Specialist, Access and Reimbursement

📋 Description

• Collaborate with Field Reimbursement Managers (FRMs) and Health Care Providers (HCPs) in designated
• Educate FRMs and HCPs on patient support programs, including tools and services for access and
• Provide local expertise on plans and educate on prior authorization, medical exception, and appeal
• Develop and sustain relationships with relevant providers within the territory.
• Take ownership of process improvement initiatives to enhance system efficiencies and patient access
• Maintain an understanding of current business procedures, deviations, and case processing for all

🎯 Requirements

• Bachelor's degree or Associate Degree in health sciences or business preferred; comparable
• 3-5 years of experience in healthcare industry with knowledge in reimbursement, billing, prior
• Demonstrated understanding of rules, regulations, and risks associated with reimbursement support
• Deep technical understanding of coverage, coding, payment, and distribution of specialty products.
• Strong understanding of access and reimbursement support service centers.
• Thorough understanding of technical payer policy processes, systems, and requirements for coverage.

🎁 Benefits

• Paid time off (vacation, holidays, sick)
• Medical/dental/vision insurance
• 401(k) retirement plan
• Short-term incentive programs
• Comprehensive benefits package