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Access & Reimbursement Manager

The Lockwood Group, LLC
Location
Field-Based, Detroit, MI
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
  • Solution oriented mindset, strong business acumen, & strong analytic capabilities
  • Experience and understanding of Retail Pharmacies & Specialty Pharmacies
  • Demonstrated ability to educate offices on access processes and issue resolution
Nice to have
  • Cardiovascular/Cardiology and Hospital Healthcare Systems experience
  • Experience educating HCPs and office staff on client specific Patient Service programs
  • 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 act as a key resource in a designated territory, focusing on educating healthcare providers about payer requirements and reimbursement processes related to patient access. This role involves developing territory access plans, coordinating with various stakeholders, and ensuring compliance while providing support for insurance authorization and reimbursement issues. The position requires regular in-person visits to provider offices and active participation in client and internal meetings.

Things to weigh
  • Role is contracted and field-based, which may affect job stability
  • High visibility within the organization may lead to significant pressure
  • Requires compliance with strict Rules of Engagement (ROE)
  • Potential for ambiguity in daily responsibilities due to the nature of the role
Job score2.6/5
Benefits1/5
Freshness4/5
Career value4/5
Role clarity4/5
Pay transparency0/5

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