Philadelphia, Pennsylvania, USA
1 day ago
Field Reimbursement Manager, N&I, Tristate

 

Work Your Magic with us! Start your next chapter and join EMD Serono.

 

Ready to explore, break barriers, and discover more? We know you’ve got big plans – so do we! Our colleagues across the globe love innovating with science and technology to enrich people’s lives with our solutions in Healthcare, Life Science, and Electronics. Together, we dream big and are passionate about caring for our rich mix of people, customers, patients, and planet. That's why we are always looking for curious minds that see themselves imagining the unimaginable with us.  

 

United As One for Patients, our purpose in Healthcare is to help create, improve and prolong lives. We develop medicines, intelligent devices and innovative technologies in therapeutic areas such as Oncology, Neurology and Fertility. Our teams work together across 6 continents with passion and relentless curiosity in order to help patients at every stage of life. Joining our Healthcare team is becoming part of a diverse, inclusive and flexible working culture, presenting great opportunities for personal development and career advancement across the globe.

 


Your Role: As the Field Reimbursement Manager N&I for the Tristate region, you will play a crucial role in facilitating patient and healthcare provider access to transformative therapies. Reporting to the East Associate Director, Field Reimbursement, Neurology & Immunology (N&I), you will be an essential part of the Field Reimbursement team, focusing on enhancing patient experiences with EMD Serono’s (EMDS) products and services.


Your impact will be significant in navigating and ensuring patient access to EMDS N&I products, particularly for Multiple Sclerosis (MS). Your efforts will ensure timely treatment, unobstructed coverage, and proper distribution, which are vital for both patients and healthcare operations. You will collaborate with internal and external stakeholders to optimize patient access and educate healthcare providers across community, institutional, and academic settings. Job responsibilities include but are not limited to:

Reimbursement Support: Assist healthcare providers in navigating the reimbursement landscape and patient access for N&I products, including prior authorizations, appeals, and denials. Provide personalized issue resolution for these processes.Education and Training: Conduct training sessions for healthcare providers and office staff on HUB services, reimbursement processes, coding, and billing practices related to N&I products. Educate providers on payer challenges and claims submission.Patient Assistance: Support patients in understanding their insurance benefits and accessing patient assistance programs for N&I products. Ensure a positive experience for healthcare providers and patients through collaboration.Stakeholder Collaboration: Collaborate with internal and external stakeholders, including sales, marketing, and medical affairs, to optimize patient access and support N&I products reimbursement strategies. Serve as the liaison to the HUB and specialty pharmacies to address therapy challenges.Compliance: Ensure all activities comply with company policies, industry regulations, and legal requirements.Data Analysis: Monitor and analyze reimbursement trends and issues for N&I products, providing insights and recommendations to improve access to the therapy.Field Visits: Regularly visit healthcare provider offices to offer hands-on support and build strong relationships.Patient Access Leadership: Lead the evaluation and implementation of patient access opportunities within your geographic area to ensure alignment with overall access goals. Develop and present tactical plans to internal leadership stakeholders to share insights and gain feedback.

 

Travel Requirements: This is a remote, field-based position. Travel is required, with 40-50% of your time spent traveling, including overnight stays, in the assigned geography, company meetings and conferences.


Who You Are:
Minimum Qualifications:

Bachelor’s degree in business, Sciences, or related fields, or 15+ years of job-related experience with 8+ of those years in the pharmaceutical industry, sales, or field reimbursement.Knowledge of private payer, Medicare, and Medicaid systems.Technical knowledge of drug coverage policies and healthcare payment methods.Understanding of HIPAA and compliance in reimbursement roles.Ability to travel 40-50%, including overnight stays.

 

Preferred Qualifications:

5+ years in specialty account management or managed care.Proven results in resolving access challenges.Strong analytical skills and knowledge of neurology products, especially MS therapies.Experience in MS, Endocrinology, or similar fields.Strong communication, presentation, and interpersonal skills. Reside within 90 minutes of a major airport.

Preference given to candidates in the covered geography. 

 

The Pay Range for this position: $131,000 - 209,500

Our ranges are derived from several sources, and largely reliant on relevant industry market data. Should we decide to make an offer, we will consider several factors, including but not limited to your location, skills, experience, career level, and other job-related factors.  This role may offer the following benefits: medical, vision, and dental insurance; life insurance; disability insurance; a 401(k) matching program; paid time off; and paid holidays; among other employee benefits. This role may also be eligible for short-term or long-term incentive compensation, including, but not limited to, cash bonuses.



What we offer: We are curious minds that come from a broad range of backgrounds, perspectives, and life experiences. We celebrate all dimensions of diversity and believe that it drives excellence and innovation, strengthening our ability to lead in science and technology. We are committed to creating access and opportunities for all to develop and grow at your own pace. Join us in building a culture of inclusion and belonging that impacts millions and empowers everyone to work their magic and champion human progress!
 
Apply now and become a part of our diverse team!

 

If you would like to know more about what diversity, equity, and inclusion means to us, please visit https://www.emdgroup.com/en/company/press-positions.html

 

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