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Access & Reimbursement Manager

The Lockwood Group, LLC
Location
Field-Based, Nashville, TN
Posted
16 days ago
Department
Market Access
What they actually want (must-haves)
  • 3+ years of experience in Managed Care, Field Reimbursement, Patient Services, and/or Sales (Specialty or Biologics), or healthcare provider office practice management
  • 4-year degree in related field or equivalent experience
  • Ability to travel 3-4 days a week, with overnights as needed
  • Strong business acumen and analytic capabilities
  • Advanced knowledge of medical insurance terminology
  • Valid Driver’s License
Nice to have
  • Experience in Cardiovascular/Cardiology and Hospital Healthcare Systems
  • Experience and understanding of Retail Pharmacies & Specialty Pharmacies
  • Demonstrated ability to educate offices on access processes and issue resolution
  • Experience delivering educational presentations in person and/or via technology platforms such as Zoom, Webex, and/or Teams
  • Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part D for Pharmacy Benefit products)
What the job really is

The Access & Reimbursement Manager will operate in a field-based role focused on enhancing patient access to pharmaceutical products within a designated territory. Daily responsibilities include educating healthcare providers on payer requirements and reimbursement processes, developing territory access plans, and coordinating with various stakeholders to ensure compliance and effective patient support. The role requires active engagement with provider offices to facilitate insurance authorization and reimbursement for patients, while also monitoring payer policies and trends.

Things to weigh
  • Field-based role may require significant travel and overnight stays
  • Role involves compliance with specific Rules of Engagement (ROE)
  • High visibility within the organization may lead to pressure to meet objectives
  • Requires managing ambiguity and problem-solving in a dynamic environment
Job score2.6/5
Benefits1/5
Freshness4/5
Career value4/5
Role clarity4/5
Pay transparency0/5

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