Job Description

Job Description

* Territory includes N. California, Washington, Oregon, Idaho, Montana, Colorado, Nevada excluding Las Vegas and Wyoming.

The EVERSANA/Tanabe Pharma America (TPA) Field Reimbursement Manager is a field-based role that provides in person education to defined accounts within their assigned geographies on a range of access and reimbursement issues in support TPA products.

EVERSANA Deployment Solutions offers our employees competitive compensation, paid time off, company paid holidays, excellent training, employee development programs, 401K plan with an employer match, and an incredible list of comprehensive employer benefits that includes medical, dental, and vision insurance along with a whole host of other valuable programs.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by:

• Manage daily field-based activities to support appropriate patient access in key neurology centers and provider offices
• Execute collaborative territory plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other partners
• Interacts frequently in the field (60-70% of the time) with key stakeholders in multiple sites of care including, physician practices, hospitals, and other sites of care.
• Serve as a subject matter expert in educating healthcare provider staff on approved patient access services
• Collaborate with various internal field teams to ensure appropriate education in assigned geography
• Review and educate offices on payer policy, such as prior authorization requirements to ensure patient access
• Reviews patient-specific information in cases where the site has specifically requested assistance in resolving issues or coverage challenges.
• Provides feedback to internal teams on local payer trends and access issues
• Performs other duties as required

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Qualifications:
Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.

• Bachelor’s degree required
• Minimum of 5 years of pharmaceutical industry with experience in payer policy and reimbursement
• Minimum of 3 years of benefit verifications and prior-authorization requirements experience or equivalent experience in patient access, billing and coding in rare disease
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with experience in Medicare Part D
• Self-direction coupled with strong organizational skills
• Outstanding interpersonal skills, consultative approach, and customer orientation; proven ability to build and maintain strong working relationships with internal and external customers
• Strong communication skills: oral, written, training/presentation
• Proficient in MS Office
• Must be able to travel up to 60-70% domestically
• Valid driver’s license to drive to healthcare provider sites

Additional Information

OUR CULTURAL BELIEFS

Patient Minded - I act with the patient’s best interest in mind.

Client Delight - I own every client experience and its impact on results.

Take Action - I am empowered and hold myself accountable.

Grow Talent - I own my development and invest in the development of others.

Win Together - I passionately connect with anyone, anywhere, anytime to achieve results.

Communication Matters - I speak up to create transparent, thoughtful and timely dialogue.

Embrace Diversity - I create an environment of awareness and respect.

Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA.

EVERSANA is committed to providing competitive salaries and benefits for all employees. If this job posting includes a base salary range, it represents the low and high end of the salary range for this position and is not applicable to locations outside of the U.S. Compensation will be determined based on relevant experience, other job-related qualifications/skills, and geographic location (to account for comparative cost of living). More information about EVERSANA’s benefits package can be found at eversana.com/careers. EVERSANA reserves the right to modify this base salary range and benefits at any time.

From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at applicantsupport@eversana.com.

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Compensation:
$150,000-$150,000 per year

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