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Access & Reimbursement Manager

The Lockwood Group, LLC
Location
Field-Based, Northwest
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
  • Experience educating HCPs and office staff on client specific Patient Service programs
  • Experience delivering educational presentations 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 work in the field to support patient access by educating healthcare providers on payer requirements and reimbursement processes. This role involves developing territory access plans, coordinating with various stakeholders, and ensuring compliance while addressing patient-level access issues. The ARM will also monitor payer policies and provide insights to improve access services.

Things to weigh
  • Field-based role requires significant travel (3-4 days a week)
  • Role involves compliance with strict Rules of Engagement (ROE)
  • Position may require handling of Protected Health Information (PHI) under specific conditions
Job score2.6/5
Benefits1/5
Freshness4/5
Career value4/5
Role clarity4/5
Pay transparency0/5

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