.
- 4‑year degree or 8+ years in related healthcare, pharmaceutical, or medical roles.
- Ability to travel 3‑4 days per week, including overnight trips, and reside within the territory.
- Valid driver’s license and ability to submit expense reports timely.
Required skills
- Advanced knowledge of medical insurance terminology.
- Expertise in CMS policies, especially Medicare Part B and Part D.
- Experience with specialty/biologic products and complex reimbursement processes.
- Proficiency using CRM systems to log call activity.
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Published 4 hours ago
Expires 1 month from now
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